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KERD
논문KCI 등재

강한 손바닥 압박 후 속발된 엄지두덩운동신경병증 1예

A Case of Strong Palm Compression-Induced Thenar Motor Neuropathy

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초록

Thenar motor neuropathy (TMN) is a compressive mononeuropathy of recurrent motor branch of median nerve. It is infrequent and may have different pathogenesis. It may be a unique entity of disease or considered a variant of carpal tunnel syndrome involving the motor branch only. We report a case of TMN induced by vigorous massage that applied strong digital pressure in the region of the base of palm and thenar muscles.

Abstract

Thenar motor neuropathy (TMN) is a compressive mononeuropathy of recurrent motor branch of median nerve. It is infrequent and may have different pathogenesis. It may be a unique entity of disease or considered a variant of carpal tunnel syndrome involving the motor branch only. We report a case of TMN induced by vigorous massage that applied strong digital pressure in the region of the base of palm and thenar muscles.

참고문헌 (7)

  1. Bennet JB, "Compression syndrome of the recurrent motor branch of the median nerve", J Hand Surg, 7, pp.407~409 (1982)
  2. Mumford J, "Anatomy of the thenar branch of median nerve", J Hand Surg Am, 12, pp.361~365 (1987)
  3. Mondelli M, "Thenar motor neuropathy electrophysiological study of 28 cases", J Clin Neurophysiol, 27, pp.344~349 (2010)
  4. Lanzi U, "Anatomical variations of the median nerve in the carpal tunnel", J Hand Surg, 2, pp.44~53 (1977)
  5. Hurwitz PJ, "Variations of the course of the thenar motor branch of the median nerve", J Hand Surg, 21, pp.344~346 (1996)
  6. Herskovitz S, "Shiatsu massage-induced injury of the median recurrent motor branch", Muscle Nerve, 15, pp.1215~ (1992)
  7. Rizzello G, "Compression neuropathy of the motor fibers of the median nerve at wrist level", J Chin Med Assoc, 72, pp.268~270 (2009)

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