Supracondylar process syndrome: two cases of median nerve neuropathy due to compression by the ligament of Struthers

Hyun-Chul Shon, Ji-Kang Park, Dong-Soo Kim, Sang-Woo Kang, Kook-Jong Kim, Seok-Hyun Hong Department of Orthopaedic Surgery, Chungbuk National University Hospital, Chungbuk National University, Cheongju, Korea Abstract: The supracondylar process is a beak-shaped bony process on the anteromedial aspec...

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Main Authors: Shon HC, Park JK, Kim DS, Kang SW, Kim KJ, Hong SH
Format: Article
Language:English
Published: Dove Medical Press 2018-04-01
Series:Journal of Pain Research
Subjects:
Online Access:https://www.dovepress.com/supracondylar-process-syndrome-two-cases-of-median-nerve-neuropathy-du-peer-reviewed-article-JPR
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author Shon HC
Park JK
Kim DS
Kang SW
Kim KJ
Hong SH
author_facet Shon HC
Park JK
Kim DS
Kang SW
Kim KJ
Hong SH
author_sort Shon HC
collection DOAJ
description Hyun-Chul Shon, Ji-Kang Park, Dong-Soo Kim, Sang-Woo Kang, Kook-Jong Kim, Seok-Hyun Hong Department of Orthopaedic Surgery, Chungbuk National University Hospital, Chungbuk National University, Cheongju, Korea Abstract: The supracondylar process is a beak-shaped bony process on the anteromedial aspect of the distal humerus. The ligament of Struthers is a fibrous band extending from the tip of the process to the medial epicondyle. The median nerve and brachial artery pass under the ligament of Struthers and consequently can be compressed, causing supracondylar process syndrome. As a rare cause of proximal median nerve entrapment, supracondylar process syndrome is triggered when the median nerve is located in the superficial or deep layer of the ligament of Struthers as a result of anatomical variation. The supracondylar process can be easily detected on X-ray images obtained in oblique views but may not be identified in only anteroposterior or lateral views. In this article, we present 2 cases of supracondylar process syndrome and describe the process of diagnosis and treatment and results of a literature review. Keywords: supracondylar process syndrome, ligament of Struthers, median nerve, nerve entrapment 
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spelling doaj.art-8bdcebf48bad4dba98169de5f1014e712022-12-21T18:40:23ZengDove Medical PressJournal of Pain Research1178-70902018-04-01Volume 1180380737797Supracondylar process syndrome: two cases of median nerve neuropathy due to compression by the ligament of StruthersShon HCPark JKKim DSKang SWKim KJHong SHHyun-Chul Shon, Ji-Kang Park, Dong-Soo Kim, Sang-Woo Kang, Kook-Jong Kim, Seok-Hyun Hong Department of Orthopaedic Surgery, Chungbuk National University Hospital, Chungbuk National University, Cheongju, Korea Abstract: The supracondylar process is a beak-shaped bony process on the anteromedial aspect of the distal humerus. The ligament of Struthers is a fibrous band extending from the tip of the process to the medial epicondyle. The median nerve and brachial artery pass under the ligament of Struthers and consequently can be compressed, causing supracondylar process syndrome. As a rare cause of proximal median nerve entrapment, supracondylar process syndrome is triggered when the median nerve is located in the superficial or deep layer of the ligament of Struthers as a result of anatomical variation. The supracondylar process can be easily detected on X-ray images obtained in oblique views but may not be identified in only anteroposterior or lateral views. In this article, we present 2 cases of supracondylar process syndrome and describe the process of diagnosis and treatment and results of a literature review. Keywords: supracondylar process syndrome, ligament of Struthers, median nerve, nerve entrapment https://www.dovepress.com/supracondylar-process-syndrome-two-cases-of-median-nerve-neuropathy-du-peer-reviewed-article-JPRSupracondylar process syndromeLigament of StruthersMedian nerveNerve entrapment
spellingShingle Shon HC
Park JK
Kim DS
Kang SW
Kim KJ
Hong SH
Supracondylar process syndrome: two cases of median nerve neuropathy due to compression by the ligament of Struthers
Journal of Pain Research
Supracondylar process syndrome
Ligament of Struthers
Median nerve
Nerve entrapment
title Supracondylar process syndrome: two cases of median nerve neuropathy due to compression by the ligament of Struthers
title_full Supracondylar process syndrome: two cases of median nerve neuropathy due to compression by the ligament of Struthers
title_fullStr Supracondylar process syndrome: two cases of median nerve neuropathy due to compression by the ligament of Struthers
title_full_unstemmed Supracondylar process syndrome: two cases of median nerve neuropathy due to compression by the ligament of Struthers
title_short Supracondylar process syndrome: two cases of median nerve neuropathy due to compression by the ligament of Struthers
title_sort supracondylar process syndrome two cases of median nerve neuropathy due to compression by the ligament of struthers
topic Supracondylar process syndrome
Ligament of Struthers
Median nerve
Nerve entrapment
url https://www.dovepress.com/supracondylar-process-syndrome-two-cases-of-median-nerve-neuropathy-du-peer-reviewed-article-JPR
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