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DOI: 10.1055/s-0044-1793924
Lacertus Fibrosus Syndrome: “The eyes only see what the mind knows”
Artikel in mehreren Sprachen: español | English
Abstract
Lacertus fibrosus (LF) syndrome is the most common cause of proximal compression of the median nerve around the elbow. It is characterized by pain in the forearm and weakness in certain movements of the hand and wrist.
It is a commonly underdiagnosed pathology, which requires a high clinical suspicion and a thorough examination in the physical examination since complementary imaging and electrodiagnostic examinations are usually not useful.
Initially, it is conservative treatment, but if this fails, surgical release may be indicated.
The LF release technique can be performed under a local anesthesia technique without sedation or an ischemia tourniquet (WALANT), which allows the surgeon to evaluate intraoperatively the immediate recovery of strength of the muscle groups compromised in this condition. Postoperative functional results have been shown to be excellent in terms of resolution of pain and recovery of strength.
LF syndrome is common; it must be diagnosed and treated correctly to achieve a satisfactory resolution of the symptoms.
Publikationsverlauf
Eingereicht: 05. Oktober 2024
Angenommen: 16. Oktober 2024
Artikel online veröffentlicht:
23. Dezember 2024
© 2024. SECMA Foundation. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
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