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Pediatric radial mononeuropathies: A clinical and electromyographic study of sixteen children, with review of the literature
Author(s) -
Escolar Diana M.,
Jones H. Royden
Publication year - 1996
Publication title -
muscle and nerve
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.025
H-Index - 145
eISSN - 1097-4598
pISSN - 0148-639X
DOI - 10.1002/(sici)1097-4598(199607)19:7<876::aid-mus10>3.0.co;2-h
Subject(s) - mononeuropathy , radial nerve , medicine , electromyography , trunk , surgery , peripheral neuropathy , physical medicine and rehabilitation , ecology , endocrinology , biology , diabetes mellitus
Sixteen pediatric radial mononeuropathies were seen among 2,077 electromyograms performed in the electromyography laboratory at The Children's Hospital, Boston, during 16.5 years, 1979–1995. Eight (50%) of these radial neuropathies, including 2 in newborns with apparent prenatal onset, were atraumatic, primarily related to compression in 6 and entrapment in 2. The other 8 (50%) were traumatic related to fractures or lacerations. Electromyography documented the radial neuropathy to be localized to the proximal main radial nerve trunk in 2 (13%), distal main radial nerve trunk in 9 (56%), and posterior interosseous nerve in 5 (31%) children. Significant improvement was noted in 13 of the 16 radial neuropathies— within 6–12 weeks for demyelinating lesions and up to 17 months for axonal injuries. Rarely, a child with a chronic progressive radial neuropathy or a postfracture radial neuropathy that does not improve in 3 months may require exploration. © 1996 John Wiley & Sons, Inc.