The Mount Sinai Journal of Medicine

 

Volume 71 Number 4
September 2004
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Compression of the Radial Branch of the Median Nerve Due to an Anomalous Muscle Belly of the First Lumbrical in a Child 285-286

Mark E. Pruzansky, M.D.

Assistant Clinical Professor of Orthopedic Surgery, Department of Orthopedic Surgery, Mount Sinai School of Medicine, New York, NY.

Address all correspondence to Mark E. Pruzansky, M.D., 975 Park Avenue, New York, NY 10028.

Accepted for publication 2003.

ABSTRACT
Compression of the radial branch of the median nerve due to an anomalous muscle belly of the first lumbrical is a new diagnostic entity. We found this in the case of a 12-year-old girl with intermittent pain, weakness and paresthesias in the right hand. Provocative signs and symptoms in the distribution of only the radial branch of the median nerve are the most important signs distinguishing this case from carpal tunnel syndrome.

KEY WORDS
Compression, median, nerve, lumbrical, pediatric.