Wartenberg’s Syndrome
Case Review for WartenbErg's Syndrome by Hand Therapy Secrets
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Wartenberg's Syndrome is an entrapment neuropathy of the superficial radial nerve (SRN), which is a pure sensory nerve. Can also be known as "cheiralgia paraesthetica".
Due to compression by the relative motion of brachioradialis and extensor carpi radialis longus (ECRL) during forearm rotation.The nerve may be entrapped at its exit point to the subcutaneous plane by the intervening fascia.
Signs and Symptoms of Wartenberg's Synddrome
Vague pain over the dorsoradial hand
Paraesthesia (tingling sensation)
Numbness
Onset may have been precipitated by:
tight bracelet, wrist watch, wrist band
minor trauma to the wrist
repetitive wrist flexion, ulnar deviation or forearm rotation
Signs
A positive Tinel's sign over the SRN at the entrapment spot is the most reliable sign
A provocative test with repeated wrist flexion, ulnar deviation and pronation (akin to Traction Tinel's sign)
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