Common Peripheral Nerve Lesions: Mononeuropathies

Resting elbow on a firm surface (a desk or the base of a car window frame).


img Malpositioning/inadequate padding during surgery or while in a coma.


• Elbow deformities. Congenital anomalies, osteoarthritis and rheumatoid arthritis.


2. In the wrist and hand.
• Trauma. Wrist lacerations, puncture wounds to hand (industrial accidents).

• Compression by external pressure (cycling, use of a cane or volleyball).


Radial nerve palsy:


Common site of damage: Spiral groove of humerus.



  • Trauma: The commonest traumatic cause is fracture of the humerus.
  • Compression against the lateral aspect of the arm:


img Patients lying on their arm for a prolonged time.

img Tourniquet paralysis.

Common peroneal nerve palsy:


Common site of damage: As it winds around the head of the fibula.



  • Compression


img Prolonged squatting (strawberry pickers, palsy).

img Exposure to pressure (e.g. leg crossing) after weight loss and therefore loss of subcutaneous fat padding.
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Jul 16, 2016 | Posted by in NEUROSURGERY | Comments Off on Common Peripheral Nerve Lesions: Mononeuropathies

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