Nerve injury complications. Management of neurogenic XXXX syndromes.

@entity1 @entity697 @entity809 @entity6865 @entity2850 @entity7577 @entity1897 @entity158 @entity130
Postural @entity7577 occurs more frequently than usually realized. The cause is multifactorial with certain predisposing anatomic and congenital factors that are not uncommon. An inciting event is required to cause a clinically significant syndrome. The event can be a specific traumatic episode or cumulative @entity130 leading to an adoption of a guarding posture, which results in a self-perpetuating cycle and brachial @entity2850 . The diagnosis and management may be complicated by concurrent @entity2850 , concurrent @entity6865 , and associated inflammatory musculotendinous conditions. Diagnosis relies on the appreciation of a peculiar symptom complex of @entity158 and @entity809 . The important clinical signs are a supraclavicular Tinel's sign and a positive stress abduction test. Treatment includes exercises, @entity1 education, and behavior modification. However, misdiagnosis can lead to inappropriate treatment, such as unnecessary carpal and cubital tunnel releases. Operative treatment is reserved for those severe cases that are resistant to extended and intense physical therapy. The preferred surgical technique involves an anterior, supraclavicular approach allowing for complete visualization and release of @entity2850 . Awareness is the key to making the diagnosis, and successful treatment requires a multidisciplinary approach. It is generally accepted that @entity1897 result in serious losses of function. Paresthesias and motor weakness cause immediate functional limitation, and place the hand at risk for @entity130 . The system has little regenerative capacity, and the chance for recovery is poor even under the best circumstances. Therefore the treatment of @entity697 can be difficult and frustrating.(ABSTRACT TRUNCATED AT 250 WORDS)
