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Egyptian Rheumatology and Rehabilitation

Table 4 Diagnosis of patients with chronic dorsoradial wrist pain in both patients’ groups

From: Superficial radial neuropathy: an unobserved etiology of chronic dorsoradial wrist pain

Diagnosis of the chronic dorsoradial wrist pain

Group I

(n= 29 upper limbs obtained from 26 patients)c

[n(%)]

Group II

(n= 69 upper limb obtained from 54 patients)d

[n(%)]

Superficial radial neuropathy with other pathologies

14(48.3)e

NA

 De Quervain’s disease

8(27.6)

39(56.5)k,l,m

 First carpometacarpal joint OA

3(10.36)f

13(18.8)l

 Status post-distal radial fracture (Colles’ fracture)

2(6.9)

6(8.7)

 Non-union scaphoid fracture

0(0)

1(1.5)

 Dorsal wrist ganglion

1(3.44)

7(10.1)

 Chronic wrist sprain

0(0)

5(7.2)m

 Intersection syndrome

0(0)

1(1.5)

Superficial radial neuropathy as the solitary diagnosis

15(51.7)g

NA

Etiology of superficial radial neuropathy:

 Tight handcuffs

2(6.9)h

NA

 Tight watch-strap

2(6.9)

NA

 Tight bracelets

1(3.44)

NA

 Job-related habitual activitiesa

1(3.44)

NA

 Distal forearm blunt trauma

1(3.44)

NA

 Distal forearm deep skin lacerationb

1(3.44)

NA

 Distal forearm IV cannula

1(3.44)

NA

 Idiopathic

6(20.7)i

NA

  1. OA osteoarthritis, IV intravenous; Group I, patients with superficial radial neuropathy; Group II, patients without superficial radial neuropathy; n, number of upper limbs; n(%), number of upper limbs (percentage of upper limbs); NA, not applicable.
  2. aJob-related habitual activities require repeated and frequent pronation and supination and/or frequent flexion and ulnar deviation of the wrist as with motor bike riders.
  3. bThere was superficial radial nerve neuroma at the site of skin laceration scare in one upper limb (3.4%).
  4. cBilateral upper limbs with superficial radial neuropathy were obtained from three patients (11.5%). There were eight patients (30.8%) with bilateral chronic dorsoradial wrist pain who had superficial radial neuropathy in one upper limb only.
  5. dBilateral upper limbs without superficial radial neuropathy were obtained from 15 patients (27.8%). There were eight patients (14.8%) with bilateral chronic dorsoradial wrist pain who had not superficial radial neuropathy in one upper limb while had it in the other upper limb.
  6. e Superficial radial neuropathy with other pathologies were present in both upper limbs of one patient (3.8%).
  7. fFirst carpometacarpal OA was present in both upper limbs of one patient (3.8%).
  8. g Superficial radial neuropathy as solitary diagnosis was present in both upper limbs of two patients (7.7%).
  9. hSuperficial radial neuropathy due to tight handcuffs was present in both upper limbs of one patient (3.8%).
  10. iIdiopathic superficial radial neuropathy was present in both upper limbs of one patient (3.8%).
  11. kDe Quervain’s disease was present in both upper limbs of five patients (9.3%).
  12. lDe Quervain’s disease with first carpometacarpal OA were present in the same upper limb of two patients (3.7%).
  13. m De Quervain’s disease with chronic wrist sprain were present in the same upper limb of one patient (1.9%).
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