A case report of thumb weakness misdiagnosed as radial neuroma and resulting in upper limb dysfunction after surgery.
Zhiqi Lin, Keyun Gan, Yuanbin Yang and 2 others
PMID 41982781WHAT IT FOUND
Surgery for a suspected radial neuroma revealed nerve adhesion, and a 37-year-old woman later returned to work after a course of electroacupuncture, ultrasound, and magnetic stimulation.
This single case cannot show which treatment helped.
Key findings
01No radial neuroma was found at surgery; nerve adhesions were observed, and radial neuritis was suspected.
02The patient's total Radial Nerve Function Score was 37 before treatment and 77 after 6 months of treatment.
03The patient received electroacupuncture, therapeutic ultrasound, and transcranial magnetic stimulation during the same overall treatment period.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTs
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What it does not show
This is one patient, so it cannot show that any treatment works for radial neuritis. The patient received electroacupuncture, therapeutic ultrasound, and transcranial magnetic stimulation together, so the contribution of each treatment cannot be separated. Recovery could have happened naturally over the months after surgery. The cause of the neuritis was never found. The ultrasound guidance was done with different devices at different times, so the treatment may not be reproducible. The paper reports electroacupuncture for 5 months and overall treatment for 6 months, so the timeline is not fully clear.
Declared interests
The authors declared that financial support was received for this work or its publication. The work was supported by the High-Level Traditional Chinese Medicine Hospital Construction Project of Wangjing Hospital, China Academy of Chinese Medical Sciences, and the Innovation Project of China Academy of Chinese Medical Sciences.
The easy way to misread this
Do not conclude that ultrasound-guided electroacupuncture treats radial neuritis. This is a single case report, and the patient also received therapeutic ultrasound and transcranial magnetic stimulation, so the authors say a single treatment or natural recovery cannot be ruled out.
Summarised by AI from the full paper, without a clinician reviewing it. Check it against the source before it changes what you do. Read it on PubMed →