Benign joint hypermobility with neuropathies: documentation and mechanism of median, sciatic, and common peroneal nerve compression.
We report three patients in whom carpal tunnel syndrome was due to neurapraxis as a consequence of unusual sleep postures enabled by their benign joint hypermobility syndrome (BJHS). A fourth patient also had bilateral sensory sciatic neuropathy and a common peroneal palsy, similarly due to regularly adopted unusual postures. Recognition of such cause-effect mechanisms and their simple solution in BJHS should obviate needless investigation and unnecessary surgery.
March
L M
LM
Sydney University Rheumatology Department, Royal North Shore Hospital, St. Leonards, NSW, Australia.
Francis
H
H
Webb
J
J
D000328:Adult; D001696:Biomechanical Phenomena; D005260:Female; D006801:Humans; D007593:Joint Instability / Q000150:complications*; D008297:Male; D008475:Median Nerve; D009408:Nerve Compression Syndromes / Q000209:etiology*; D010523:Peripheral Nervous System Diseases / Q000209:etiology*; D010543:Peroneal Nerve; D011187:Posture; D012584:Sciatic Nerve