Median nerve neuralgia caused by a fibrovascular band in the distal forearm.
A 67-year-old woman had experienced exquisite focal pain and tenderness for more than 1 year in the distal forearm 4.5 cm proximal to the distal wrist crease. Surgical exploration showed a venous fibrovascular band adherent to and transversing the epineurium of the median nerve precisely at the point of maximal tenderness. Resection of the fibrovascular band completely relieved the symptoms of focal pain and tenderness.
D000368:Aged; D005260:Female; D006801:Humans; D008475:Median Nerve; D009408:Nerve Compression Syndromes / Q000150:complications* / Q000473:pathology / Q000601:surgery; D009437:Neuralgia / Q000209:etiology* / Q000473:pathology / Q000601:surgery