ArticleInternational orthopaedics2023
Lacertus syndrome: a ten year analysis of two hundred and seventy five minimally invasive surgical decompressions of median nerve entrapment at the elbow.
Article in International orthopaedics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Lacertus fibrosus release in proximal median nerve entrapment- a systematic review.International orthopaedics · 2025Pooled it
- Efficacy and Safety of Nerve Wrapping in Recurrent Upper-extremity Compressive Neuropathies: A Systematic Review.Plastic and reconstructive surgery. Global open · 2026Article
- The neurogenic elbow disharmony loop: a pathophysiologic model for chronic elbow pain supported by one hundred and fifty seven radial tunnel decompressions.International orthopaedics · 2026Article
- Outcomes of Corticosteroid Injection for Lacertus Syndrome.Hand (New York, N.Y.) · 2026Article
- Current perspectives on lacertus syndrome: clinical features, diagnosis, and treatment.International orthopaedics · 2025Review
- State-of-the-art review: The advantage and use of Wide Awake Local Anaesthesia No Tourniquet (WALANT) for nerve decompression surgery.International orthopaedics · 2025Review
- [Nerve compression syndromes of the median and radial nerves at the elbow].Orthopadie (Heidelberg, Germany) · 2025Review
- Lacertus Syndrome Diagnosis With the Orthogonal Kinesiotaping Test.Plastic and reconstructive surgery. Global open · 2025Article
- Special issue: nerve compression syndromes "Brachioradialis, or "High Wartenberg", syndrome - compression of the sensory branch of the radial nerve in the proximal forearm.International orthopaedics · 2025Article
- The clinical triad: a structured approach to diagnosing peripheral nerve compressions.International orthopaedics · 2025Review
- Median nerve entrapment neuropathy: a review on the pronator syndrome.JSES reviews, reports, and techniques · 2025Review
- Acute median nerve compression secondary to lacertus fibrosis syndrome following distal biceps tendon reconstruction: a case report.JSES reviews, reports, and techniques · 2025Article
- Unusual Symptoms of Lacertus Syndrome: A Case Report.Journal of clinical medicine · 2025Article
- Ultrasound-Guided Perineural Corticosteroid Injection for Lacertus Fibrosus Syndrome: A Retrospective Cohort Study.Orthopedic research and reviews · 2025Article
- The OK and W Signs in Pre-/Intraoperative Testing of Lacertus and Cubital Tunnel Syndrome.Plastic and reconstructive surgery. Global open · 2024Article
- Immediate improvement of pain and mobility in the postoperative stiff shoulder following release of the median nerve at Lacertus: a report of 2 cases.JSES reviews, reports, and techniques · 2024Article
- Tremor Induced by Focal Peripheral Nerve Entrapment: A Case Series.Journal of hand surgery global online · 2023Article
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4 authors.
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Abstract
purposeThis study aims to assess the clinical presentation and surgical outcomes of lacertus syndrome (LS) and concomitant median nerve entrapments.
methodsA retrospective study of prospectively collected data was conducted on patients undergoing lacertus release (LR) from June 2012 to June 2021. Available DASH (Disability of the Arm Shoulder Hand questionnaire) scores and post-operative Visual Analogue Scale (VAS) of pain, numbness, subjective satisfaction with surgical outcome, and intra-operative return of strength were analyzed.
resultsTwo-hundred-seventy-five surgical cases were identified of which 205 cases (74.5%) underwent isolated LR, and 69 cases (25.1%) concomitant lacertus and carpal tunnel release. The three most common presenting symptoms in LS patients were loss of hand strength (95.6%), loss of hand endurance/fatigue (73.3%), and forearm pain (35.4%). Numbness in the median nerve territory of the hand was found in all patients with combined LS and carpal tunnel syndrome. Quick-DASH significantly improved (pre-operative 34.4 (range 2.3-84.1) to post-operative 12.4 (range 0-62.5), p < 0.0001) as did work and activity DASH (p < 0.0001). The postoperative VAS scores were pain VAS 1.9 and numbness VAS 1.8. Eighty-eight percent of patients reported good/excellent satisfaction with the surgical outcome. Intra-operative return of strength was verified in 99.2% of cases.
conclusionLS is a common median nerve compression syndrome typically presenting with loss of hand strength and hand endurance/fatigue. Minimally invasive LR immediately restores hand strength, significantly improves DASH scores, and yields positive outcomes regarding VAS pain, numbness, and subjective satisfaction with surgery in patients with proximal median nerve entrapment at a minimum six month follow-up.
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