Double Crush Syndrome of the Upper Extremity
- PMID: 34910699
- DOI: 10.2106/JBJS.RVW.21.00082
Double Crush Syndrome of the Upper Extremity
Abstract
»: The double crush hypothesis originally proposed that compression of a peripheral nerve at a proximal site increases its susceptibility to additional distal lesions.
»: The etiology of double crush syndrome is likely multifactorial as mechanical, systemic, pharmacologic, or environmental factors may increase a patient's susceptibility to this syndrome.
»: To date, there remains no standardized definition of double crush syndrome, and there is no consensus on its exact pathophysiology or diagnostic criteria.
»: Patients with double crush syndrome should be counseled that surgical repair may produce inferior outcomes compared with those who are treated for isolated entrapment neuropathies.
Copyright © 2021 by The Journal of Bone and Joint Surgery, Incorporated.
Conflict of interest statement
Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSREV/A787).
References
-
- Upton AR, McComas AJ. The double crush in nerve entrapment syndromes. Lancet. 1973 Aug 18;2(7825):359-62.
-
- Borgia AV, Hruska JK, Braun K. Double crush syndrome in the lower extremity: a case report. J Am Podiatr Med Assoc. 2012 Jul-Aug;102(4):330-3.
-
- Galarza M, Gazzeri R, Gazzeri G, Zuccarello M, Taha J. Cubital tunnel surgery in patients with cervical radiculopathy: double crush syndrome? Neurosurg Rev. 2009 Oct;32(4):471-8.
-
- Dellon AL, Mackinnon SE. Chronic nerve compression model for the double crush hypothesis. Ann Plast Surg. 1991 Mar;26(3):259-64.
-
- Molinari WJ 3rd, Elfar JC. The double crush syndrome. J Hand Surg Am. 2013 Apr;38(4):799-801, quiz 801.
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