Peripheral Nerve Injuries of the Elbow, Forearm, and Hand

  • Jacqueline J. Wertsch
  • Anne Zeni Hoch

Upper limb peripheral nerve problems are seen in both the “couch potato” and the athlete. Nerves are vulnerable to stretch, angulation, direct or indirect trauma, or chronic irritation from overuse or overload.1 Nerve problems in the elbow, forearm, wrist, and hand region are not that surprising considering the complex biomechanics of the upper limb. There is increasing understanding of the importance of nerve movement during upper limb range of motion, which can involve various amounts of elbow flexion/extension, forearm pronation/supination, wrist ulnar/radial deviation, wrist flexion/extension, and finger movements. In addition to the complex movements that can occur in the distal upper limb, there are also many muscles with complex fascial structures. In view of the high level of muscular activity in the athlete, it is surprising that peripheral nerve injuries are reportedly relatively uncommon.2 This chapter reviews peripheral nerve injuries and entrapments that have been recognized in the elbow, forearm, and hand for both athlete and nonathlete.


Median Nerve Carpal Tunnel Syndrome Carpal Tunnel Ulnar Nerve Radial Nerve 
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Copyright information

© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  • Jacqueline J. Wertsch
    • 1
  • Anne Zeni Hoch
    • 2
  1. 1.Department of Physical Medicine and RehabilitationMedical College of WisconsinMilwaukeeUSA
  2. 2.Departments of Orthopaedic Surgery and Physical Medicine and RehabilitationMedical College of WisconsinMilwaukeeUSA

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