LACERTUS SYNDROME - Physio Asia

Median nerve is compressed at the elbow under a sheet of ligamentous tissue called the lacertus fibrosus.

CAUSES

Develop after intense physical effort, repeated gripping, or wrist pronation (where your palm faces the ground) when the elbow is bent.

Jobs that are frequently associated with the condition include those that involve working at a computer or doing precise work with the hands, like dentistry or surgery.

SIGNS & SYMTOMPS

Affects your sense of touch and motor skills.

Its main symptoms are paraesthesia (tingling), muscle fatigue, and pain that can radiate up to the shoulder.

Patients might also experience a loss of sensitivity and dexterity. This can happen in just one or both hands over months or even years.

Tired or heavy feeling
Forearm and elbow pain that can radiate to the shoulder blade

Muscle weakness
Loss of endurance and dexterity (tendency to lose your grip)

EXAMINATIONS

SCRATCH COLLAPSE TEST
LACERTUS ANTAGONIST TEST

TREATMENTS

PHYSICAL THERAPY

Ultrasound treatment
Muscle release/relaxation.
Shockwave/shortwave diathermy treatment.
Muscle strengthening.
Muscle stretching

SURGERY

Release of Lacertus Fibrosus