Summary
This case study presents a diagnostically challenging case of median neuropathy in the forearm. A 60-year-old male patient experienced weakness and loss of function in the first three digits of his right hand following a forearm traction injury.
High-resolution ultrasound was used to examine the affected area and revealed an enlarged nerve with a surrounding homogenous soft-tissue structure that appeared to compress the nerve. Surgery confirmed the ultrasound findings, showing fibrotic bands originating from the flexor digitorum profundus muscle compressing the median nerve.
The study highlights the value of high-resolution ultrasound in establishing the anatomical cause of median neuropathy and guiding appropriate management.