Medial Sural Artery Perforator Adipofascial Flap for Neuritis of Superficial Radial Nerve Caused by Subcutaneous Lipoatrophy : A Case Report

Abstract

This is a report of a 54 year old woman who had received a Kenacort injection
( triamcinolone acetonide ) for de Quervain disease at a previous clinic, and had developed neuritis of the superficial branch of the radial nerve at the injection site. In adverse reaction to the Kenacort the subcutaneous tissue had already atrophied. Neurolysis was performed and a graft of free medial sural artery perforator adipofascial flap was wrapped around the superficial branch of the radial nerve. This operative treatment required no postoperative exposure or debulking of the forearm. The patient obtained pain relief with no recurrence of the symptoms. This flap was useful for the treatment of this neuritis.