UMEM Educational Pearls

Handcuff Neuropathy

Compression of the superficial radial nerve against the radius.

Tends to occur with prisoners (too tight cuffs or person struggling)

Usually purely sensory lesion

Nerve regeneration can take 8 weeks (about an inch a month)

Document sensory exam to sharps or 2 point sensation.

DDx: De Quervain's, Carpal tunnel, Gamekeeper's thumb,

No need to splint