A rare case of partial posterior interosseous nerve injury associated with radial head fracture

Sudhahar, T.; Patel, A.D.

doi:10.1016/s0020-1383(02)00387-x

Cited by 15 publications

(14 citation statements)

References 5 publications

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“…Compression usually occurs at the level of the arcade of Frohse and may be secondary to fractures of the proximal radius, synovitis, or space occupying lesions such as ganglia, or lipomas (94)(95)(96)(97)(98).…”

Section: Radial Nervementioning

confidence: 99%

Magnetic resonance imaging of the elbow

Stevens

2010

Magnetic Resonance Imaging

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Elbow pain is frequently encountered in clinical practice and can result in significant morbidity, particularly in athletes. Magnetic resonance imaging (MRI) is an excellent diagnostic imaging tool for the evaluation of soft tissue and osteochondral pathology around the elbow. Recent advances in magnetic field strength and coil design have lead to improved spatial resolution and superior soft tissue contrast, making it ideal for visualization of complex joint anatomy. This article describes the normal imaging appearances of anatomy around the elbow and reviews commonly occurring ligamentous, myotendinous, neural, and bursal pathology around the elbow.

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Section: Radial Nervementioning

confidence: 99%

Magnetic resonance imaging of the elbow

Stevens

2010

Magnetic Resonance Imaging

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“…Joint swelling caused by undisplaced fracture of the radial head may lead to compression of the PIN 10 . In the present case, the authors believe that the temporary PIN dysfunction was due to compression by both the intra-articular hematoma and the anterior displacement of the radial head fragment.…”

Section: Discussionmentioning

confidence: 52%

“…Neuropraxia of the interosseous posterior branch of the radial nerve has been reported in fractures of the proximal third of the radius, elbow fracture-dislocations (Monteggia), and fractures due to firearm injuries, as well as compression syndromes at the level of the arcade of Frohse, iatrogenic injuries in surgical approaches, elbow arthroscopy, and rheumatoid arthritis 5, 7, 9, 10. Joint swelling caused by undisplaced fracture of the radial head may lead to compression of the PIN 10 .…”

Section: Discussionmentioning

confidence: 99%

Radial head fracture associated with posterior interosseous nerve injury

Terra

Sassine

Lima

et al. 2016

Revista Brasileira de Ortopedia (English Edition)

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Fractures of the radial head and radial neck correspond to 1.7–5.4% of all fractures and approximately 30% may present associated injuries. In the literature, there are few reports of radial head fracture with posterior interosseous nerve injury. This study aimed to report a case of radial head fracture associated with posterior interosseous nerve injury.Case reportA male patient, aged 42 years, sought medical care after falling from a skateboard. The patient related pain and limitation of movement in the right elbow and difficulty to extend the fingers of the right hand. During physical examination, thumb and fingers extension deficit was observed. The wrist extension showed a slight radial deviation. After imaging, it became evident that the patient had a fracture of the radial head that was classified as grade III in the Mason classification. The patient underwent fracture fixation; at the first postoperative day, thumb and fingers extension was observed. Although rare, posterior interosseous nerve branch injury may be associated with radial head fractures. In the present case, the authors believe that neuropraxia occurred as a result of the fracture hematoma and edema.

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“…Only a few cases of posterior interosseous nerve injury associated with radial head fracture have been reported in the literature (2,3). The surgical literature contains mention of iatrogenic posterior interosseous nerve injury resulting from radial head resection as well as elbow arthroscopy, and specialized surgical techniques have been proposed to protect this nerve during surgeries involving the radial head (4).…”

Section: Discussionmentioning

confidence: 99%

“…Although they are often seen in conjunction with other fractures and ligamentous injuries, associated nerve injuries are uncommon. We were able to find only a few reported cases of posterior interosseous nerve palsy associated with radial head fracture (2,3).…”

Section: Introductionmentioning

confidence: 94%