Non-Traumatic Paralysis of the Posterior Interosseous Nerve

Hashizume, Hidetoshi; Nishida, Keiichiro; Nanba, Yuzaburo; Shigeyama, Yukio; Inoue, Hajime; Morito, Yoshiaki

doi:10.1302/0301-620x.78b5.0780771

Cited by 90 publications

(68 citation statements)

References 21 publications

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“…The texts were all examined in detail, and all cases from 1950 to the present were evaluated. Age, sex, clinical findings, duration of symptoms, imaging studies, treatments and outcomes of all cases were analyzed (Table 2) [2,. Any missing data were not taken into consideration.…”

Section: Traumatic Atraumaticmentioning

confidence: 99%

“…Hypoesthesia caused by the compression of the superficial branch of the radial nerve and loss of muscle strength resulting from the compression of PIN occur with the growth of tumor and progression of the disease. In other words, the clinical picture is progressive, while in the course of time with the growth of mass, symptoms worsen [2,41]. Moreover, the duration of symptoms and time to admission are subject to variations.…”

Section: Clinical Findingsmentioning

confidence: 99%

“…Lipomas are the most common solid tumors that lead to PIN compression syndrome [2,3]. Lipomas most frequently settle in subcutaneous tissue and also, they can be observed at deep locations under the fascia, i.e., where there is adipose tissue [4].…”

Section: Introductionmentioning

confidence: 99%

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Posterior interosseous nerve palsy caused by a parosteal lipoma seated over the proximal radius; a case report and review of the literature

Ünal¹,

Köse²,

Güler³

et al. 2018

Hand Microsurg

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Several different pathologies may play a role in the etiology of posterior interosseous nerve (PIN) palsy such as trauma, radial tunnel syndrome, tumors, vasculitis, septic arthritis, and rheumatoid synovitis. The most common atraumatic factor is the compression of the nerve through its anatomic path. Parosteal lipoma around the proximal radius is the leading solid tumor seen among the neoplastic lesions. Although it is common, there are only case reports or few case series reported in the current literature and a comprehensive review is missing. Herein a rare case of PIN palsy due to parosteal lipoma of the proximal radius is presented together with a thorough literature review. A 48-year-old woman was presented with elbow pain and wrist drop that lasted for ten months. Electrodiagnostic and imaging findings lead to a diagnosis of PIN palsy due to parosteal lipoma seated over the proximal radius. Total surgical excision was performed, and the patient had been followed up for one year. Removal of the lipoma failed to recover the patient's symptoms. We reviewed all the reported cases and discussed, epidemiology, clinical findings, imaging studies, electrodiagnostic studies, pathology, treatment and prognosis of PIN palsy due to parosteal lipoma.

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Section: Traumatic Atraumaticmentioning

confidence: 99%

Section: Clinical Findingsmentioning

confidence: 99%

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Posterior interosseous nerve palsy caused by a parosteal lipoma seated over the proximal radius; a case report and review of the literature

Ünal¹,

Köse²,

Güler³

et al. 2018

Hand Microsurg

View full text Add to dashboard Cite

show abstract

“…Elbow pain is one of the most frequent presenting symptoms but was not noted in this case. Lipomas are the most common cause of PIN palsy, [5][6][7][8][9] the second most commonest being iatrogenic or post-traumatic [2,3,6,8,[10][11][12][13][14].…”

Section: Discussionmentioning

confidence: 99%

Bilateral Tardy Posterior Interosseous Palsy

Sb¹,

Ferguson²,

S³

2017

J Clin Case Rep

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“…7,8 The presence of wrist drop might also indicate concurrent damage to the extensor carpi radialis longus nerve. 9 The other possible site of damage was at the posterior part of the humerus, due to pressure from inflation of the blood pressure cuff or the edge of the splint, causing similar symptoms. If we had obtained sensory examination or electrodiagnostic studies, those would have been helpful for determination of the precise site of injury.…”

Section: Discussionmentioning

confidence: 99%

Bilateral transient radial nerve palsies in an infant after cardiac surgery

Shime

Kato

Tanaka

et al. 2001

Can J Anesth/J Can Anesth

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200CARDIOTHORACIC ANESTHESIA, RESPIRATION AND AIRWAY Purpose: To describe the case of an infant who suffered bilateral transient radial nerve palsies after cardiac surgery. Clinical features: A one-month-old baby was found to have bilateral wrist and finger drop after the removal of splints that has been applied to the right hand for 14 days and to the right hand for six days during perioperative management of Blalock-Taussig shunt surgery. The hand splints had been applied to the forearms with adhesive silky tape to keep peripheral vascular lines in place. The patient also suffered from several episodes of cardiogenic shock, hypoxemia and generalized edema relating to cardiac dysfunction during this fine period. Given the findings of no impairment of median or ulnar nerves and brachioradial muscle, it was suspected that bandaging with adhesive tapes caused peripheral radial nerve damage at the level of posterior interosseus nerve on forearm. Diminished oxygen delivery and edema may additionally have contributed to peripheral nerve ischemia. The aforementioned neurologic symptoms resolved spontaneously after several days. Conclusion:Prolonged compression by bandaging of splints on forearm may have resulted in ischemic damage to the posterior interosseus nerve branch combined with extensor carpi radialis longus nerve branch of the radial nerve. We should attempt to reduce the frequency and duration of splinting of the extremities, especially in sedated, paralyzed babies, given the potential risk of compression neuropathy.Objectif : Décrire le cas d'un enfant qui a souffert d'une paralysie bilatérale transitoire du nerf radial à la suite d'une intervention cardiaque.Éléments cliniques : Un bébé d'un mois avait les mains et les doigts tombants après le retrait d'une attelle appliquée à la main droite pour 14 jours et à la main gauche pour six jours pendant le traitement périopératoire d'une anastomose de Blalock-Taussig. Les attelles de la main ont été appliquées avec un ruban de soie adhésif afin de maintenir en place les cathéters vasculaires périphériques. Le patient a aussi souffert de quelques épisodes de choc cardiogénique, d'hypoxémie et d'oedème généralisé relié au dysfonctionnement cardiaque pendant cette période. Comme aucune atteinte des nerfs médian ou cubital ni du muscle long supinateur n'a été décelée, on a pensé que le bandage avec le ruban adhésif avait causé une lésion périphérique du nerf radial au niveau du nerf interosseux postérieur de l'avant-bras. L'apport réduit d'oxygène et la présence d'oedème ont pu aussi contribuer à l'ischémie du nerf périphérique. Les symptômes neurologiques susmentionnés ont disparus spontanément après quelques jours.Conclusion : La compression prolongée provoquée par le bandage d'attelles à l'avant-bras a pu causer une lésion ischémique dans le territoire du nerf interosseux postérieur, et dans la zone du muscle premier radial innervé par un rameau du nerf radial. Il faut, autant que possible, réduire la fréquence et la durée du bandage des extrémités, surtout chez ...

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Non-Traumatic Paralysis of the Posterior Interosseous Nerve

Cited by 90 publications

References 21 publications

Posterior interosseous nerve palsy caused by a parosteal lipoma seated over the proximal radius; a case report and review of the literature

Posterior interosseous nerve palsy caused by a parosteal lipoma seated over the proximal radius; a case report and review of the literature

Bilateral Tardy Posterior Interosseous Palsy

Bilateral transient radial nerve palsies in an infant after cardiac surgery

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