Posterior Interosseous Nerve Palsy with Spontaneous Neuroma Formation

Whiteley, W. H.; Alpers, Bernard J.

doi:10.1001/archneur.1959.03840020100012

Cited by 17 publications

(5 citation statements)

References 1 publication

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“…Lipomas are the most common cause of compression but fibrous bands, often confined to the supinator edge, have also been reported (Goldman et cl , 1969, Bronisch 1971, Bryan et cl , 1971, Comtet et Chambaud 1975, Overgaard Nielsen 1976, DeZanche et ol • 1978. In several cases of posterior interosseous nerve paralysis, pain in the proximal forearm preceding paralysis and/or local tenderness over the nerve has been reported (Guillain and Courtellemont 1905, Woltman and Learmonth 1934, Hobhouse and Held 1936, Weinberger 1939, Richmond 1953, Campbell and Wulf 1954, Kruse 1958, Whiteley and Alpers 1959, Bowen and Stone 1966, Mulholland 1966, Sharrard 1966, Marmor et cl , 1967, Bronisch 1971, loser et cl , 1972, Millender et cl , 1973, Comtet and Chambaud 1975, Benini and DiMartino 1976, Overgaard Nielsen 1976. Personal experience of five cases of posterior interosseous nerve paralysis revealed a lipoma squeezing the nerve from below upwards towards the superficial supinator edge in four and a neurofibroma in one.…”

Section: Effect Of Entrapmentmentioning

confidence: 99%

Lateral Elbow Pain and Posterior Interosseous Nerve Entrapment

Werner

1979

Acta Orthopaedica Scandinavica

149

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Dynamic compression and appearance of the nerve at intersection with the supinator edge related to the final results. Comparison of the extensor carpi radialis brevis muscle, the superficial supinator muscle and the nerve in the entrapment and autopsy series., Comparison of pain characteristics and previous therapy in the entrapment and lateral epicondyl itis series. Comparison with published series. Age and sex distribution in the entrapment series. Selection of the lateral epicondylitis series. Schematic drawing of the operative field and method of decompression. Entrapment site and line of incision. Subcutaneous fat placed over the decompressed nerve to prevent scar formation. Relation between the extensor carpi radialis brevis muscle and the nerve. Relation between the superficial supinator muscle and the nerve. Dynamic compression of the nerve by the supinator edge. Indentation of the nerve under the divided supinator edge. Indentation of the nerve under the divided supinator edge. Clinical signs before and after decompression of the posterior interosseous nerve. Results of decompression in relation to clinical signs. Effect of decompression-on grip strength. Effect of decompression on grip strength in patients operated on the dominant side only. Results of decompression in relation to clinical signs and anatomy. Nerve al teration of the posterior interosseous nerve observed at autopsy. Microscopic appearance of the nerve alteration from figure 16. Enlargement of the upper right section of figure 17. Comparison of work in the entrapment and lateral epicondylitis series. (All figures have been arranged to show the same orientation, i.e. some have been reversed).

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Section: Effect Of Entrapmentmentioning

confidence: 99%

Lateral Elbow Pain and Posterior Interosseous Nerve Entrapment

Werner

1979

Acta Orthopaedica Scandinavica

149

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“…In the latter case, myxoid change was described in some areas. The intraneural swelling in Whiteley's and Alpers's (1959) case was thought to be a traumatic neuroma.…”

Section: Discussionmentioning

confidence: 99%

“…Nevertheless, Ostenasek (1947) described an atypical fibroma associated with a posterior interosseous nerve palsy. Subsequently two other cases of fibrous lesions have been recorded within this nerve (Whiteley and Alpers, 1959;Mulholland, 1966).…”

mentioning

confidence: 96%

Intraneural neurofibromas involving the posterior interosseous nerve

Lallemand

Weller

1973

Journal of Neurology, Neurosurgery & Psychiatry

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“…In fact, such a tenderness has been reported in association with the paretic form of posterior interosseous nerve compression (Guillain & Courtellemont, 1905;Woltman & Learmonth, 1934;Weinberger, 1939;Kruse Jr;Whiteley & Alpers, 1959;Bowen & Stone, 1966;Mulholland, 1966;Sharrard;Comtet et al), but was in general not considered a cardinal sign of this condition. However, on the basis of our observations, we find it justified to regard this symptom as the most characteristic sign of the posterior interosseous nerve compression (cf.…”

Section: Discussionmentioning

confidence: 99%