Posterior interosseous nerve of the elbow at the arcade of Frohse: Ultrasound appearance in asymptomatic subjects

2019 ◽  
Vol 100 (9) ◽  
pp. 521-525 ◽  
Author(s):  
T. Ceri ◽  
A. Podda ◽  
J. Behr ◽  
E. Brumpt ◽  
M. Alilet ◽  
...  
1996 ◽  
Vol 21 (2) ◽  
pp. 164-168 ◽  
Author(s):  
G. INOUE ◽  
K. SHIONOYA

Four cases of constrictive neuropathy of the posterior interosseous nerve (PIN) in the absence of external compression are reported. All patients presented with a history of severe elbow pain with no apparent cause, followed by paralysis of the PIN. There were one or two well-localized constrictions on the PIN proximal to the arcade of Frohse where no obvious external compressive structure was observed. After epineurotomy with or without neurorrhaphy, three patients had a complete return of motor function within 1 year. The remaining patient required tendon transfer after resection of the abnormal segment of nerve.


1979 ◽  
Vol 14 (3) ◽  
pp. 527
Author(s):  
Dae Yong Han ◽  
Jun Seop Jahng ◽  
Jae In Ahn ◽  
Eung Shick Kang ◽  
Min Lee

1999 ◽  
Vol 8 (6) ◽  
pp. 617-620 ◽  
Author(s):  
Mustafa Özkan ◽  
A.Kadir Bacakoǧlu ◽  
Önder Gül ◽  
Ahmet Ekin ◽  
Orhan Maǧden

1995 ◽  
Vol 20 (5) ◽  
pp. 655-657 ◽  
Author(s):  
H. HASHIZUME ◽  
K. NISHIDA ◽  
K. YAMAMOTO ◽  
T. HIROOKA ◽  
H. INOUE

A rare case of delayed posterior interosseous nerve palsy that developed 39 years after an unreduced anterior dislocation of the radial head is reported. The posterior interosseous nerve was compressed and narrowed at the arcade of Frohse. Radial head resection and release of the arcade was done. The paralysis continued to recover 6 weeks after operation. The nerve, at the arcade of Frohse, was susceptible to compression by the dislocated radial head, especially in the supinated position. Repeated supination and pronation movement over time may have led to developmental changes that caused the delayed nerve palsy.


2017 ◽  
Vol 126 (5) ◽  
pp. 1698-1701 ◽  
Author(s):  
Andrés A. Maldonado ◽  
Benjamin M. Howe ◽  
Robert J. Spinner

Paralysis of the posterior interosseous nerve (PIN) secondary to compression is a rare clinical condition. Entrapment neuropathy may occur at fibrous bands at the proximal, middle, or distal edge of the supinator. Tumors are a relatively rare but well-known potential cause. The authors present 2 cases of PIN lesions in which compression by a benign lipoma at the level of the elbow resulted in near transection (discontinuity) of the nerve. They hypothesize a mechanism—a “sandwich effect”—by which compression was produced from below by the mass and from above by a fibrous band in the supinator muscle (i.e., the leading edge of the proximal supinator muscle [arcade of Fröhse] in one patient and the distal edge of the supinator muscle in the other). A Grade V Sunderland nerve lesion resulted from the advanced, chronic compression. The authors are unaware of a similar case with such an advanced pathoanatomical finding.


2009 ◽  
Vol 24 (1) ◽  
pp. 37-39
Author(s):  
Wei-Ren Su ◽  
Shun-Chien Cheng ◽  
Ing-Sing Yong ◽  
I-Ming Jou

The continued growth of recreational and professional instrument playing is accompanied by the need for health care providers who can recognize and treat conditions in musicians that have traditionally been associated with other occupational injuries. This is particularly important when early diagnosis and prompt intervention may alter the outcome. We present an interesting case of paralysis of the posterior interosseous nerve caused by a ganglion at the arcade of Frohse (supinator arch) in close proximity to the extensor carpi radialis brevis. The patient was an amateur pianist who developed the ganglion after intensive piano practice for 3 months. The patient experienced complete pain relief with full preservation of function after treatment. We review the evaluation, diagnosis, biomechanical pathogenesis, and current treatment algorithms for this cyst.


2021 ◽  
Vol 14 (10) ◽  
pp. e245659
Author(s):  
Mary Clare McKenna ◽  
Jack Woods ◽  
Róisín Dolan ◽  
Seán Connolly

The posterior interosseous nerve is the terminal motor branch of the radial nerve that innervates the extensor carpi ulnaris and the extensors of the thumb and fingers. We describe a case of a posterior interosseous neuropathy presenting with the typical ‘finger drop’ and partial ‘wrist drop’. We focus on the clinical signs that distinguish it from a more proximal radial neuropathy, clarified by nerve conduction studies and needle electromyography. Multimodal imaging of the forearm did not identify a compressive lesion. Persistent symptoms prompted surgical exploration 5 years after initial onset. It identified compression of the posterior interosseous nerve in the region of the arcade of Frohse and leash of Henry. The sites were decompressed and concurrent salvage secondary reconstructive tendon transfers were required in view of the severe axonal loss with minimal chance of functional reinnervation.


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