Delayed Posterior Interosseous Nerve Palsy

1995 ◽  
Vol 20 (5) ◽  
pp. 655-657 ◽  
Author(s):  
H. HASHIZUME ◽  
K. NISHIDA ◽  
K. YAMAMOTO ◽  
T. HIROOKA ◽  
H. INOUE
Keyword(s):  
Radial Head ◽  
Rare Case ◽  
Nerve Palsy ◽  
Developmental Changes ◽  
Anterior Dislocation ◽  
Posterior Interosseous Nerve ◽  
Radial Head Resection ◽  
Posterior Interosseous Nerve Palsy ◽  
Arcade Of Frohse ◽  
Over Time

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.

scholarly journals Posterior interosseous nerve palsy in a child associated with recurrent dislocation of the head of the radius

2013 ◽  
Vol 11 (4) ◽  
pp. 389-391 ◽  
Author(s):  
R. Shane Tubbs ◽  
Christoph Griessenauer ◽  
Elias Rizk ◽  
Mohammadali M. Shoja ◽  
Stephen F. Pehler ◽  
...  
Keyword(s):  
Radial Head ◽  
Nerve Palsy ◽  
Recurrent Dislocation ◽  
Surgical Decompression ◽  
Anterior Dislocation ◽  
Posterior Interosseous Nerve ◽  
Bone Deformity ◽  
Nerve Decompression ◽  
Supinator Muscle ◽  
Posterior Interosseous Nerve Palsy

Injuries to the posterior interosseous nerve (PIN) appear to be very uncommon in children. In this paper, the authors describe a 9-year-old boy with a radial malunion and radial head instability that resulted in PIN compression. Surgical decompression via transection of the overlying supinator muscle with correction of the radial deformity and instability resulted in complete return of PIN function. The clinician should be aware of anterior dislocation of the radial head as a cause of PIN injury. Based on the authors' experience, nerve decompression and correction of the bone deformity result in return of normal PIN function.

A Rare Case of Posterior Interosseous Nerve Palsy Associated With Radial Head Fracture

2012 ◽  
Vol 43 (2) ◽  
pp. e115-e117 ◽  
Author(s):  
Karen D. Serrano ◽  
Gregory S. Rebella ◽  
Jason M. Sansone ◽  
Michael K. Kim
Keyword(s):  
Radial Head ◽  
Rare Case ◽  
Nerve Palsy ◽  
Radial Head Fracture ◽  
Posterior Interosseous Nerve ◽  
Posterior Interosseous Nerve Palsy

scholarly journals A rare case of posterior interosseous nerve palsy due to ganglion cyst arising from supinator muscle

2020 ◽  
Vol 11 (4) ◽  
pp. 665-667
Author(s):  
Shaligram Purohit ◽  
Akil Prabhakar ◽  
Aditya Raj ◽  
Nandan Marathe ◽  
Swapneel Shah
Keyword(s):  
Rare Case ◽  
Nerve Palsy ◽  
Ganglion Cyst ◽  
Posterior Interosseous Nerve ◽  
Supinator Muscle ◽  
Posterior Interosseous Nerve Palsy

scholarly journals The “Sign of Horns” deformity following the Thompson’s approach to the proximal radius—A rare case report and literature review

2019 ◽  
Vol 26 (1) ◽  
pp. 29-33
Author(s):  
Faizaan Rushnaiwala ◽  
Naushad Hussain ◽  
Avadhut Kulkarni
Keyword(s):  
Rare Case ◽  
Nerve Palsy ◽  
Posterior Approach ◽  
Posterior Interosseous Nerve ◽  
Rare Occurrence ◽  
Proximal Radius ◽  
Complex Anatomy ◽  
Rare Case Report ◽  
Posterior Interosseous Nerve Palsy ◽  
Standard Posterior Approach

The Thompson’s approach is used as the standard posterior approach by many surgeons. Although posterior interosseous nerve palsy following the Thompson’s approach has been reported by several authors, isolated paralysis of the extensor digitorum communis (EDC) is a rare occurrence. We report to you a case of isolated paralysis of EDC following the Thompson’s approach in a 14-year-old boy who recovered completely on the 5th postoperative day. Each of the approaches to the proximal radius poses a risk of damage to the posterior interosseous nerve and its branches because of traction. Damage may occur during exposure or implant insertion. Any surgery around the supinator and the radial tunnel region is dangerous because of complex anatomy, lack of intermuscular planes and varying distribution of the radial nerve. Avoiding excessive posterior or ulnar retraction of the EDC and improper dissection can avoid the “sign of horns” deformity following the Thompson’s approach.

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