Constructive Paralysis of the Posterior Interosseous Nerve without External Compression

1996 ◽  
Vol 21 (2) ◽  
pp. 164-168 ◽  
Author(s):  
G. INOUE ◽  
K. SHIONOYA
Keyword(s):  
Motor Function ◽  
Tendon Transfer ◽  
Posterior Interosseous Nerve ◽  
External Compression ◽  
Elbow Pain ◽  
History Of ◽  
Arcade Of Frohse

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.

scholarly journals Age-Specific Prevalence and Clinical Characteristics of Humeral Medial Epicondyle Apophysitis and Osteochondritis Dissecans: Ultrasonographic Assessment of 4249 Players

2017 ◽  
Vol 5 (5) ◽  
pp. 232596711770770 ◽  
Author(s):  
Kenichi Otoshi ◽  
Shinichi Kikuchi ◽  
Kinshi Kato ◽  
Ryohei Sato ◽  
Takahiro Igari ◽  
...  
Keyword(s):  
Osteochondritis Dissecans ◽  
Morphological Changes ◽  
Medial Epicondyle ◽  
Baseball Players ◽  
Elbow Pain ◽  
Elbow Injuries ◽  
Bony Healing ◽  
History Of ◽  
Study Participants ◽  
Ultrasonographic Assessment

Background: Traction apophysitis of medial epicondyle (MEC) lesions and osteochondritis dissecans (OCD) of the capitellum are common elbow injuries in adolescent baseball players. However, the age-specific prevalence of these pathologies and their influence on elbow pain remain unknown. Purpose: To investigate the age-specific prevalence of each MEC lesion and capitellar OCD and to identify the incidence of elbow pain in each condition. Study Design: Descriptive epidemiology study. Methods: Study participants consisted of 4249 baseball players aged 6 to 17 years. A questionnaire was used to assess history of elbow pain, and morphological changes of the elbow joint were assessed using ultrasonography. Results: Regarding MEC lesions, fragmented (FG) and irregular (IR) lesions both reached their greatest respective prevalence at 11 to 12 years of age. After 14 years of age, IR decreased sharply, whereas FG was maintained at approximately 10%. Hypertrophic (HT) lesions increased sharply, reaching over 50% at 16 years of age, while there was a decrease in IR and FG lesions in the same age group. The prevalence of capitellar OCD remained the same (approximately 2%) throughout all ages except for in players aged 7 to 8 years (>7%). Players with MEC lesions had significantly greater prevalence of a history of elbow pain compared with those without (68.0% vs 39.1%) and were at a significantly greater risk for FG lesions (odds ratio [OR], 4.04; 95% CI, 3.16-5.22) compared with IR (OR, 3.22; 95% CI, 2.44-4.27) and HT lesions (OR, 2.03; 95% CI, 1.75-2.36). Players with capitellar OCD also had a significantly greater risk of a history of elbow pain (OR, 2.34; 95% CI, 1.40-4.11). Conclusion: Controlling the amount of practice and its intensity according to the condition of each player in the preadolescent and adolescent periods may be important in accelerating bony healing and decreasing preventable elbow pain in adulthood.

scholarly journals Thrombogenic Catheter-Associated Superior Vena Cava Syndrome

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Imran Shaikh ◽  
Kenneth Berg ◽  
Nicholas Kman
Keyword(s):  
Superior Vena Cava ◽  
Superior Vena Cava Syndrome ◽  
Superior Vena ◽  
Vena Cava ◽  
Signs And Symptoms ◽  
External Compression ◽  
Central Lines ◽  
Svc Syndrome ◽  
History Of ◽  
Vena Cava Syndrome

Superior vena cava syndrome has historically been associated with malignancy. With the increasing use of indwelling central lines, catheters, and pacemakers in the past decade, there have been an increasing number of cases associated with thrombosis rather than by direct external compression. Patients presenting to the ED with an acute process of SVC syndrome need to be assessed in a timely fashion. Computed tomography angiography (CTA) or magnetic resonance angiogram (MRA) are superb modalities for diagnosis and can quickly be used in the ED. Treatment is oriented towards the underlying cause of the syndrome. In cases of thrombogenic catheter-associated SVC syndrome, anticoagulation is the mainstay of treatment. We present a case report and discussion of a 56-year-old male with a history of metastatic colorectal cancer and an indwelling central venous port with acute signs and symptoms of superior vena cava syndrome.

Surgical treatment of single-suture craniosynostosis: an argument for quantitative methods to evaluate cosmetic outcomes

2010 ◽  
Vol 6 (2) ◽  
pp. 193-197 ◽  
Author(s):  
Todd C. Hankinson ◽  
Elizabeth J. Fontana ◽  
Richard C. E. Anderson ◽  
Neil A. Feldstein
Keyword(s):  
Surgical Treatment ◽  
Intracranial Hypertension ◽  
Quantitative Methods ◽  
Surgical Techniques ◽  
Neurocognitive Deficits ◽  
External Compression ◽  
Operative Outcomes ◽  
History Of ◽  
Considerable Work ◽  
Single Suture

The traditional reasons for surgical intervention in children with single-suture craniosynostosis (SSC) are cosmetic improvement and the avoidance/treatment of intracranial hypertension, which has been thought to contribute to neurocognitive deficits. Despite considerable work on the topic, the exact prevalence of intracranial hypertension in the population of patients with SSC is unknown, although it appears to be present in only a minority. Additionally, recent neuropsychological and anatomical literature suggests that the subtle neurocognitive deficits identified in children with a history of SSC may not result from external compression. They may instead reflect an underlying developmental condition that includes disordered primary CNS development and early suture fusion. This implies that current surgical techniques are unlikely to prevent neurocognitive deficits in patients with SSC. As such, the most common indication for surgical treatment in SSC is cosmetic, and most patients benefit from considerable subjective cosmetic normalization following surgery. Pediatric craniofacial surgeons have not, however, agreed upon objective means to assess postoperative cranial morphological improvement. We should therefore endeavor to agree upon objective craniometric tools for the assessment of operative outcomes, allowing us to accurately compare the various surgical techniques that are currently available.

Clinical response of Abhaya Ghrita and procedure based therapy on Gross Motor Functions in children with Cerebral Palsy : An Open Label, Randomized Clinical Trial

2019 ◽  
Vol 4 (04) ◽  
Author(s):  
Sonam . ◽  
Mahapatra Arun Kumar ◽  
Rajagopala Shrikrishna
Keyword(s):  
Quality Of Life ◽  
Cerebral Palsy ◽  
Birth Weight ◽  
Motor Function ◽  
Gross Motor ◽  
Live Births ◽  
Gross Motor Function ◽  
Children With Cerebral Palsy ◽  
History Of

Introduction - Cerebral Palsy (CP) being the leading cause of disability in children is a symptom complex, whichv has worldwide incidence of 2.1/1000 live births, and for India it is 3/1000 live births. In Ayurveda, the cerebral palsy can be correlated with various conditions due to Vata predominance. There is no satisfactory criterion in managing this condition is developed till date. The present study is planned with Abhaya Ghrita and procedure based therapy to provide possible improvement in gross motor function of children with cerebral palsy and thereby improving their quality of life. Material and Methods - A Trial was conducted at a tertiary health care setting to evaluate the clinical efficacy of Ayurvedic Intervention (Abhaya Ghrita and procedure based therapy Udvartana, Sarvanga Abhyanga, Nadi Sweda and Matra Basti). Diagnosed children of cerebral palsy, aged 1-12 years of either gender were selected. The scale gross motor function manual (GMFM) and Cerebral Palsy quality of life (CP-QOL) were used for assessment. Results - Total 20 patients were registered in the present study. 70% patients were below 8 years of age with clear male predominance comprised of 85% of the total sample size. As per the birth history of the patients 15% were preterm, home delivery was present in 20%. 45% and 10% were Low birth weight (LBW) and Very Low birth weight (VLBW) after birth respectively. History of delayed cry was present in 80% cases. 45% required Hospitalization and 65% were subjected to Resuscitation and need of incubator just after birth was present in 25% patients. Discussion - Gross Motor Function scale has shown significant improvement in motor activities like lying and rolling, sitting and total score with pandlt;0.001, on crawling and kneeling and standing with pandlt;0.01 and on walking and running with pandlt;0.02. The CP-QOL has also shown significant results on health and family and friends component. Conclusion - Thus, it may be concluded that the Ayurveda approach is effective in improving the gross motor function and quality of life of children with cerebral palsy.

Entrapment of the Posterior Interosseous Nerve Caused by Arcade of Frohse

1979 ◽  
Vol 14 (3) ◽  
pp. 527
Author(s):  
Dae Yong Han ◽  
Jun Seop Jahng ◽  
Jae In Ahn ◽  
Eung Shick Kang ◽  
Min Lee
Keyword(s):  
Posterior Interosseous Nerve ◽  
Arcade Of Frohse

Motor Function in Former Professional Football Players with History of Multiple Concussions

2018 ◽  
Vol 35 (8) ◽  
pp. 1003-1007 ◽  
Author(s):  
Apameh Tarazi ◽  
Charles H. Tator ◽  
Richard Wennberg ◽  
Ahmed Ebraheem ◽  
Robin E. A. Green ◽  
...  
Keyword(s):  
Motor Function ◽  
Football Players ◽  
Professional Football ◽  
History Of

SURGICAL TREATMENT OF POSTERIOR INTEROSSEOUS NERVE SYNDROME

Hand Surgery ◽  
1996 ◽  
Vol 01 (02) ◽  
pp. 107-112
Author(s):  
Sheng-Mou Hou ◽  
Jyh-Horng Wang ◽  
Jui-Sheng Sun
Keyword(s):  
Surgical Treatment ◽  
Nerve Injury ◽  
Sural Nerve ◽  
Tendon Transfer ◽  
Nerve Repair ◽  
Posterior Interosseous Nerve ◽  
Nerve Grafting ◽  
Motor Power ◽  
Iatrogenic Nerve Injury ◽  
Posterior Interosseous Nerve Syndrome

Sixteen patients were operated on consecutively for palsy of the posterior interosseous nerve. The aetiologies were traumatic in 12 patients and non-traumatic in four. Operative neurolysis was done in six cases. Neurorrhaphy with sural nerve grafting was performed in two cases. Tendon transfer was done in eight cases. Relief of compression has the best result followed by nerve repair. Iatrogenic nerve injury after radial plating carried the worst prognosis. Although motor power was not normal after surgery, tendon transfer still provided a useful hand with residual extension lag of the fingers. The prognosis of operative treatment of posterior interosseous nerve syndrome depends mainly on its aetiology.

scholarly journals Effects of a Care Prevention Course on Health-Related QOL and Motor Function According to History of Falls

2010 ◽  
Vol 25 (5) ◽  
pp. 779-784 ◽  
Author(s):  
Yusuke ITO ◽  
Kazuo SUGANUMA ◽  
Toru SERITA ◽  
Ryoko SAKAKIBARA ◽  
Suzuka CHINEN ◽  
...  
Keyword(s):  
Motor Function ◽  
Health Related Qol ◽  
Health Related ◽  
History Of

Intraneural Ganglion of the Posterior Interosseous Nerve with Lateral Elbow Pain

1995 ◽  
Vol 20 (5) ◽  
pp. 649-651 ◽  
Author(s):  
H. HASHIZUME ◽  
K. NISHIDA ◽  
Y. NANBA ◽  
H. INOUE ◽  
T. KONISHIIKE
Keyword(s):  
Cystic Lesion ◽  
Nerve Tissue ◽  
Complete Relief ◽  
Posterior Interosseous Nerve ◽  
Resonance Imaging ◽  
Intraneural Ganglion ◽  
Elbow Pain ◽  
Surgical Exploration ◽  
Lateral Elbow Pain ◽  
Lateral Elbow

We report an intraneural ganglion of the posterior interosseous nerve causing lateral elbow pain. The cystic lesion was identified by magnetic resonance imaging, and surgical exploration using the microscope permitted complete extirpation of the cyst without damage to nerve tissue. The patient experienced complete relief from pain, with full preservation of function.

Sign in / Sign up

Export Citation Format

Share Document