Entrapment of the posterior interosseous nerve by a fibrous band in the dorsal edge of the supinator muscle and erosion of a groove in the proximal radius

1983 ◽  
Vol 71 (4) ◽  
pp. 585
Author(s):  
J. Kenneth Chong
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.


2017 ◽  
Vol 51 (2) ◽  
Author(s):  
Leslie M. Reyes ◽  
Phillip Anthony B. Kho ◽  
Edward H.M. Wang

Background and Objective. The posterior interosseous nerve (PIN) is vulnerable to injury in the dorsal approach to the proximal radius. The goal of this study is to describe the quantitative relationship of the PIN to the supinator muscle in the context of anatomic landmarks. Knowledge of superficial landmarks related to the PIN would hopefully minimize iatrogenic injury to the posterior interosseous nerve. Methods. 12 cadavers (22 forearms) were dissected and analyzed. The length of the supinator muscle was determined. The oblique distances of the PIN entry and exit points to the proximal and distal borders of the supinator muscle as well as their perpendicular distances to the lateral epicondyle-Lister’s tubercle (LE-LT) reference line were measured and recorded. The number of PIN branches inside the supinator substance was recorded. Mean and median values were determined and subjected to statistical analysis. Results. Mean supinator length was 5 centimeters. Ninety-one percent of the cadaveric forearms had PIN branches inside the supinator muscle substance. Twelve of the 22 forearms (55%) had 2 branches. The mean oblique distances of the PIN from the lateral epicondyle to the entry and exit points in the proximal and distal borders of the supinator muscle was 3.52 and 7.31 centimeters, respectively. The mean perpendicular distances of the PIN from LE-LT reference line to the entry and exit points in the proximal and distal borders of the supinator muscle was 1.13 and 1.26 centimeters, respectively. An imaginary danger-zone 4 centimeters wide overlying the LE-LT reference line depicts the possible area where the PIN and its branches may most likely be located. Conclusion. The dorsal approach to the proximal radius may allow a safe exposure without causing iatrogenic injury to the posterior interosseous nerve through the use of superficial anatomic landmarks and reference lines in combination with mean measurements from our study. Key


2020 ◽  
Vol 11 (4) ◽  
pp. 665-667
Author(s):  
Shaligram Purohit ◽  
Akil Prabhakar ◽  
Aditya Raj ◽  
Nandan Marathe ◽  
Swapneel Shah

1995 ◽  
Vol &NA; (315) ◽  
pp. 199???208
Author(s):  
A. O. Mekhail ◽  
N. A. Ebraheim ◽  
W. T. Jackson ◽  
R. A. Yeasting

2005 ◽  
Vol 29 (5) ◽  
pp. 362-363 ◽  
Author(s):  
Justin Q. Ly ◽  
Terrence J. Barrett ◽  
Douglas P. Beall ◽  
Reono Bertagnolli

Hand Surgery ◽  
2010 ◽  
Vol 15 (02) ◽  
pp. 115-117 ◽  
Author(s):  
Yasuyuki Kitagawa ◽  
Takuya Sawaizumi ◽  
Hiromoto Ito

Some tumors or tumorous conditions causing posterior interosseous nerve palsy are well documented, but myositis ossificans causing the palsy of this nerve has not been described. We present a case of posterior interosseous nerve palsy caused by myositis ossificans of the supinator muscle.


2018 ◽  
Vol 40 (9) ◽  
pp. 1025-1030 ◽  
Author(s):  
Gloria Maria Hohenberger ◽  
Angelika Maria Schwarz ◽  
Marco Johannes Maier ◽  
Peter Grechenig ◽  
Jan Dauwe ◽  
...  

1998 ◽  
Vol 27 (7) ◽  
pp. 375-379 ◽  
Author(s):  
J. Nishida ◽  
Tadashi Shimamura ◽  
Shigeru Ehara ◽  
Hideo Shiraishi ◽  
Takashi Sato ◽  
...  

1998 ◽  
Vol 23 (3) ◽  
pp. 420-421 ◽  
Author(s):  
R. STEIGER ◽  
E. VÖGELIN

We report on three patients with radial nerve compression in the region of the supinator muscle caused by an occult ganglion. After excision of the ganglion and decompression of the posterior interosseous nerve, the nerve palsy resolved completely in all cases.


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