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.

Clinical Features and Management of Traumatic Posterior Interosseous Nerve Palsy

1998 ◽  
Vol 23 (3) ◽  
pp. 413-417 ◽  
Author(s):  
K. HIRACHI ◽  
H. KATO ◽  
A. MINAMI ◽  
T. KASASHIMA ◽  
K. KANEDA
Keyword(s):  
Clinical Features ◽  
Nerve Palsy ◽  
Functional Result ◽  
Nerve Repair ◽  
Posterior Interosseous Nerve ◽  
Motor Power ◽  
Tendon Transfers ◽  
Results Of Treatment ◽  
Posterior Interosseous Nerve Palsy

The clinical features and results of treatment were reviewed in 17 traumatic palsies of the posterior interosseous nerve. Variations in clinical features depended on whether the recurrent branch or descending branch of the posterior interosseous nerve was injured. Seven patients had nerve repair, and two were treated by tendon transfers. Eight patients were treated conservatively. Sixteen of 17 patients recovered to more than M4 motor power at final follow-up. Associated muscle damage worsened the functional result.

Axillary Nerve Injury

2018 ◽  
Author(s):  
Russell A. Payne ◽  
Elias B. Rizk
Keyword(s):  
Nerve Injury ◽  
Surgical Repair ◽  
Sports Injuries ◽  
External Rotation ◽  
Nerve Repair ◽  
Nerve Transfer ◽  
Axillary Nerve ◽  
Nerve Grafting ◽  
Surgical Exploration ◽  
Direct Nerve

Axillary nerve injury has been associated with sports injuries, especially those involving anterior shoulder dislocation. The nerve injury leads to weakness of the deltoid and teres minor muscles, which impairs abduction and external rotation of the arm at the shoulder. Electrodiagnostic studies are helpful for determining extent of reinnervation and recovery after injury. In the absence of clinical or electrodiagnostic signs of recovery 3 to 6 months after injury, it is appropriate to offer surgical exploration. The options for surgical repair include direct nerve repair, nerve grafting, and nerve transfer. In appropriately selected individuals, outcomes are favorable.

Surgical Treatment of Iatrogenic Nerve Injury Following Arthroscopic Capsulolabral Repair

2021 ◽  
Author(s):  
Drake G. LeBrun ◽  
Darryl B. Sneag ◽  
Joseph H. Feinberg ◽  
Moira M. McCarthy ◽  
Lawrence V. Gulotta ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Nerve Injury ◽  
Iatrogenic Nerve Injury

An overture to basic science aspects of nerve injuries

2011 ◽  
Vol 36 (9) ◽  
pp. 726-729 ◽  
Author(s):  
T. Carlstedt
Keyword(s):  
Nervous System ◽  
Surgical Treatment ◽  
Molecular Biology ◽  
Nerve Injury ◽  
Basic Science ◽  
Nerve Repair ◽  
Functional Improvement ◽  
New Concepts ◽  
Injury And Repair ◽  
Inhibitory Molecules

Does the lack of improvement in surgical treatment of nerve injury despite thousands of years of research disturb you? Do you think that basic science has not really contributed to any advancement in the treatment of nerve injury? Have you contributed? Do you think that new molecular biology knowledge in nerve injury and repair is important? Knowing from basic science that the immature nervous system is more fragile would you agree with the view that to be ‘aggressive’ in surgery of the newborn with a brachial plexus injury could be unscrupulous? As molecular biology of the nervous system has demonstrated that the best conditions for regeneration occur immediately after an injury do you find the approach of postponing surgery until at least 3 months after a closed nerve injury to be ignorant and even negligent? Taking into account the normal occurrence of inhibitory molecules in the uninjured peripheral nerve do you think that functional improvement from end to side nerve repair is a myth? Are the recent attempts to artificially enhance nerve regeneration for instance in synthetical conduits like nature seen ‘through a glass darkly’? Do you agree that new concepts in surgical treatment of nerve injury are timely? Do you have the time?

Accessory Nerve Injury: Conservative or Surgical Treatment?

1991 ◽  
Vol 16 (5) ◽  
pp. 531-536 ◽  
Author(s):  
T. OGINO ◽  
M. SUGAWARA ◽  
A. MINAMI ◽  
H. KATO ◽  
N. OHNISHI
Keyword(s):  
Surgical Treatment ◽  
Nerve Injury ◽  
Nerve Repair ◽  
Treated Group ◽  
Accessory Nerve ◽  
Nerve Suture ◽  
Complete Paralysis ◽  
Nerve Recovery ◽  
One Year ◽  
Non Surgical Treatment

In order to clarify the functional prognosis of accessory nerve injury after nerve repair and non-surgical treatment, 27 of our cases with accessory nerve injury were studied. 20 cases were followed up for more than 8 months. In ten cases treated conservatively, the dull feeling and hypaesthesia did not improve. However, pain and dysfunction of the shoulder improved in half of these cases. In ten cases treated surgically, nerve suture was performed in two cases, nerve graft in five cases and neurolysis in three cases. In the surgically treated group, subjective complaints disappeared in all cases, but hypaesthesia or contracture of the shoulder persisted in three cases. Surgical treatment of the accessory nerve is recommended in fresh cases with complete paralysis and in cases in which there is no sign of nerve recovery within one year after the original injury.

Outcome of Surgical Treatment in Posterior Interosseous Nerve Syndrome

2002 ◽  
Vol 10 (5) ◽  
pp. 210-213
Author(s):  
Achilleas Thoma ◽  
Shim Ching ◽  
Pramod Nelluri
Keyword(s):  
Surgical Treatment ◽  
Functional Recovery ◽  
Clinical History ◽  
Surgical Decompression ◽  
Posterior Interosseous Nerve ◽  
Tendon Transfers ◽  
Posterior Interosseous Nerve Syndrome

Isolated paralysis of muscles innervated by the posterior interosseous nerve (PIN) is rare. Nine such cases of PIN palsy were reviewed over a period of seven years. Apart from one case with a traumatic etiology, the remaining cases did not have a significant clinical history identifying the cause of their neuropathy. Seven cases underwent surgical decompression, five of which improved dramatically. The remaining two patients required tendon transfers, resulting in a fully functional recovery.

scholarly journals Immediate Tendon Transfer with Nerve Repair in Low Combined Ulnar and Median Nerve Injury

2021 ◽  
Vol 9 (5) ◽  
pp. e3597
Author(s):  
Khaled A. Reyad ◽  
Ahmed M. Behiri ◽  
Karim K. El Lamie ◽  
Mohamed A. Sayed ◽  
Hala M. Abd Elsabour Sabah
Keyword(s):  
Median Nerve ◽  
Nerve Injury ◽  
Tendon Transfer ◽  
Nerve Repair ◽  
Median Nerve Injury

scholarly journals Treatment of Recurrent Peroneal Tendon Dislocation by Peroneal Retinaculum Reattachment without Fibular Groove Deepening

2020 ◽  
Vol 5 (4) ◽  
pp. 2473011420S0037
Author(s):  
Seung-Hwan Park ◽  
Jaehyung Lee ◽  
Young Rak Choi ◽  
Jaehyeon Seo ◽  
Ho-seong Lee
Keyword(s):  
Surgical Treatment ◽  
Postoperative Complications ◽  
Nerve Injury ◽  
Sural Nerve ◽  
Recurrent Dislocation ◽  
Contralateral Side ◽  
Peroneal Tendon ◽  
Ankle Motion ◽  
Fast Running

Category: Ankle; Sports; Trauma Introduction/Purpose: There are numerous studies recommending fibular groove deepening in the surgical treatment of peroneal tendon dislocation; however, there are some disadvantages to fibular groove deepening procedures. In this study, we evaluated the results of anatomic reattachment of the peroneal retinaculum without fibular groove deepening as a treatment for traumatic peroneal tendon dislocation. Methods: Thirty six patients with recurrent peroneal tendon dislocation, who underwent retinaculum repair without a fibular groove deepening procedure performed by two surgeons between March 2004 and March 2017, were enrolled in this study. Resubluxation of tendon, pain on inversion and eversion power of the ankle were monitored. The range of motion of inversion and eversion were measured and then compared to that of the contralateral side. AOFAS, VAS, FFI scores were obtained for all patients preoperatively and at the final follow-up. Postoperative complications such as infection, sural nerve injury, and recurrence were monitored. Results: Thirty four patients fully recovered without resubluxation of tendon. Two patients were injured again while playing soccer 6 months after the surgery and fast running 20 months after the surgery respectively. One patient had sural nerve injury. But the symptom was relieved at 6 months after the surgery. None of the patients had weakness of evertor. None of the patients had limited ankle motion. Mean AOFAS, VAS, FFI score improved significantly. Conclusion: In conclusion, for the treatment of recurrent dislocation of the peroneal tendon reattachment of the superior retinaculum only without groove deepening followed by proper rehabilitation is sufficient.

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