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[Posterior interosseous nerve palsy].

D Cogan1

  • 1Hôpital Américain de Paris, 63, boulevard Victor-Hugo, 92202 Neuilly-sur-Seine, France.

Revue De Chirurgie Orthopedique Et Reparatrice De L'Appareil Moteur
|April 26, 2002
PubMed
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Radial tunnel syndrome, a type of radial palsy, caused complete motor loss due to fibrous bands compressing the posterior interosseous nerve. Surgical release of these bands led to full motor function recovery.

Area of Science:

  • Orthopedic Surgery
  • Neurology
  • Anatomy

Background:

  • Radial tunnel syndrome is a condition involving compression of the posterior interosseous nerve.
  • The Frohse arcade is a common site for nerve entrapment within the radial tunnel.
  • Complete motor deficit can result from prolonged nerve compression.

Observation:

  • A case presented with Frohse arcade type radial palsy and complete motor deficit.
  • Compression was caused by fibrous bands in the radial tunnel, proximal to the arcade.
  • The posterior interosseous nerve was significantly impacted.

Findings:

  • Simple neurolysis and sectioning of the compressing fibrous bands were performed.
  • The surgical intervention resulted in complete recovery of motor deficit.

Related Experiment Videos

  • Histological examination confirmed nerve compression by fibrous tissue.

    • Implications:

    • This case highlights the effectiveness of surgical decompression for radial tunnel syndrome.
    • The study discusses a refined surgical technique for neurolysis of the posterior interosseous nerve.
    • Early diagnosis and surgical intervention are crucial for favorable outcomes in radial palsy.