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[Posterior interosseous nerve paralysis after overexertion. A case report]
1Abteilung für Unfallchirurgie des Schwerpunktkrankenhauses Mistelbach/Niederösterreich.
Handchirurgie, Mikrochirurgie, Plastische Chirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Handchirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Mikrochirurgie Der Peripheren Nerven Und Gefasse : Organ Der V
|May 1, 1992
Summary
Posterior interosseous nerve paralysis can result from compression at the arcade of Frohse. This case report details spontaneous recovery after overexertion, highlighting a potential cause for this nerve entrapment.
Area of Science:
- Orthopedic Surgery
- Neurology
- Anatomy
Background:
- Entrapment neuropathies affecting the upper extremity are frequently encountered in clinical practice.
- The posterior interosseous nerve is susceptible to compression, particularly at the arcade of Frohse within the supinator muscle.
- Common etiologies include soft tissue tumors, trauma, and inflammation.
Observation:
- This report presents a case of spontaneous posterior interosseous nerve paralysis.
- The paralysis occurred a few days following a period of overexertion.
- The patient experienced a subsequent spontaneous recovery of nerve function.
Findings:
- Compression at the arcade of Frohse is a primary mechanism for posterior interosseous nerve entrapment.
- Overexertion can precipitate or exacerbate conditions leading to nerve compression.
- Spontaneous recovery is a possible outcome, even after significant functional deficit.
Implications:
- Understanding the varied causes of posterior interosseous nerve paralysis is crucial for accurate diagnosis.
- Overexertion should be considered as a potential trigger for nerve entrapment syndromes.
- The potential for spontaneous recovery emphasizes the importance of conservative management in select cases.