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Anterior Interosseous Nerve Syndrome.

Nathan Li1, Katherine Russo2, Lauren Rando2

  • 1Medical College of Wisconsin.

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|October 13, 2022
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Anterior interosseous nerve syndrome (AINS) is a rare neuropathy causing forearm pain and muscle weakness. Conservative treatment is typically effective, with surgery considered if symptoms persist.

Keywords:
Anterior interosseous nerve syndromenerve entrapmentneuropathypain

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Area of Science:

  • Neurology
  • Orthopedics
  • Peripheral Nerve Disorders

Background:

  • Anterior interosseous nerve syndrome (AINS) is a rare peripheral neuropathy.
  • Its pathophysiology is not fully understood.
  • AINS often presents with forearm pain and can lead to palsy of deep forearm muscles.

Purpose of the Study:

  • To summarize the current understanding of Anterior Interosseous Nerve Syndrome.
  • To outline diagnostic approaches and management strategies for AINS.

Main Methods:

  • Review of existing literature on AINS.
  • Analysis of typical clinical presentation and diagnostic findings.
  • Evaluation of conservative and surgical treatment options.

Main Results:

  • Diagnosis relies on patient history, physical examination, and electrodiagnostic studies (EMG).
  • EMG typically shows abnormal activity and prolonged latencies in FPL and PQ.
  • Conservative management, including pain relief, therapy, and splinting, is the first-line approach for up to 6 months.

Conclusions:

  • AINS is a distinct peripheral neuropathy requiring careful diagnosis.
  • Conservative management is generally effective for AINS.
  • Surgical intervention is reserved for cases with limited recovery from non-operative treatments.