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Mustafa A Al-Hamdani1, Jeppe V Rasmussen2, Bo S Olsen2

  • 1Ortopædkirurgisk Afdeling, Sjællands Universitetshospital Køge.

Ugeskrift for Laeger
|June 2, 2023
PubMed
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Anterior interosseus nerve (AIN) syndrome can occur after shoulder surgery. This condition may require surgical intervention if symptoms persist for several months.

Area of Science:

  • Orthopedic Surgery
  • Neurology
  • Surgical Complications

Background:

  • Anterior interosseus nerve (AIN) syndrome is a rare complication following shoulder surgery.
  • The beach chair position and general anesthesia are common in subacromial decompression and acromioclavicular joint resection.

Observation:

  • A 47-year-old woman developed AIN syndrome post-shoulder surgery.
  • Symptoms included paresis of the distal interphalangeal joint of the second finger, presenting two weeks after the procedure.

Findings:

  • Traction-type neuropraxia and irrigation fluid extravasation are potential causes of AIN syndrome.
  • Conservative management is typically initiated, with surgical exploration considered if symptoms do not resolve.

Implications:

Related Experiment Videos

  • Early recognition and diagnosis of AIN syndrome are crucial for appropriate patient management.
  • Understanding the potential causes can help surgeons mitigate risks during shoulder procedures.
  • Surgical release of the AIN may be necessary in persistent cases, improving patient outcomes.