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Iatrogenic pronator syndrome: case report
Scandinavian Journal of Plastic and Reconstructive Surgery
|January 1, 1980
Summary
Congenital radio-ulnar synostosis surgery can cause median nerve paralysis due to forearm muscle compression. Prompt surgical exploration and release led to full nerve recovery in this case.
Area of Science:
- Orthopedic Surgery
- Neuroscience
- Pediatric Orthopedics
Background:
- Congenital radio-ulnar synostosis causes forearm functional disability, often requiring surgical correction.
- Rotational osteotomy is a surgical technique used to address forearm rotational deformities.
Observation:
- A patient with congenital radio-ulnar synostosis underwent corrective rotational osteotomy.
- Postoperatively, the patient developed progressive total paralysis of the median nerve.
Findings:
- Surgical exploration revealed median nerve compression by the pronator teres and superficialis bridge.
- Sectioning of these structures relieved the compression.
Implications:
- This case highlights a potential complication of rotational osteotomy for radio-ulnar synostosis.
- Early diagnosis and surgical intervention for nerve decompression are crucial for favorable outcomes.
- Understanding the anatomical relationship between forearm muscles and nerves is vital in corrective surgeries.