Sonographic Diagnosis Of Posterior Interosseous Nerve Entrapment Syndrome

نویسندگان

  • Charlene Ong
  • Hema S. Nallamshetty
  • Levon N. Nazarian
  • Mark S. Rekant
  • Steven Mandel
چکیده

Posterior interosseous nerve entrapment is a potential cause of upper extremity muscle weakness and pain. The diagnosis may be difficult to make clinically, and electrodiagnostic tests may not identify the exact site of nerve compression. We report a case of posterior interosseous nerve entrapment in which electrodiagnostic studies suggested radial neuropathy at the level of the spiral groove, but the sonographic evaluation pinpointed the arcade of Frohse as the level of compression. The patient's symptoms improved dramatically following surgical release of the nerve. Sonography may be a valuable, non-invasive diagnostic tool in evaluating patients with posterior interosseous nerve entrapment.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Entrapment of the posterior interosseous nerve at the arcade of Frohse with sonographic, magnetic resonance imaging, and intraoperative confirmation.

ntrapment of the radial nerve, specifically the deep branch of the radial nerve (DBRN) in the arcade of Frohse, was first described in 1963.1 Prolonged entrapment may lead to a constellation of symptoms described in posterior interosseous nerve (PIN) paralysis.2 Reported attempts at diagnosis using imaging have mostly involved magnetic resonance imaging (MRI), with a limited number of studies c...

متن کامل

Posterior Interosseous Nerve Syndrome Resulting from Parosteal Lipoma of the Proximal Radius: An Elusive Diagnosis Yet Excellent Outcome

A 53-year old man presented with seven months history of progressive weakness of extension of the digits and the thumb of the left hand. The wrist extension was normal and sensations were also intact. The patient had also been noticing a progressively enlarging lump on the lower anterolateral aspect of the left antecubital fossa for the last three months. Physical examination andelectro diagnos...

متن کامل

بررسی نتایج عمل جراحی آزادسازی شاخه عمقی عصب رادیال از سال 1371 تا 1379 در بیمارستان امام خمینی و ساسان تهران

Between 1371 to 1379, of 10 patients with radial tunnel syndrome, 9 patients were treated by decompression of the posterior interosseous nerve. 8 patients were followed up more than 10 months. One patient improved without surgery. Half of the patients suffered from pain and all of them had variable degrees of paralysis in muscles innervated by deep branch of the radial nerve. The syndrome was d...

متن کامل

Sonographic appearance of the posterior interosseous nerve at the wrist.

OBJECTIVES The purpose of this study was to determine whether sonography can identify the distal posterior interosseous nerve at the wrist. METHODS On the basis of previous anatomic descriptions, high-resolution musculoskeletal sonography was used in an attempt to identify the distal posterior interosseous nerve in the wrists of 20 unembalmed cadaveric specimens (11 male and 9 female; ages 54...

متن کامل

Ultrasound assessment on selected peripheral nerve pathologies. Part I: Entrapment neuropathies of the upper limb – excluding carpal tunnel syndrome

Ultrasound (US) is one of the methods for imaging entrapment neuropathies, post-traumatic changes to nerves, nerve tumors and postoperative complications to nerves. This type of examination is becoming more and more popular, not only for economic reasons, but also due to its value in making accurate diagnosis. It provides a very precise assessment of peripheral nerve trunk pathology - both in t...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:

دوره 2  شماره 

صفحات  -

تاریخ انتشار 2007