A cause for spontaneous paralysis of the posterior interosseous nerve has been sought for many years. In recent times an increasing number of reports on this subject has appeared. Sharrard’s (1966) cases were of particular interest because the approach to the problem was direct. If the paralysis did not subside within six weeks, exploration was carried out promptly. He described a fibrous band ...

AIM To compare the outcomes of finger reconstruction using arterialized venous flap (AVF), superficial palmar branch of the radial artery (SPBRA) flap, posterior interosseous perforator flap (PIPF), and ulnar artery perforator free (UAPF) flap harvested from the ipsilateral extremity. METHODS We retrospectively reviewed the outcomes for 41 free flaps from the ipsilateral extremity in the reco...

Variations in arterial anatomy are less frequent, contrary to the venous system, and most of these variations affect visceral arteries. Variations in the brachial artery are the most frequently reported and so far a minimum of six different patterns have been described. The most common of these patterns is the superficial brachial artery, which lies superficially to the medi...

1. Changes in the excitability of the intraspinal terminals of fibres in the posterior knee joint and interosseous nerves were used as a measure of primary afferent depolarization (PAD) which is associated with presynaptic inhibition of transmission from afferent fibres. These were estimated from changes in the intensity of electrical stimuli required to activate the fibres in 50% of trials. In...

Two patients presented with a posterior interosseous nerve palsy with supinator weakness. In each case an intraneural neurofibroma was found proximal to the supinator tunnel with no other stigmata of von Recklinghausen's disease. Both tumours showed a whorl-like histological pattern that has been previously confused with onion-bulb structures in hypertrophic polyneuropathy. Electron-microscopy ...

A man aged sixty-two years complained of inability to extend his left index finger and thumb. This paralysis had been progressing for about twelve weeks, and had been accompanied by pain in the upper arm radiating into the forearm. On examination, there was paralysis of the extensor muscles of the left thumb and index finger. There were no sensory changes. In the extensor muscles, just distal t...

Bilateral posterior interosseous nerve palsy in a rheumatoid patient is described. Six previous case reports and our experience indicate that steroid injection into the elbow may not produce lasting recovery and may lead to unacceptable delay before surgical decompression. An anterolateral approach for division of the arcade of Frohse is effective in cases with diffuse synovitis; where there is...

PURPOSE The purpose of this study was to evaluate the ultrasonographic findings associated with posterior interosseous nerve (PIN) syndrome. METHODS Approval from the Institutional Review Board was obtained. A retrospective review of 908 patients' sonographic images of the upper extremity from January 2001 to October 2010 revealed 10 patients suspicious for a PIN abnormality (7 male and 3 fem...