American Journal of Medical Case Reports. 2015, 3(12), 415-418
DOI: 10.12691/AJMCR-3-12-9
Posterior Interosseous Nerve Compression Syndrome: Imaging Findings Highlights
Jose Elmadan Albuquerque Barroso-Junior1, Jovelino Coimbra-Neto2 and Francisco Abaete Chagas-Neto3,
1Federal University of Sao Paulo
2Escola Cearense de Ultrassonografia
3Division of Radiology, University of Fortaleza and Christus University Center, Section Head, Musculoskeletal Imaging Antonio Prudente Hospital, Fortaleza, CE – Brazil
Pub. Date: December 07, 2015
Cite this paper
Jose Elmadan Albuquerque Barroso-Junior, Jovelino Coimbra-Neto and Francisco Abaete Chagas-Neto. Posterior Interosseous Nerve Compression Syndrome: Imaging Findings Highlights.
American Journal of Medical Case Reports. 2015; 3(12):415-418. doi: 10.12691/AJMCR-3-12-9
Abstract
Posterior interosseous nerve (PIN) compression syndrome is a condition resulting from the compression of the deep branch of the radial nerve, which may lead to paresis or paralysis of the fingers and thumb. Anatomically, there are five potential sites for nerve compression in its course along the radial tunnel, the “Arcade of Fröhse” being the most usual. Clinically, patients start feeling pain in the lateral aspect of the elbow, which may be confused in the initial clinical diagnosis with lateral epicondylitis. The aim of this study is to present the case of a patient with clinical posterior interosseous nerve compression syndrome and to demonstrate that imaging studies can be used to localize and distinguish compressive neuropathy from other possible causes.
Keywords
peripheral nerves, nerve compression syndromes, magnetic resonance imaging, ultrasound
Copyright
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References
[1] | Chien AJ,Jamadar DA, Jacobson JA, Hayes CW, Louis DS. Sonography and MR Imaging of Posterior Interosseous Nerve Syndrome with Surgical Correlation. American Journal of Roentgenology. 2003; 181: 219-221. |
|
[2] | DANG AC, RODNER CM. Unusual compression neuropathies of the forearm, part I: radial nerve. The Journal of hand surgery, v. 34, n. 10, p. 1906-1914, 2009. |
|
[3] | LOH YC et al. Neuroma of the distal posterior interosseous nerve A CAUSE OF IATROGENIC WRIST PAIN. Journal of Bone & Joint Surgery, British Volume, v. 80, n. 4, p. 629-630, 1998. |
|
[4] | RAMOS R, Jesús R. Neuropatíacompresivadelnerviointeroseo posterior a niveldelcodo (síndrome de la arcada de frohse):¿ debeincluirseenel listado de enfermedadesprofesionales?. Medicina y SeguridaddelTrabajo, v. 56, n. 220, p. 248-256, 2010. |
|
[5] | BELTRAN J, ROSENBERG ZS. Diagnosis of compressive and entrapment neuropathies of the upper extremity: value of MR imaging. AJR. American journal of roentgenology, v. 163, n. 3, p. 525-531, 1994. |
|
[6] | Chiou HJ, Chou YH, Chiou SY, Liu JB, Chang CY. Peripheral Nerve Lesions: Role of High-Resolution US1. Radiographics, v. 23, n. 6, p. e15-e15, 2003. |
|
[7] | DONG, Qian et al. Posterior Interosseous Nerve of the Elbow Normal Appearances Simulating Entrapment. JournalofUltrasound in Medicine, v. 29, n. 5, p. 691-696, 2010. |
|
[8] | ROBB, Andrew; SAJKO, Sandy. Conservative management of posterior interosseous neuropathy in an elite baseball pitcher’s return to play: a case report and review of the literature. The Journal of the Canadian Chiropractic Association, v. 53, n. 4, p. 300, 2009. |
|