Persistent Hourglass Constriction in Recovered Anterior Interosseous Nerve Palsy Due to Neuralgic Amyotrophy: A Case Report

被引：1

作者：

Mane, Satish ^{[1
]}

Doi, Kazuteru ^{[1
,2
]}

Hattori, Yasunori ^{[1
]}

Sakamoto, Sotetsu ^{[1
]}

机构：

[1] Ogori Daiichi Gen Hosp, Dept Orthopaed Surg, Yamaguchi, Yamaguchi, Japan

[2] Ogori Daiichi Gen Hosp, Dept Orthoped Surg, Shimogo 862-3, Yamaguchi, Yamaguchi 7540002, Japan

来源：

JOURNAL OF HAND SURGERY-ASIAN-PACIFIC VOLUME | 2023年 / 28卷 / 04期

关键词：

Hourglass constriction; Anterior interosseous nerve palsy; Median nerve; Neuralgic amyotrophy; Ultrasonography;

D O I：

10.1142/S2424835523720177

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

The current articles recommended the interfascicular neurolysis for anterior interosseous nerve (AIN) palsy with hourglass-like fascicular constrictions (FCs) detected by ultrasonography or surgical exploration to realign to the fascicular torsion for those who failed to recover spontaneously. We present the case report of spontaneous AIN palsy recovered after conservative treatment; however, ultrasonographic findings showed persistent FCs of AIN in the arm at the beginning, at 6 weeks, and subsequent 3-year follow-ups, even after complete clinical recovery of palsy. This finding calls into question the current notion that AIN paralysis is due to FCs and that neurolysis is the best surgical treatment when spontaneous recovery does not occur for a considerable observation period.Level of Evidence: Level V (Therapeutic)

引用

页码：507 / 511

页数：5

共 10 条

[1] ULTRASONOGRAPHIC IDENTIFICATION OF NERVE PATHOLOGY IN NEURALGIC AMYOTROPHY: ENLARGEMENT, CONSTRICTION, FASCICULAR ENTWINEMENT, AND TORSION [J].

Aranyi, Zsuzsanna ;

Csillik, Anita ;

Devay, Katalin ;

Rosero, Maja ;

Barsi, Peter ;

Boehm, Josef ;

Schelle, Thomas .

MUSCLE & NERVE, 2015, 52 (04) :503-511

[2] Selective Fascicular Involvement of the Median Nerve Trunk Causing Pseudo-Anterior Interosseous Nerve Syndrome: Ultrasound and MR Imaging Features [J].

Jung, Yoon Young ;

Choi, Yun Sun ;

Lee, Chang-Hun ;

Kwon, Ohyun ;

Kim, Minchul .

YONSEI MEDICAL JOURNAL, 2020, 61 (06) :547-552

[3] Early treatment of anterior interosseous nerve palsy with hourglass-like fascicular constrictions by interfascicular neurolysis due to early diagnosis using ultrasonography: A case report [J].

Kodama, A. ;

Sunagawa, T. ;

Ochi, M. .

JOURNAL OF HAND SURGERY-EUROPEAN VOLUME, 2015, 40 (06) :642-643

[4] ANTERIOR INTEROSSEOUS NERVE SYNDROME RECONSIDERED A Critical Analysis Review [J].

Krishnan, Karthik R. ;

Sneag, Darryl B. ;

Feinberg, Joseph H. ;

Wolfe, Scott W. .

JBJS REVIEWS, 2020, 8 (09)

[5] Spontaneous anterior interosseous nerve palsy [J].

Nagano, A .

JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 2003, 85B (03) :313-318

[6] Ultrasonographic findings of proximal median neuropathy: A case series of suspected distal neuralgic amyotrophy [J].

Noda, Yoshikatsu ;

Sekiguchi, Kenji ;

Tokuoka, Hideki ;

Oda, Tetsuya ;

Hamaguchi, Hirotoshi ;

Kanda, Fumio ;

Toda, Tatsushi .

JOURNAL OF THE NEUROLOGICAL SCIENCES, 2017, 377 :1-5

[7] Anterior interosseous nerve syndrome Fascicular motor lesions of median nerve trunk [J].

Pham, Mirko ;

Baeumer, Philipp ;

Meinck, Hans-Michael ;

Schiefer, Johannes ;

Weiler, Markus ;

Bendszus, Martin ;

Kele, Henrich .

NEUROLOGY, 2014, 82 (07) :598-606

[8] Anterior interosseous nerve palsy - A review of 16 cases [J].

Sood, MK ;

Burke, FD .

JOURNAL OF HAND SURGERY-BRITISH AND EUROPEAN VOLUME, 1997, 22B (01) :64-68

[9]

Sunderland S., 1991, NERVE INJURIES THEIR

[10] Spontaneous peripheral nerve palsy with hourglass-like fascicular constriction in the upper extremity [J].

Wang, Yang ;

Liu, Ting ;

Song, Liangsong ;

Zhang, Zhixin ;

Zhang, Yanan ;

Ni, Jinsong ;

Lu, Laijin .

JOURNAL OF NEUROSURGERY, 2019, 131 (06) :1876-1886

← 1 →