Posterior interosseous nerve palsy after closed proximal forearm fractures.

Autor: Bulstra LF; Department of Surgery, Maasstad Hospital, Maasstadweg 21, 3079 DZ Rotterdam, the Netherlands.; Erasmus University Rotterdam, Faculty of Medicine, Erasmus University Medical Center, Wytemaweg 80, 3015 CN Rotterdam, the Netherlands., Schep NWL; Department of Surgery, Maasstad Hospital, Maasstadweg 21, 3079 DZ Rotterdam, the Netherlands., van der Vlies CH; Department of Surgery, Maasstad Hospital, Maasstadweg 21, 3079 DZ Rotterdam, the Netherlands.
Jazyk: angličtina
Zdroj: Trauma case reports [Trauma Case Rep] 2019 Aug 28; Vol. 23, pp. 100240. Date of Electronic Publication: 2019 Aug 28 (Print Publication: 2019).
DOI: 10.1016/j.tcr.2019.100240
Abstrakt: Although rare, posterior interosseous nerve (PIN) palsy can occur in patients with a closed proximal forearm fracture and may present in a delayed fashion after initial trauma. In this case series, three cases of posterior interosseous nerve (PIN) injury following proximal forearm fractures are presented and discussed. Our literature search yielded six studies concerning PIN injury in radial head/neck fractures and proximal forearm fractures. Out of a total of 8 patients, 7 patients were treated non-operatively and in one patient a PIN release was performed. One patient was lost to follow-up, all other 7 patients showed successful recovery. A treatment algorithm for PIN palsy after proximal forearm fractures is provided. Based on our experience and what we found in literature, it seems safe to treat PIN palsies conservatively.
Competing Interests: There are no financial disclosures and no conflicts of interest.
Databáze: MEDLINE