DOI QR코드

DOI QR Code

Early Surgical Treatment of Pronator Teres Syndrome

  • Lee, Ho Jin (Department of Neurosurgery, Incheon, St. Mary's Hospital, The Catholic University of Korea) ;
  • Kim, Ilsup (Department of Neurosurgery, St. Vincent's Hospital, The Catholic University of Korea) ;
  • Hong, Jae Taek (Department of Neurosurgery, St. Vincent's Hospital, The Catholic University of Korea) ;
  • Kim, Moon Suk (Department of Neurosurgery, St. Vincent's Hospital, The Catholic University of Korea)
  • 투고 : 2013.08.19
  • 심사 : 2014.05.15
  • 발행 : 2014.05.28

초록

We report a rare case of pronator teres syndrome in a young female patient. She reported that her right hand grip had weakened and development of tingling sensation in the first-third fingers two months previous. Thenar muscle atrophy was prominent, and hypoesthesia was also examined on median nerve territory. The pronation test and Tinel sign on the proximal forearm were positive. Severe pinch grip power weakness and production of a weak "OK" sign were also noted. Routine electromyography and nerve conduction velocity showed incomplete median neuropathy above the elbow level with severe axonal loss. Surgical treatment was performed because spontaneous recovery was not seen one month later.

키워드

참고문헌

  1. Bridgeman C, Naidu S, Kothari MJ : Clinical and electrophysiological presentation of pronator syndrome. Electromyogr Clin Neurophysiol 47 : 89-92, 2007
  2. Buchthal F, Rosenfalck A, Trojaborg W : Electrophysiological findings in entrapment of the median nerve at wrist and elbow. J Neurol Neurosurg Psychiatry 37 : 340-360, 1974 https://doi.org/10.1136/jnnp.37.3.340
  3. Gessini L, Jandolo B, Pietrangeli A : Entrapment neuropathies of the median nerve at and above the elbow. Surg Neurol 19 : 112-116, 1983 https://doi.org/10.1016/0090-3019(83)90405-6
  4. Hartz CR, Linscheid RL, Gramse RR, Daube JR : The pronator teres syndrome : compressive neuropathy of the median nerve. J Bone Joint Surg Am 63 : 885-890, 1981 https://doi.org/10.2106/00004623-198163060-00004
  5. Jabaley ME, Wallace WH, Heckler FR : Internal topography of major nerves of the forearm and hand : a current view. J Hand Surg Am 5 : 1-18, 1980 https://doi.org/10.1016/S0363-5023(80)80035-9
  6. Nigst H, Dick W : Syndromes of compression of the median nerve in the proximal forearm (pronator teres syndrome; anterior interosseous nerve syndrome). Arch Orthop Trauma Surg 93 : 307-312, 1979 https://doi.org/10.1007/BF00450231
  7. Olehnik WK, Manske PR, Szerzinski J : Median nerve compression in the proximal forearm. J Hand Surg Am 19 : 121-126, 1994 https://doi.org/10.1016/0363-5023(94)90235-6
  8. Park IJ, Roh YT, Jeong C, Kim HM : Spontaneous anterior interosseous nerve syndrome : clinical analysis of eleven surgical cases. J Plast Surg Hand Surg 47 : 519-523, 2013
  9. Seyffarth H : Primary myoses in the M. pronator teres as cause of lesion of the N. medianus (the pronator syndrome). Acta Psychiatr Neurol Scand Suppl 74 : 251-254, 1951
  10. Stutz CM : Neuralgic amyotrophy : Parsonage-Turner Syndrome. J Hand Surg Am 35 : 2104-2106, 2010 https://doi.org/10.1016/j.jhsa.2010.09.010
  11. van Alfen N, van Engelen BG : The clinical spectrum of neuralgic amyotrophy in 246 cases. Brain 129 (Pt 2) : 438-450, 2006 https://doi.org/10.1093/brain/awh722
  12. Wertsch JJ, Sanger JR, Matloub HS : Pseudo-anterior interosseous nerve syndrome. Muscle Nerve 8 : 68-70, 1985 https://doi.org/10.1002/mus.880080112

피인용 문헌

  1. Treatment of muscle weakness in neuromuscular disorders vol.16, pp.12, 2016, https://doi.org/10.1080/14737175.2016.1206471
  2. Sonography of the Pronator Teres: Normal and Pathologic Appearances : Sonography of the Pronator Teres vol.36, pp.12, 2014, https://doi.org/10.1002/jum.14306
  3. Anatomical variations of the pronator teres muscle in a Central European population and its clinical significance vol.93, pp.2, 2014, https://doi.org/10.1007/s12565-017-0413-y
  4. The Median Nerve at the Carpal Tunnel … and Elsewhere vol.102, pp.1, 2014, https://doi.org/10.5334/jbsr.1354
  5. Outcome of Surgical Treated Isolated Pronator Teres Syndromes-A Retrospective Cohort Study and Complete Review of the Literature vol.19, pp.1, 2014, https://doi.org/10.3390/ijerph19010080