• Title/Summary/Keyword: Anterior interosseous syndrome

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Anterior Interosseous Nerve Syndrome with Varient Nerve Innervation: A Case Report (해부학적 변이를 가지는 전방골간신경 증후군: 1예 보고)

  • 이준호;나재범;김재수;유진종;이경규;정성훈
    • Investigative Magnetic Resonance Imaging
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    • v.6 no.2
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    • pp.147-151
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    • 2002
  • Anterior interosseous nerve syndrome is characterized by weakness of the flexor pollicis longus, the flexor digitorum profundus and the pronator quadratus in the presence of normal sensation. Although MR imaging findings of anterior interosseous nerve syndrome has been reported in a few articles, we report herein a case of anterior interosseous nerve syndrome involving more than usual muscles innervated by anterior interosseous nerve, caused by varient nerve innervation.

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Anterior Interosseous Syndrome after Use of a Kenny-Howard Sling for a Acromioclavicular Joint Separation - A Case Report - (Kenny-Howard 보조기 착용 후 발생한 전 골간 증후군 - 증례보고 -)

  • Kim, Byoung-Suck;Kim, Keun-Woo;Nam, Woo-Dong;Rhyu, Kee-Hyung;Awe, Soo-Ik
    • Clinics in Shoulder and Elbow
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    • v.9 no.2
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    • pp.251-254
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    • 2006
  • The anterior interosseous syndrome is an entrapment neuropathy which can be caused by several different etiologies. It is also clinically known that it weakens flexor pollicis longus, flexor digitorum profundus to the index and long fingers without loss of finger sensory. We have experienced anterior interosseous syndrome which found to be rare to ordinary conservative treatment, i.e. application of Kenny-Howard brace, given to a patient with acromioclavicular separation type III. We also review related articles.

Simultaneous Anterior and Posterior Interosseous Nerve Syndrome Following Shoulder Arthroscopy in the Lateral Decubitus Position - Case Report - (측와위로 시행한 견관절 관절경 후에 동시에 발생한 전방 및 후방 골간 신경 증후군 - 증례보고 -)

  • Seo, Jae Sung;Kim, Jee Hoon;Kang, Dong Hwa
    • Clinics in Shoulder and Elbow
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    • v.16 no.2
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    • pp.148-152
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    • 2013
  • We report a case of simultaneous anterior and posterior interosseous nerve syndrome in association with shoulder arthroscopy. Shoulder arthroscopy was performed in a 45-year-old male patient with left shoulder instability. In the right lateral decubitus position, under general anesthesia, traction was applied with elbow extension for 2 hours. One week after surgery, the patient revisited the clinic for weakness of the flexor of the thumb, index finger, and extensor of the fingers. Recovery was not achieved after four months of observation. Therefore, nerve exploration was performed in the anterior and posterior interosseous nerve and hourglass-like fascicular constriction was detected in the posterior interosseous nerve. The area of constriction was removed and epineural neurorrhaphy was performed. Three months after exploration, the extension function of the fingers was recovered. Recovery was achieved gradually, and, five months after nerve exploration, the symptoms were completely recovered. Simultaneous anterior and posterior interosseous nerve syndrome following shoulder arthroscopy is rare. However, it could occur due to the traction and position of the patient. Thus, the operator should be careful of traction and position of the patient.

Clinical Case of the Korean Medical Treatment for the Patient with Anterior Interosseous Nerve Syndrome (전골간신경 증후군의 치료증례 보고)

  • Min, Seon Jeon;Kim, Jin Hee;Kim, Min Su;Yeam, Seung-Ryong;Kwon, Young-Dal
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.28 no.4
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    • pp.425-429
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    • 2014
  • The purpose of this study is to suggest a possibility of the Korean medical treatment in patient with anterior interoseous nerve entrapment syndrome. The patient treated with acupunture, herbal medicine and Needle-embedding Therapy from April 19th to May 15th. We measured Visual Analotgue Scale(VAS), and Observed the change in body tempreture using Digital Infrared Thermal Imaging(DITI). After received Korean medical treatment, the patient showed improvement in muscle strength, sensation, VAS, temperature differential. Therefore we can consider Korean medical treatment before operation in interosseous nerve syndrome.

The Anterior Interosseous Nerve Syndrome: Clinical Investigation of Surgically Treated 7 Cases (전방골간신경 증후군: 수술적으로 치료한 7예에 대한 임상적 고찰)

  • Kim, Hyoung-Min;Jeong, Chang-Hoon;Lee, Sang-Uk;Roh, Youn-Tae;Park, Il-Jung
    • Archives of Reconstructive Microsurgery
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    • v.18 no.2
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    • pp.67-74
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    • 2009
  • Purpose: The etiology and treatment strategy of the anterior interosseous nerve (AIN) syndrome are still controversial. Seven patients with the AIN syndrome who were treated by surgical exploration and neurolysis were reviewed at a mean of 35.9 months follow up period. Materials & Methods: There were six men and one woman. The mean age was 37.3 years, ranging from 26 to 59. No patient was related to trauma and associated neurological lesion. Surgical exploration was performed at 7.7 months after onset of paralysis. Results: All except one patients experienced pain around the elbow region before the onset of the palsy. On 7 patients, only the flexor pollicis longus was paralysed in 1, only the index flexor digitorum profundus in 2, and none had paralysis of the middle. The most common compression structures were fibrous bands within flexor digitorum sublimis arcade. However there was no demonstrable abnormality in three. Recovery was complete in all cases within 12 months after surgery. Conclusion: We recommended surgical exploration and neurolysis in patients who have shown no improvement after 6 months of conservative treatment. And careful preoperative examination is essential to avoid misdiagnosis and inappropriate surgery, especially in incomplete AIN syndrome.

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Compression Neuropathy (압박성 신경병증)

  • Kim, Byung-Sung
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.1 no.2
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    • pp.128-133
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    • 2008
  • Nerve compression is caused by external force or internal pathology, which symptom develops along nerve distribution. There are median, ulnar and radial nerve compression neuropathies below elbow. Carpal tunnel syndrome at the flexor retinaculum is most common among all the entrapment neuropathies. Other causes of median nerve neuropathy include Struther's ligament, biceps aponeurosis, pronator teres, FDS aponeurosis and aberrant muscles, which induce pronator syndrome or anterior interosseous nerve syndrome. Ulnar nerve can be compressed at the elbow by arcade of Struther, medial epicondylar groove, FCU two heads, which develops cubital tunnel syndrome, at the wrist by ganglion, fracture of hamate hook and vascular problem, which develops Guyon's canal syndrome. Radial tunnel syndrome is caused by supinator muscle, which compresses its deep branch. Treatment is conservative at initial stage like NSAID, night splint or steroid injection. If symptom persists, operative treatment should be considered after electrodiagnostic or imaging studies.

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Study on Muscular System about Gall Bladder Channel of Foot Soyang Muscle (족소양담경근(足少陽膽經筋)에 대한 근육학적 고찰)

  • Ryu, Hyung-Sun;Kang, Jung-Soo
    • Journal of Acupuncture Research
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    • v.22 no.5
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    • pp.29-36
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    • 2005
  • Objectives : This study is performed to understand the interrelation between 'Foot soyang muscle of the Gall bladder channel' and 'muscular system' on the basis of the link between meridian muscle theory and myofascial pain syndrome. Methods : We have researched some of oriental medical books about meridian muscle theory and western medical books about anatomical muscular system. Results & Conclusion : 1. Myofascial pain syndrome is the medical treatment which finds the start point of the pain in fascia and then treats it on the basis of object and concrete anatomical theory, so its application is needed for objectification of the oriental medicine. 2. There is a wide difference between myofascial pain syndrome and meridian muscle theory in that the former explains each muscle individually, while the latter classifies muscles systematically in the view of organism. 3. Foot soyang muscle contains Dorsal interosseous m, Extensor digitorum longus m, Musculus peroneus brevis, longus and, tertius, lliotibial tract, Vastus lateralis m, Gluteus m, Aximus m, Piriformis m, Tensor fasciae latae m, Gluteus minimus m, Obliquus internus & externus abdominis m, External & Internal intercostal m, Serratus anterior m, Pectoralis major m, Sternocleidomastoid m, Auricularis posterior m, Temporalis m, Masseter m, Orbicularis oculi m etc. on the basis of function and the nature of a disease reflected in muscle. 4. Foot soyang muscle keeps the balance of left md right of the body on the outside, while the Gall bladder keeps the balance of the JangBuKiHyeul(臟腑氣血) on the inside.

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