• Title/Summary/Keyword: anterior interosseous nerve

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

  • 이준호;나재범;김재수;유진종;이경규;정성훈
    • Investigative Magnetic Resonance Imaging
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    • 제6권2호
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    • pp.147-151
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    • 2002
  • 전방골간신경 증후군은 전방골간신경의 질환으로서, 장무지 굴근, 심수지 굴근 및 방형 회내근의 마비가 나타나고, 감각은 정상인 것이 특징적이다. 전방골간신경 증후군은 많이 알려져 있으나 자기공명영상 소견에 대한 보고는 적으며, 신경 분포의 해부학적 변이를 가지는 전방골간신경 증후군에 관한 보고는 더욱 드물다. 저자들은 정상변이의 신경분포를 보이는 전방골간신경 증후군 증례를 1예 경험하였기에 방사선학적 소견을 문헌고찰과 함께 보고하고자 한다.

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Accessory head of flexor pollicis longus in Jeju islander cadavers

  • Yu, Jae Ma;Yoon, Sang Pil;Kim, Jinu
    • Journal of Medicine and Life Science
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    • 제15권1호
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    • pp.16-18
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    • 2018
  • Anterior interosseous nerve palsy is known to occur uncommonly because of its compression by the accessory head of flexor pollicis longus(AHFPL) in the forearm. During routine educational dissection, we found 7 AHFPLs in 12 upper limbs of 6 adults Korean Jeju islander cadavers, which inserted onto flexor pollicis longus. Three AHFPLs of them arose from coronoid process of the ulna, and the others arose independently from the flexor digitorum superficialis (FDS). Using the topographical relationship of the anterior interosseous nerve to the AHFPL, all anterior interosseous nerve was crossed the tendinous part of the AHFPL. This study has shown that there are discrepancies in the origin of AHFPL and the location of the anterior interosseous nerve in Koreans, which is supposed to be related to unique genetic pool in Jeju Island.

수궐음 심포경근의 해부학적 고찰 (Study on the Anatomical Pericardium Meridian Muscle in Human)

  • 박경식
    • Korean Journal of Acupuncture
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    • 제22권1호
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    • pp.67-74
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    • 2005
  • Objectives : This study was carried to identify the component of the Pericardium Meridian Muscle in human. Methods : The regional muscle group was divided into outer, middle, and inner layer. The inner part of body surface were opened widely to demonstrate muscles, nerve, blood vessels and to expose the inner structure of the Pericardium Meridian Muscle in the order of layers. Results We obtained the results as follows; He Perfcardium Meridian Muscle composed of the muscles, nerves and blood vessels. In human anatomy, it is present the difference between terms (that is, nerves or blood vessels which control the muscle of the Pericardium Meridian Muscle and those which pass near by the Pericardium Meridian Muscle). The inner composition of the Pericardium Meridian Muscle in human is as follows ; 1) Muscle P-1 : pectoralis major and minor muscles, intercostalis muscle(m.) P-2 : space between biceps brachialis m. heads. P-3 : tendon of biceps brachialis and brachialis m. P-4 : space between flexor carpi radialis m. and palmaris longus m. tendon(tend.), flexor digitorum superficialis m., flexor digitorum profundus m. P-5 : space between flexor carpi radialis m. tend. and palmaris longus m. tend., flexor digitorum superficialis m., flexor digitorum profundus m. tend. P-6 : space between flexor carpi radialis m. tend. and palmaris longus m. tend., flexor digitorum profundus m. tend., pronator quadratus m. H-7 : palmar carpal ligament, flexor retinaculum, radiad of flexor digitorum superficialis m. tend., ulnad of flexor pollicis longus tend. radiad of flexor digitorum profundus m. tend. H-8 : palmar carpal ligament, space between flexor digitorum superficialis m. tends., adductor follicis n., palmar interosseous m. H-9 : radiad of extensor tend. insertion. 2) Blood vessel P-1 : lateral cutaneous branch of 4th. intercostal artery, pectoral br. of Ihoracoacrornial art., 4th. intercostal artery(art) P-3 : intermediate basilic vein(v.), brachial art. P4 : intermediate antebrachial v., anterior interosseous art. P-5 : intermediate antebrarhial v., anterior interosseous art. P-6 : intermediate antebrachial v., anterior interosseous art. P-7 : intermediate antebrachial v., palmar carpal br. of radial art., anterior interosseous art. P-8 : superficial palmar arterial arch, palmar metacarpal art. P-9 : dorsal br. of palmar digital art. 3) Nerve P-1 : lateral cutaneous branch of 4th. intercostal nerve, medial pectoral nerve, 4th. intercostal nerve(n.) P-2 : lateral antebrachial cutaneous n. P-3 : medial antebrachial cutaneous n., median n. musrulocutaneous n. P-4 : medial antebrachial cutaneous n., anterior interosseous n. median n. P-5 : median n., anterior interosseous n. P-6 : median n., anterior interosseous n. P-7 : palmar br. of median n., median n., anterior interosseous n. P-8 : palmar br. of median n., palmar digital br. of median n., br. of median n., deep br. of ulnar n. P-9 : dorsal br. of palmar digital branch of median n. Conclusions : This study shows some differences from already established study on meridian Muscle.

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Anterior interosseous nerve palsy in the early postoperative period after open capsular release for elbow stiffness: a case report

  • Christopher A. Colasanti;Michael Boin;Jacques Hacquebord;Mandeep S. Virk
    • Clinics in Shoulder and Elbow
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    • 제26권4호
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    • pp.462-466
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    • 2023
  • Surgical release of elbow contracture is associated with injury to structures traversing the elbow. To date, only one other case report has been published describing anterior interosseous nerve (AIN) palsy that developed immediately after open elbow contracture release and debridement. Here we describe the unique case of a patient that developed AIN palsy 1 week after operation, including magnetic resonance imaging and electrodiagnostic studies, to shed some light on the etiology of this rare complication.

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

  • 서재성;김지훈;강동화
    • Clinics in Shoulder and Elbow
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    • 제16권2호
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    • pp.148-152
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    • 2013
  • 관절 관절경으로 수술적 치료를 시행한 후 전방 및 후방 골간 신경 증후군이 동시에 발생한 1예를 보고하고자 한다. 45세 남자 환자가 좌측 견관절의 불안정성으로 견관절 관절경 수술을 시행받았다. 전신 마취하 우측 측와위 자세에서 전완부를 신전한 상태에서 견인 장치를 부착한 상태로 2시간 동안 수술을 시행하였다. 1주일 후 환자는 좌측 전완부 동통, 수지의 신전력 및 무지와 인지의 심수지 굴근력의 저하로 외래를 방문하였다. 경과 관찰하였으나 증상이 지속되어 전방 골간 신경에 대해서는 신경 탐색술을 시행하였고 후방 골간 신경에서는 모래 시계 모양의 협착 소견이 발견되어 병변 절제 후 신경 외막 봉합술을 시행하였다. 수술 후 약 5개월간 외래에서 경과 관찰하였다. 신경 탐색술을 시행하고 3개월 후 총수지 신근의 기능이 회복하기 시작하였으며, 점차 회복하여 신경 탐색술 후 5개월째 증상이 완전히 회복되었다. 견관절 관절경 수술 후 전방 및 후방 골간 신경 증후군의 발생은 드물지만 견인 장치 및 수술 중 자세에 의해 유발될 수 있다. 따라서 견인 장치 부착 및 수술 자세에 대해 술자의 주의가 필요하다고 생각한다.

Fascicular Involvement of the Median Nerve Trunk in the Upper Arm: Manifestation as Anterior Interosseous Nerve Syndrome With Unique Imaging Features

  • Jae Eun Park;Darryl B. Sneag;Yun Sun Choi;Sung Hoon Oh;SeongJu Choi
    • Korean Journal of Radiology
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    • 제25권5호
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    • pp.449-458
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    • 2024
  • Selective fascicular involvement of the median nerve trunk above the elbow leading to anterior interosseous nerve (AIN) syndrome is a rare form of peripheral neuropathy. This condition has recently garnered increased attention within the medical community owing to advancements in imaging techniques and a growing number of reported cases. In this article, we explore the topographical anatomy of the median nerve trunk and the clinical features associated with AIN palsy. Our focus extends to unique manifestations captured through MRI and ultrasonography (US) studies, highlighting noteworthy findings, such as nerve fascicle swelling, incomplete constrictions, hourglass-like constrictions, and torsions, particularly in the posterior/posteromedial region of the median nerve. Surgical observations have further enhanced the understanding of this complex neuropathic condition. High-resolution MRI not only reveals denervation changes in the AIN and median nerve territories but also illuminates these alterations without the presence of compressing structures. The pivotal roles of high-resolution MRI and US in diagnosing this condition and guiding the formulation of an optimal treatment strategy are emphasized.

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

  • 민선정;김진희;김민수;염승룡;권영달
    • 동의생리병리학회지
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    • 제28권4호
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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.

상지에서 발생한 말초 신경의 모래시계형 협착 (Hourglass-Like Constrictions of Peripheral Nerve in the Upper Extremity)

  • 허재승;신현식;이창훈;이광현
    • 대한정형외과학회지
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    • 제56권5호
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    • pp.455-460
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    • 2021
  • 신경 염전은 말초 신경에서 발생하는 신경 꼬임 현상으로 인해 감각이상 및 근력 저하를 보이는 드문 질환이며 현재까지 발생 원인부터 진단 및 치료까지 정립된 바가 없다. 본 저자들은 전골간 신경 및 요골 신경의 신경 염전을 신경 외막 절제 및 신경 유리술 술식으로 치료하여 좋은 결과를 얻은 세 개의 증례를 문헌 고찰과 함께 보고하고자 한다.

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

  • 김형민;정창훈;이상욱;노연태;박일중
    • Archives of Reconstructive Microsurgery
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    • 제18권2호
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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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