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Isolated Paralysis of the Adductor Pollicis: A Case Report

We report a case of isolated paralysis of the right adductor pollicis in a 30-year-old woman. Electromyographic study showed involvement of the deep motor branch of the ulnar nerve. A ganglion and an anomalous muscle were both ruled out clinically and by MRI as a possible cause of the paralysis. At...

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Detalles Bibliográficos
Autores principales: De Maio, F., Bisicchia, S., Farsetti, P., Ippolito, E.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE-Hindawi Access to Research 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3170747/
https://www.ncbi.nlm.nih.gov/pubmed/21991410
http://dx.doi.org/10.4061/2011/321020
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author De Maio, F.
Bisicchia, S.
Farsetti, P.
Ippolito, E.
author_facet De Maio, F.
Bisicchia, S.
Farsetti, P.
Ippolito, E.
author_sort De Maio, F.
collection PubMed
description We report a case of isolated paralysis of the right adductor pollicis in a 30-year-old woman. Electromyographic study showed involvement of the deep motor branch of the ulnar nerve. A ganglion and an anomalous muscle were both ruled out clinically and by MRI as a possible cause of the paralysis. At surgical exploration, we found a fibrous band joining the pisiform and the hook of the hamate bone that compressed the deep motor branch of the ulnar nerve. The fibrous band was excised, and a neurolysis of the motor branch of the ulnar nerve was performed. At followup, eight months later, the patient had fully recovered strength of the adductor muscle.
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spelling pubmed-31707472011-10-11 Isolated Paralysis of the Adductor Pollicis: A Case Report De Maio, F. Bisicchia, S. Farsetti, P. Ippolito, E. Adv Orthop Case Report We report a case of isolated paralysis of the right adductor pollicis in a 30-year-old woman. Electromyographic study showed involvement of the deep motor branch of the ulnar nerve. A ganglion and an anomalous muscle were both ruled out clinically and by MRI as a possible cause of the paralysis. At surgical exploration, we found a fibrous band joining the pisiform and the hook of the hamate bone that compressed the deep motor branch of the ulnar nerve. The fibrous band was excised, and a neurolysis of the motor branch of the ulnar nerve was performed. At followup, eight months later, the patient had fully recovered strength of the adductor muscle. SAGE-Hindawi Access to Research 2011 2011-01-27 /pmc/articles/PMC3170747/ /pubmed/21991410 http://dx.doi.org/10.4061/2011/321020 Text en Copyright © 2011 F. De Maio et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
De Maio, F.
Bisicchia, S.
Farsetti, P.
Ippolito, E.
Isolated Paralysis of the Adductor Pollicis: A Case Report
title Isolated Paralysis of the Adductor Pollicis: A Case Report
title_full Isolated Paralysis of the Adductor Pollicis: A Case Report
title_fullStr Isolated Paralysis of the Adductor Pollicis: A Case Report
title_full_unstemmed Isolated Paralysis of the Adductor Pollicis: A Case Report
title_short Isolated Paralysis of the Adductor Pollicis: A Case Report
title_sort isolated paralysis of the adductor pollicis: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3170747/
https://www.ncbi.nlm.nih.gov/pubmed/21991410
http://dx.doi.org/10.4061/2011/321020
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AT bisicchias isolatedparalysisoftheadductorpollicisacasereport
AT farsettip isolatedparalysisoftheadductorpollicisacasereport
AT ippolitoe isolatedparalysisoftheadductorpollicisacasereport