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Anterior interosseous nerve palsy following the use of elbow crutches

CONTEXT: Lesions of the anterior interosseous nerve are rare and comprise less than 1% of all upper extremity nerve palsies. Traumatic causes include blunt trauma, forearm fractures, penetrating injury and local pressure from a plaster cast, but has never before been described in association with cr...

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Autores principales: Wu, Feiran, Ismaeel, Adil, Siddiqi, Rehan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3336923/
https://www.ncbi.nlm.nih.gov/pubmed/22540102
http://dx.doi.org/10.4297/najms.2011.3296
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author Wu, Feiran
Ismaeel, Adil
Siddiqi, Rehan
author_facet Wu, Feiran
Ismaeel, Adil
Siddiqi, Rehan
author_sort Wu, Feiran
collection PubMed
description CONTEXT: Lesions of the anterior interosseous nerve are rare and comprise less than 1% of all upper extremity nerve palsies. Traumatic causes include blunt trauma, forearm fractures, penetrating injury and local pressure from a plaster cast, but has never before been described in association with crutch use. This is the first reported case of the use of elbow crutches causing symptomatic anterior interosseous nerve compression. CASE REPORT: This case describes a 30-year-old male who developed an inability to pinch with his left hand following the use of elbow crutches for a foot injury. On examination he was unable to flex the interphalangeal joint of his left thumb. A diagnosis of anterior interosseous palsy was made and the patient was treated conservatively and crutch use was ceased. At six weeks follow-up the patient made a complete recovery with full function of his left hand. CONCLUSION: This report highlights the importance of adequate education in the safe use of elbow crutches for all patients. The side effects of inappropriate use should be carefully examined for during follow-up care.
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spelling pubmed-33369232012-04-26 Anterior interosseous nerve palsy following the use of elbow crutches Wu, Feiran Ismaeel, Adil Siddiqi, Rehan N Am J Med Sci Case Report CONTEXT: Lesions of the anterior interosseous nerve are rare and comprise less than 1% of all upper extremity nerve palsies. Traumatic causes include blunt trauma, forearm fractures, penetrating injury and local pressure from a plaster cast, but has never before been described in association with crutch use. This is the first reported case of the use of elbow crutches causing symptomatic anterior interosseous nerve compression. CASE REPORT: This case describes a 30-year-old male who developed an inability to pinch with his left hand following the use of elbow crutches for a foot injury. On examination he was unable to flex the interphalangeal joint of his left thumb. A diagnosis of anterior interosseous palsy was made and the patient was treated conservatively and crutch use was ceased. At six weeks follow-up the patient made a complete recovery with full function of his left hand. CONCLUSION: This report highlights the importance of adequate education in the safe use of elbow crutches for all patients. The side effects of inappropriate use should be carefully examined for during follow-up care. Medknow Publications & Media Pvt Ltd 2011-06 /pmc/articles/PMC3336923/ /pubmed/22540102 http://dx.doi.org/10.4297/najms.2011.3296 Text en Copyright: © North American Journal of Medical Sciences http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Wu, Feiran
Ismaeel, Adil
Siddiqi, Rehan
Anterior interosseous nerve palsy following the use of elbow crutches
title Anterior interosseous nerve palsy following the use of elbow crutches
title_full Anterior interosseous nerve palsy following the use of elbow crutches
title_fullStr Anterior interosseous nerve palsy following the use of elbow crutches
title_full_unstemmed Anterior interosseous nerve palsy following the use of elbow crutches
title_short Anterior interosseous nerve palsy following the use of elbow crutches
title_sort anterior interosseous nerve palsy following the use of elbow crutches
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3336923/
https://www.ncbi.nlm.nih.gov/pubmed/22540102
http://dx.doi.org/10.4297/najms.2011.3296
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