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Pseudo-Anterior Interosseous Nerve Syndrome by Multiple Intramuscular Injection
Blind intramuscular injection might cause severe neurovascular injury if it would be performed with insufficient knowledge of anatomy around the injection area. We report a case of pseudo-anterior interosseous syndrome caused by multiple intramuscular steroid injections around the antecubital area....
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Korean Academy of Rehabilitation Medicine
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3604225/ https://www.ncbi.nlm.nih.gov/pubmed/23526479 http://dx.doi.org/10.5535/arm.2013.37.1.138 |
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author | Kim, Min Young Kim, Dong Hwee Park, Byung Kyu Kim, Baik Hyun |
author_facet | Kim, Min Young Kim, Dong Hwee Park, Byung Kyu Kim, Baik Hyun |
author_sort | Kim, Min Young |
collection | PubMed |
description | Blind intramuscular injection might cause severe neurovascular injury if it would be performed with insufficient knowledge of anatomy around the injection area. We report a case of pseudo-anterior interosseous syndrome caused by multiple intramuscular steroid injections around the antecubital area. The patient had weakness of the 1st to 3rd digits flexion with typical OK sign. Muscle atrophy was noted on the proximal medial forearm, and sensation was intact. The electrophysiologic studies showed anterior interosseous nerve compromise, accompanying with injury of the other muscles innervated by the median nerve proximal to anterior interosseous nerve. Magnetic resonance imaging of the left proximal forearm revealed abnormally increased signal intensity of the pronator teres, flexor carpi radialis, proximal portion of flexor digitorum superficialis, and flexor digitorum profundus innervated by the median nerve on the T2-weighted images. This case shows the importance of knowledge about anatomic structures in considering intramuscular injection. |
format | Online Article Text |
id | pubmed-3604225 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | Korean Academy of Rehabilitation Medicine |
record_format | MEDLINE/PubMed |
spelling | pubmed-36042252013-03-22 Pseudo-Anterior Interosseous Nerve Syndrome by Multiple Intramuscular Injection Kim, Min Young Kim, Dong Hwee Park, Byung Kyu Kim, Baik Hyun Ann Rehabil Med Case Report Blind intramuscular injection might cause severe neurovascular injury if it would be performed with insufficient knowledge of anatomy around the injection area. We report a case of pseudo-anterior interosseous syndrome caused by multiple intramuscular steroid injections around the antecubital area. The patient had weakness of the 1st to 3rd digits flexion with typical OK sign. Muscle atrophy was noted on the proximal medial forearm, and sensation was intact. The electrophysiologic studies showed anterior interosseous nerve compromise, accompanying with injury of the other muscles innervated by the median nerve proximal to anterior interosseous nerve. Magnetic resonance imaging of the left proximal forearm revealed abnormally increased signal intensity of the pronator teres, flexor carpi radialis, proximal portion of flexor digitorum superficialis, and flexor digitorum profundus innervated by the median nerve on the T2-weighted images. This case shows the importance of knowledge about anatomic structures in considering intramuscular injection. Korean Academy of Rehabilitation Medicine 2013-02 2013-02-28 /pmc/articles/PMC3604225/ /pubmed/23526479 http://dx.doi.org/10.5535/arm.2013.37.1.138 Text en Copyright © 2013 by Korean Academy of Rehabilitation Medicine http://creativecommons.org/licenses/by-nc/3.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Kim, Min Young Kim, Dong Hwee Park, Byung Kyu Kim, Baik Hyun Pseudo-Anterior Interosseous Nerve Syndrome by Multiple Intramuscular Injection |
title | Pseudo-Anterior Interosseous Nerve Syndrome by Multiple Intramuscular Injection |
title_full | Pseudo-Anterior Interosseous Nerve Syndrome by Multiple Intramuscular Injection |
title_fullStr | Pseudo-Anterior Interosseous Nerve Syndrome by Multiple Intramuscular Injection |
title_full_unstemmed | Pseudo-Anterior Interosseous Nerve Syndrome by Multiple Intramuscular Injection |
title_short | Pseudo-Anterior Interosseous Nerve Syndrome by Multiple Intramuscular Injection |
title_sort | pseudo-anterior interosseous nerve syndrome by multiple intramuscular injection |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3604225/ https://www.ncbi.nlm.nih.gov/pubmed/23526479 http://dx.doi.org/10.5535/arm.2013.37.1.138 |
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