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Posterior interosseous nerve palsy after closed proximal forearm fractures

Although rare, posterior interosseous nerve (PIN) palsy can occur in patients with a closed proximal forearm fracture and may present in a delayed fashion after initial trauma. In this case series, three cases of posterior interosseous nerve (PIN) injury following proximal forearm fractures are pres...

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Detalles Bibliográficos
Autores principales: Bulstra, L.F., Schep, N.W.L., van der Vlies, C.H.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6719290/
https://www.ncbi.nlm.nih.gov/pubmed/31497636
http://dx.doi.org/10.1016/j.tcr.2019.100240
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author Bulstra, L.F.
Schep, N.W.L.
van der Vlies, C.H.
author_facet Bulstra, L.F.
Schep, N.W.L.
van der Vlies, C.H.
author_sort Bulstra, L.F.
collection PubMed
description Although rare, posterior interosseous nerve (PIN) palsy can occur in patients with a closed proximal forearm fracture and may present in a delayed fashion after initial trauma. In this case series, three cases of posterior interosseous nerve (PIN) injury following proximal forearm fractures are presented and discussed. Our literature search yielded six studies concerning PIN injury in radial head/neck fractures and proximal forearm fractures. Out of a total of 8 patients, 7 patients were treated non-operatively and in one patient a PIN release was performed. One patient was lost to follow-up, all other 7 patients showed successful recovery. A treatment algorithm for PIN palsy after proximal forearm fractures is provided. Based on our experience and what we found in literature, it seems safe to treat PIN palsies conservatively.
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spelling pubmed-67192902019-09-06 Posterior interosseous nerve palsy after closed proximal forearm fractures Bulstra, L.F. Schep, N.W.L. van der Vlies, C.H. Trauma Case Rep Article Although rare, posterior interosseous nerve (PIN) palsy can occur in patients with a closed proximal forearm fracture and may present in a delayed fashion after initial trauma. In this case series, three cases of posterior interosseous nerve (PIN) injury following proximal forearm fractures are presented and discussed. Our literature search yielded six studies concerning PIN injury in radial head/neck fractures and proximal forearm fractures. Out of a total of 8 patients, 7 patients were treated non-operatively and in one patient a PIN release was performed. One patient was lost to follow-up, all other 7 patients showed successful recovery. A treatment algorithm for PIN palsy after proximal forearm fractures is provided. Based on our experience and what we found in literature, it seems safe to treat PIN palsies conservatively. Elsevier 2019-08-28 /pmc/articles/PMC6719290/ /pubmed/31497636 http://dx.doi.org/10.1016/j.tcr.2019.100240 Text en © 2019 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Article
Bulstra, L.F.
Schep, N.W.L.
van der Vlies, C.H.
Posterior interosseous nerve palsy after closed proximal forearm fractures
title Posterior interosseous nerve palsy after closed proximal forearm fractures
title_full Posterior interosseous nerve palsy after closed proximal forearm fractures
title_fullStr Posterior interosseous nerve palsy after closed proximal forearm fractures
title_full_unstemmed Posterior interosseous nerve palsy after closed proximal forearm fractures
title_short Posterior interosseous nerve palsy after closed proximal forearm fractures
title_sort posterior interosseous nerve palsy after closed proximal forearm fractures
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6719290/
https://www.ncbi.nlm.nih.gov/pubmed/31497636
http://dx.doi.org/10.1016/j.tcr.2019.100240
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