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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...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2019
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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. |
format | Online Article Text |
id | pubmed-6719290 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
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 |
work_keys_str_mv | AT bulstralf posteriorinterosseousnervepalsyafterclosedproximalforearmfractures AT schepnwl posteriorinterosseousnervepalsyafterclosedproximalforearmfractures AT vandervliesch posteriorinterosseousnervepalsyafterclosedproximalforearmfractures |