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A rare and severe case of pronator teres syndrome
We present the case of a patient with severe symptoms of proximal forearm median nerve neuropathy. Over the course of 5 years his condition progressed to encompass rare features of combined pronator teres syndrome (PTS) and anterior interosseous nerve syndrome (AINS). The aetiology was found to be p...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7546246/ https://www.ncbi.nlm.nih.gov/pubmed/33072257 http://dx.doi.org/10.1093/jscr/rjaa397 |
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author | Moura, Francisco Serra E Agarwal, Anil |
author_facet | Moura, Francisco Serra E Agarwal, Anil |
author_sort | Moura, Francisco Serra E |
collection | PubMed |
description | We present the case of a patient with severe symptoms of proximal forearm median nerve neuropathy. Over the course of 5 years his condition progressed to encompass rare features of combined pronator teres syndrome (PTS) and anterior interosseous nerve syndrome (AINS). The aetiology was found to be pronator teres compression and was managed successfully by surgical decompression. Proximal forearm median nerve compression should be considered as a continuum with two classic endpoints. At one end of the spectrum pure PTS presents with solely or mainly sensory symptoms, whereas at the other end AINS presents with pure motor symptoms. Hence, all possible anatomical sites of compression must be surgically explored in all cases of PTS or AINS, regardless of symptomatology. Timely referral to an experienced specialist is encouraged to ensure good outcomes, whenever a primary care practitioner encounters an atypical carpal tunnel syndrome-like presentation. |
format | Online Article Text |
id | pubmed-7546246 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-75462462020-10-15 A rare and severe case of pronator teres syndrome Moura, Francisco Serra E Agarwal, Anil J Surg Case Rep Case Report We present the case of a patient with severe symptoms of proximal forearm median nerve neuropathy. Over the course of 5 years his condition progressed to encompass rare features of combined pronator teres syndrome (PTS) and anterior interosseous nerve syndrome (AINS). The aetiology was found to be pronator teres compression and was managed successfully by surgical decompression. Proximal forearm median nerve compression should be considered as a continuum with two classic endpoints. At one end of the spectrum pure PTS presents with solely or mainly sensory symptoms, whereas at the other end AINS presents with pure motor symptoms. Hence, all possible anatomical sites of compression must be surgically explored in all cases of PTS or AINS, regardless of symptomatology. Timely referral to an experienced specialist is encouraged to ensure good outcomes, whenever a primary care practitioner encounters an atypical carpal tunnel syndrome-like presentation. Oxford University Press 2020-10-09 /pmc/articles/PMC7546246/ /pubmed/33072257 http://dx.doi.org/10.1093/jscr/rjaa397 Text en Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author(s) 2020. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com |
spellingShingle | Case Report Moura, Francisco Serra E Agarwal, Anil A rare and severe case of pronator teres syndrome |
title | A rare and severe case of pronator teres syndrome |
title_full | A rare and severe case of pronator teres syndrome |
title_fullStr | A rare and severe case of pronator teres syndrome |
title_full_unstemmed | A rare and severe case of pronator teres syndrome |
title_short | A rare and severe case of pronator teres syndrome |
title_sort | rare and severe case of pronator teres syndrome |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7546246/ https://www.ncbi.nlm.nih.gov/pubmed/33072257 http://dx.doi.org/10.1093/jscr/rjaa397 |
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