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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...

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Autores principales: Moura, Francisco Serra E, Agarwal, Anil
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2020
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.
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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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