L. Wong et Al. Dellon, BRACHIAL NEURITIS PRESENTING AS ANTERIOR INTEROSSEOUS NERVE COMPRESSION - IMPLICATIONS FOR DIAGNOSIS AND TREATMENT - A CASE-REPORT, The Journal of hand surgery, 22A(3), 1997, pp. 536-539
Brachial plexus neuropathy may present as an isolated peripheral nerve
lesion, suggesting local compression, when in fact the pathophysiolog
y is a diffuse proximal inflammation. The type of management depends o
n an accurate diagnosis of the diffuse lesion with electromyography. A
descriptive case of isolated anterior interosseus nerve palsy is pres
ented and the literature is reviewed. Analysis of the reported cases r
eveals that anterior interosseus nerve palsies resulting from differen
t etiologies are included in the same series and that treatment recomm
endations are highly specialty-oriented. Cases of brachial plexus neur
itis-induced anterior interosseus nerve palsy should be managed conser
vatively, while surgical decompression may be performed for specific i
nstances of direct trauma.