TARDY POSTERIOR INTEROSSEOUS NERVE PALSY FOLLOWING TOTAL ELBOW ARTHROPLASTY: REPORT OF A CASE, LITERATURE REVIEW AND A CLASSIFICATION SYSTEM

Author:

Sabir Numaera12,Zaman Mahvash12,Kwaees Tariq A.12,Charalambous Charalambos P.12

Affiliation:

1. Department of Trauma and Orthopaedics, Blackpool Victoria Hospital, Blackpool, UK

2. Institute of Inflammation and Repair, The University of Manchester, Manchester, UK

Abstract

We present an unusual case of tardy posterior interosseous nerve palsy in a female patient following total elbow arthroplasty for rheumatoid arthritis. The patient was neurologically intact immediately following surgery but developed loss of active finger and thumb extension within 12 hours following surgery. Expectant management was adapted. The palsy recovered fully without the need of surgical intervention. A literature review is presented and a classification system proposed.

Publisher

World Scientific Pub Co Pte Lt

Subject

General Medicine

Reference21 articles.

1. C. S. Sinnatamby, Lasts Anatomy, 12th edn. (Churchill Livingstone/Elsevier Publishing, 2011) pp. 58–96.

2. M. Spinner, Injuries to the Major Branches of the Peripheral Nerves of the Forearm, ed. M. Spinner (WB Saunders, Philadelphia, 1978) pp. 80–157.

3. Posterior interosseous nerve palsy related to rheumatoid synovitis of the elbow

4. Posterior interosseous nerve entrapment in rheumatoid arthritis

5. Posterior Interosseous Nerve Palsy in a Patient With Rheumatoid Synovitis of the Elbow: A Case Report and Review of the Literature

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