Anterior Interosseous Nerve Syndrome Secondary to Diaphyseal Humerus Fracture in Adults

Main Article Content

Gonzalo Viollaz
Juan Ramallo

Abstract

Diaphyseal fractures of the humerus are associated with radial nerve injuries in up to 17% of adult patients. However, median nerve involvement is rarely reported. We present a median nerve injury affecting primarily fibers of the anterior interosseous nerve in the context of a humerus diaphyseal fracture in an adult patient. This report focuses on the clinical presentation, treatment, and evolution.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Article Details

How to Cite
Viollaz, G., & Ramallo, J. (2024). Anterior Interosseous Nerve Syndrome Secondary to Diaphyseal Humerus Fracture in Adults. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 89(4), 425-430. https://doi.org/10.15417/issn.1852-7434.2024.89.4.1923
Section
Case Presentations
Author Biographies

Gonzalo Viollaz, Department of Traumatology and Orthopedics, Hospital Británico de Buenos Aires, Autonomous City of Buenos Aires, Argentina

Department of Traumatology and Orthopedics, Hospital Británico de Buenos Aires, Autonomous City of Buenos Aires, Argentina

Juan Ramallo, Department of Traumatology and Orthopedics, Hospital Británico de Buenos Aires, Autonomous City of Buenos Aires, Argentina

Department of Traumatology and Orthopedics, Hospital Británico de Buenos Aires, Autonomous City of Buenos Aires, Argentina

References

1. Shao YC, Harwood P, Grotz MRW, Limb D, Giannoudis PV. Radial nerve palsy associated with fractures of the
shaft of the humerus: a systematic review. J Bone Joint Surg Br 2005;87(12):1647-52.
https://doi.org/10.1302/0301-620X.87B12.16132

2. Spinner M, Schreiber SN. Anterior interosseous-nerve paralysis as a complication of supracondylar fractures of the humerus in children. J Bone Joint Surg Am 1969;51:1584-90. PMID: 5357177

3. Cramer KE, Green NE, Devito DP. Incidence of interosseous nerve palsy in supracondylar humerus fractures in
children. J Pediatr Orthop 1993;13(4):502-5. https://doi.org/10.1097/01241398-199307000-00015

4. Pongowski B, Panasiuk M. Anterior interosseous nerve palsy after supracondylar fracture of humerus in adult. Case report. Orthop Traumatol Rehabil 2013;15(4):363-8. https://doi.org/10.5604/15093492.1073836

5. Tanagho A, Elgamal T, Ansara S. Anterior interosseous nerve palsy as a complication of proximal humerus fracture. Orthopedics 2013;36(10):e1330-2. https://doi.org/10.3928/01477447-20130920-29

6. Manicol MF. Roentenographic evidence of median-nerve entrapment in a greenstick humeral fracture. J Bone Joint Surg Am 1978;60(7):998-1000. PMID: 701352

7. Apergis E, Aktipis D, Giota A, Kastanis G, Nteimentes G, Papanikolaou A. Median nerve palsy after humeral shaft fracture: Case report. J Trauma 1998;45(4):825-6. https://doi.org/10.1097/00005373-199810000-00040

8. Sunderland S. Nerves and nerve injuries. 2nd ed. New York: Churchill Livingstone; 1978, p. 656-90.

9. Foster RJ, Swiontkowski MF, Bach AW, Sack JT. Radial nerve palsy caused by open humeral shaft fractures. J
Hand Surg Am 1993;18(1):121-4. https://doi.org/10.1016/0363-5023(93)90255-2

10. Dabezies EJ, Banta CJ 2nd, Murphy CP, d´Ambrosia RD. Plate fixation of the humeral shaft for acute fractures,
with and without radial nerve injuries. J Orthop Trauma 1992;6(1):10-3. PMID: 1556609

11. Larsen LB, Barfred T. Radial nerve palsy after simple fracture of the humerus. Scand J Plast Reconstr Surg
2000;34(4):363-6. https://doi.org/10.1080/028443100750059156

12. Bumbasirević M, Lesić A, Bumbasirević V, Cobeljić G, Milosević I, Atkinson HDE. The management of
humeral shaft fractures with associated radial nerve palsy: a review of 117 cases. Arch Orthop Trauma Surg
2010;130(4):519-22. https://doi.org/10.1007/s00402-009-0951-4

13. Ekholm R, Ponzer S, Törnkvist H, Adami J, Tindermark J. Primary radial nerve palsy in patients with acute humeral shaft fractures. J Orthop Trauma 2008;22(6):408-14. https://doi.org/10.1097/BOT.0b013e318177eb06

14. Bergquist ER, Hammert WC. Timing and appropriate use of electrodiagnostic studies. Hand Clin 2013;29:363-70. https://doi.org/10.1016/j.hcl.2013.04.005