Quignon R, Marteau E, Penaud A, Corcia P, Laulan J
Service de chirurgie plastique reconstructrice et esthétique, hôpital Trousseau, CHRU de Tours, 37044 Tours cedex, France.
Chir Main. 2012 Feb;31(1):18-23. doi: 10.1016/j.main.2011.11.004. Epub 2011 Dec 27.
Posterior interosseous nerve palsy is a rare syndrome frequently unrecognized, while the clinical presentation is characteristic: finger extension paresis associated with wrist extension in radially deviated position. Here, we assessed our results of surgical treatment.
A 20-year retrospective study was carried out in our unit. Analysis of causes and an assessment of postoperative functional outcome were performed. Our study was compared with literature data.
Eighteen cases were treated with a predominance in men manual workers. The etiology of the posterior interosseous nerve palsy was tumor in four cases, traumatic in two cases, iatrogenic in two cases and idiopathic in ten cases. In seven of these ten cases, compression under the arch of the extensor carpi radialis brevis was found. The postoperative results were satisfactory with full recovery in nine out of fifteen cases treated by neurolysis, depending on the duration of the paralysis. In the literature, we found 264 cases over 50 years through a variety of clinical cases and five case series. A predominance of tumor etiology was found.
Ignorance of the clinical presentation of a posterior interosseous nerve palsy frequently leads to misdiagnosis. Early complete neurolysis enables a satisfactory functional recovery.
骨间后神经麻痹是一种罕见综合征，常未被识别，但其临床表现具有特征性：手指伸展无力伴桡偏位时的腕关节伸展。在此，我们评估了手术治疗的结果。
在我们科室进行了一项为期20年的回顾性研究。分析病因并评估术后功能结果。我们的研究与文献数据进行了比较。
共治疗18例，以男性体力劳动者为主。骨间后神经麻痹的病因，肿瘤4例，创伤2例，医源性2例，特发性10例。在这10例中的7例中，发现桡侧腕短伸肌弓下有压迫。根据麻痹持续时间，15例接受神经松解术治疗的患者中有9例术后结果满意，完全恢复。在文献中，通过各种临床病例和5个病例系列，我们发现了50多年来的264例病例。发现肿瘤病因占主导。
对骨间后神经麻痹临床表现的忽视常导致误诊。早期彻底的神经松解可实现满意的功能恢复。
