General Hospital Izola, Izola, Slovenia.
Faculty of Mathematics, Natural Sciences and Information Technologies, University of Primorska, Koper, Slovenia.
Radiol Oncol. 2024 Oct 4;58(4):480-485. doi: 10.2478/raon-2024-0041. eCollection 2024 Dec 1.
Posterior interosseous nerve lesion is a rare mononeuropathy of the upper limb. Atraumatic posterior interosseous nerve lesions are commonly caused by lipomas of the forearm, manifesting as slow-progressing wrist and finger drop.
In this review and case report study, we present a systematic review of the literature for patients presenting with posterior interosseous palsy due to lipomas and a rare case of patient with acute posterior interosseous nerve lesion caused by a lipoma. Our primary interest was in the timing of clinical presentation. For the review process, we followed the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines.
After reviewing the literature, we identified thirty patients with posterior interosseous nerve lesions caused by lipomas. In 28 patients, the symptoms presented progressively, ranging from 1 month to a maximum of 240 months. We found only one case of a patient with acute presentation and another patient with acute worsening of chronic weakness due to trauma.
Atraumatic posterior interosseous nerve lesions are frequently secondary to forearm lipomas. In the majority of cases, the symptoms will develope progressively. However, in this study, we also report a rare case of a patient presenting with acute posterior interosseous nerve lesion due to a lipoma.
后骨间神经病变是一种罕见的上肢单神经病。无创伤性后骨间神经病变通常由前臂脂肪瘤引起，表现为腕部和手指逐渐下垂。
在这项回顾性病例报告研究中，我们对因脂肪瘤导致后骨间神经麻痹的患者进行了系统的文献回顾，并报告了一例罕见的由脂肪瘤引起的急性后骨间神经病变患者。我们主要关注的是临床症状出现的时间。为了进行回顾性研究，我们遵循了系统评价和荟萃分析的首选报告项目指南。
对文献进行回顾后，我们共发现了 30 例由脂肪瘤引起的后骨间神经病变患者。在 28 例患者中，症状逐渐出现，从 1 个月到最长 240 个月不等。我们仅发现一例急性发作的患者和另一例因外伤导致慢性无力急性恶化的患者。
无创伤性后骨间神经病变通常继发于前臂脂肪瘤。在大多数情况下，症状会逐渐出现。然而，在本研究中，我们还报告了一例罕见的由脂肪瘤引起的急性后骨间神经病变患者。
