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Journal of Bone and Joint Surgery, 1973;55:753-757.
© 1973 by The Journal of Bone and Joint Surgery, Inc

Posterior Interosseous-Nerve Syndrome Secondary to Rheumatoid Synovitis

LEWIS H. MILLENDER M.D.1, EDWARD A. NALEBUFF M.D.1, and DONALD E. HOLDSWORTH M.D.1

1 From the Department of Orthopaedic Surgery and the Department of Medicine, Robert Breck Brigham Hospital, Harvard Medical School, Boston

Three additional cases of posterior interosseous-nerve paralysis secondary to rheumatoid arthritis were seen. All were initially diagnosed as extensor tendon ruptures and in one patient the extensor tendons were explored before proper diagnosis was made. The condition is a compression neuritis of the posterior interosseous nerve secondary to elbow synovitis bulging anteriorly against the overlying supinator muscle. Treatment by injection of steroids was successful in one patient; synovectomy cured the condition in the second; and a tendon transfer was used in the third.


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