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The Journal of Bone and Joint Surgery 79:122-4 (1997)
© 1997 The Journal of Bone and Joint Surgery, Inc.

Fractures of the Forearm Complicated by Palsy of the Anterior Interosseous Nerve Caused by a Constrictive Dressing. A Report of Four Cases*

PAUL J. CASEY, M.D.{dagger} and BERTON R. MOED, M.D.{dagger}, DETROIT, MICHIGAN

Investigation performed at the Division of Orthopaedic Traumatology, Department of Orthopaedic Surgery, Henry Ford Hospital, Detroit


    Introduction
 
Anterior interosseous nerve syndrome is a compressive neuropathy of the anterior interosseous nerve characterized by partial or total paralysis of the flexor pollicis longus, the flexor digitorum to the index finger, and the pronator quadratus, with no loss of sensation9,11. Although Stern and Kutz listed thirteen possible causes, anterior interosseous nerve syndrome as the result of a tight dressing was not described. We report the cases of four patients who had a palsy of the anterior interosseous nerve secondary to inappropriate application of cotton padding for a postoperative cast or splint. These patients were managed during a three-year period at the trauma center at Henry Ford Hospital.


    Case Reports
 
CASE 1. A twenty-year-old man sustained a type-IIIA5 open Monteggia fracture-dislocation of the left elbow in a motor-vehicle accident. Initially, he was noted to have intact motor and sensory function. Emergency treatment consisted of irrigation and débridement of the open wound, plating . . . [Full Text of this Article]


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