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Clin Shoulder Elbow > Volume 16(2); 2013 > Article
Clinics in Shoulder and Elbow 2013;16(2):148-152.
DOI: https://doi.org/10.5397/CiSE.2013.16.2.148    Published online December 31, 2013.
Simultaneous Anterior and Posterior Interosseous Nerve Syndrome Following Shoulder Arthroscopy in the Lateral Decubitus Position: Case Report
Jae Sung Seo, Jee Hoon Kim, Dong Hwa Kang
Department of Orthopedic Surgery, Yeungnam University Medical Center, Daegu, Korea. aek8724@naver.com
측와위로 시행한 견관절 관절경 후에 동시에 발생한 전방 및 후방 골간 신경 증후군 - 증례보고 -
서재성·김지훈·강동화
영남대학교 의과대학 정형외과학교실
Abstract
We report a case of simultaneous anterior and posterior interosseous nerve syndrome in association with shoulder arthroscopy. Shoulder arthroscopy was performed in a 45-year-old male patient with left shoulder instability. In the right lateral decubitus position, under general anesthesia, traction was applied with elbow extension for 2 hours. One week after surgery, the patient revisited the clinic for weakness of the flexor of the thumb, index finger, and extensor of the fingers. Recovery was not achieved after four months of observation. Therefore, nerve exploration was performed in the anterior and posterior interosseous nerve and hourglass-like fascicular constriction was detected in the posterior interosseous nerve. The area of constriction was removed and epineural neurorrhaphy was performed. Three months after exploration, the extension function of the fingers was recovered. Recovery was achieved gradually, and, five months after nerve exploration, the symptoms were completely recovered. Simultaneous anterior and posterior interosseous nerve syndrome following shoulder arthroscopy is rare. However, it could occur due to the traction and position of the patient. Thus, the operator should be careful of traction and position of the patient.
Key Words: Shoulder; Anterior interosseous nerve syndrome; Posterior interosseous nerve syndrome; Arthroscopy


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