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Posterior interosseous nerve palsy caused by a parosteal lipoma seated over the proximal radius; a case report and review of the literature

Melih Unal, Ozkan Kose, Ferhat Guler, Omer Faruk Egerci.


Abstract
Several different pathologies may play a role in the etiology of posterior interosseous nerve (PIN) palsy such as trauma, radial tunnel syndrome, tumors, vasculitis, septic arthritis, and rheumatoid synovitis. The most common atraumatic factor is the compression of the nerve through its anatomic path. Parosteal lipoma around the proximal radius is the leading solid tumor seen among the neoplastic lesions. Although it is common, there are only case reports or few case series reported in the current literature and a comprehensive review is missing. Herein a rare case of PIN palsy due to parosteal lipoma of the proximal radius is presented together with a thorough literature review. A 48-year-old woman was presented with elbow pain and wrist drop that lasted for ten months. Electrodiagnostic and imaging findings lead to a diagnosis of PIN palsy due to parosteal lipoma seated over the proximal radius. Total surgical excision was performed, and the patient had been followed up for one year. Removal of the lipoma failed to recover the patientís symptoms. We reviewed all the reported cases and discussed, epidemiology, clinical findings, imaging studies, electrodiagnostic studies, pathology, treatment and
prognosis of PIN palsy due to parosteal lipoma.

Key words: Posterior interosseous nerve, palsy, lipoma, parosteal

 

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How to Cite this Article
Pubmed Style

Unal M, Kose O, Guler F, Egerci OF. Posterior interosseous nerve palsy caused by a parosteal lipoma seated over the proximal radius; a case report and review of the literature. doi:10.5455/handmicrosurg.271907


Web Style

Unal M, Kose O, Guler F, Egerci OF. Posterior interosseous nerve palsy caused by a parosteal lipoma seated over the proximal radius; a case report and review of the literature. http://handmicrosurgeryjournal.com/?mno=271907 [Access: October 22, 2018]. doi:10.5455/handmicrosurg.271907


AMA (American Medical Association) Style

Unal M, Kose O, Guler F, Egerci OF. Posterior interosseous nerve palsy caused by a parosteal lipoma seated over the proximal radius; a case report and review of the literature. doi:10.5455/handmicrosurg.271907


Vancouver/ICMJE Style

Unal M, Kose O, Guler F, Egerci OF. Posterior interosseous nerve palsy caused by a parosteal lipoma seated over the proximal radius; a case report and review of the literature. doi:10.5455/handmicrosurg.271907


Harvard Style

Unal, M., Kose, O., Guler, F. & Egerci, O. F. (2018) Posterior interosseous nerve palsy caused by a parosteal lipoma seated over the proximal radius; a case report and review of the literature. doi:10.5455/handmicrosurg.271907


Turabian Style

Unal, Melih, Ozkan Kose, Ferhat Guler, and Omer Faruk Egerci. 2018. Posterior interosseous nerve palsy caused by a parosteal lipoma seated over the proximal radius; a case report and review of the literature. doi:10.5455/handmicrosurg.271907


Chicago Style

Unal, Melih, Ozkan Kose, Ferhat Guler, and Omer Faruk Egerci. “Posterior interosseous nerve palsy caused by a parosteal lipoma seated over the proximal radius; a case report and review of the literature.” doi:10.5455/handmicrosurg.271907


MLA (The Modern Language Association) Style

Unal, Melih, Ozkan Kose, Ferhat Guler, and Omer Faruk Egerci. “Posterior interosseous nerve palsy caused by a parosteal lipoma seated over the proximal radius; a case report and review of the literature.” doi:10.5455/handmicrosurg.271907


APA (American Psychological Association) Style

Unal, M., Kose, O., Guler, F. & Egerci, O. F. (2018) Posterior interosseous nerve palsy caused by a parosteal lipoma seated over the proximal radius; a case report and review of the literature. doi:10.5455/handmicrosurg.271907