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

doi:10.5455/handmicrosurg.271907

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Online Published: 18 Jan 2018

Hand Microsurg. 2018; 7(3): 149-159

doi: 10.5455/handmicrosurg.271907

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 patients 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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Pubmed Style

Melih Unal, Ozkan Kose, Ferhat Guler, 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. Hand Microsurg. 2018; 7(3): 149-159. doi:10.5455/handmicrosurg.271907

Web Style

Melih Unal, Ozkan Kose, Ferhat Guler, 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. https://handmicrosurgeryjournal.com/?mno=271907 [Access: September 13, 2024]. doi:10.5455/handmicrosurg.271907

AMA (American Medical Association) Style

Melih Unal, Ozkan Kose, Ferhat Guler, 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. Hand Microsurg. 2018; 7(3): 149-159. doi:10.5455/handmicrosurg.271907

Vancouver/ICMJE Style

Melih Unal, Ozkan Kose, Ferhat Guler, 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. Hand Microsurg. (2018), [cited September 13, 2024]; 7(3): 149-159. doi:10.5455/handmicrosurg.271907

Harvard Style

Melih Unal, Ozkan Kose, Ferhat Guler, 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. Hand Microsurg, 7 (3), 149-159. doi:10.5455/handmicrosurg.271907

Turabian Style

Melih Unal, Ozkan Kose, Ferhat Guler, 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. Hand and Microsurgery, 7 (3), 149-159. doi:10.5455/handmicrosurg.271907

Chicago Style

Melih Unal, Ozkan Kose, Ferhat Guler, 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." Hand and Microsurgery 7 (2018), 149-159. doi:10.5455/handmicrosurg.271907

MLA (The Modern Language Association) Style

APA (American Psychological Association) Style

Melih Unal, Ozkan Kose, Ferhat Guler, 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. Hand and Microsurgery, 7 (3), 149-159. doi:10.5455/handmicrosurg.271907

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About Hand and Microsurgery Hand and Microsurgery, the official journal of Turkish Society for Surgery of Hand and Upper Extremity, is a peer-reviewed scientific journal published th ... Read more. For best results, please use Internet Explorer or Google Chrome.	Contact Information