Tardy palsy of descending branch of posterior interosseous nerve: sequela to plate osteosynthesis of forearm bones.
We report a case of tardy paralysis of the descending branch of the posterior interosseous nerve as a consequence of plate osteosynthesis for fracture of both bone forearms. The patient had been operated on 23 years earlier and palsy occurred after a gap of 19 years. The most probable antecedent cause of the palsy was the use of a high-profile implant. The patient was treated by removal of the plate and tendon transfer.
Department of Orthopaedics, Postgraduate Institute of Medical Education and Research, Dr. Ram Manohar Lohia Hospital, New Delhi, India. drhiteshlall@gmail.com
Hitesh
H
Lal
Pankaj
P
Bansal
Rahul
R
Khare
Deepak
D
Mittal
D000328:Adult; D001860:Bone Plates / Q000009:adverse effects; D004576:Electromyography / Q000379:methods; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000009:adverse effects* / Q000379:methods; D006230:Hand Injuries / Q000150:complications / Q000601:surgery; D018737:Hand Strength; D006801:Humans; D008297:Male; D009408:Nerve Compression Syndromes / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D009431:Neural Conduction; D010243:Paralysis / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D011826:Radial Nerve / Q000503:physiopathology / Q000601:surgery*; D011859:Radiography; D011885:Radius Fractures / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D020127:Recovery of Function; D018570:Risk Assessment; D013997:Time Factors; D016896:Treatment Outcome; D014458:Ulna Fractures / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*