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.
Lal
Hitesh
H
Department of Orthopaedics, Postgraduate Institute of Medical Education and Research, Dr. Ram Manohar Lohia Hospital, New Delhi, India. drhiteshlall@gmail.com
Bansal
Pankaj
P
Khare
Rahul
R
Mittal
Deepak
D
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*