Posterior interosseous nerve palsy caused by parosteal lipoma: a case report.
An 83-year-old woman presented with weakness in her right-hand and wrist extensors and swelling in the proximal part of the right forearm. Electromyography (EMG) confirmed involvement of posterior interosseous nerve at the level of proximal forearm. MR imaging demonstrated the characteristics of lipoma which extended on the anterolateral aspect of the right forearm and at the level of the radius neck. The lesion was parosteal lipoma causing compression and paralysis of the posterior interosseous nerve without sensory deficit. In this paper, posterior interosseous nerve palsy due to compression of a parosteal lipoma recovered after excision of the lipoma followed by intensive rehabilitation for six month. Surgical excision should be performed to ensure optimal recovery from the nerve paralysis.
Salama
Hatem
H
Royal Derby Hospital, Uttoxeter Road, Derby DE22 3NE, UK.
Kumar
Pradeep
P
Bastawrous
Salah
S
Clin Orthop Relat Res. 1991 Jul;(268):223-5
2060213
Surgery. 1974 May;75(5):790-5
4824437
Surg Neurol. 2007 Mar;67(3):258-62; discussion 262-3
17320633
South Med J. 1973 Nov;66(11):1298-300
4745615
J Hand Surg Am. 1992 Nov;17(6):1095-7
1430948
J Bone Joint Surg Br. 1966 Nov;48(4):770-3
4288960
Surg Neurol. 2006 May;65(5):495-6; discussion 496
16630914
Clin Neurol Neurosurg. 2009 May;111(4):395-6
19100680
Neurosurgery. 1995 Sep;37(3):537-9; discussion 539-40
7501125
J Bone Joint Surg Br. 1996 Sep;78(5):771-6
8836068
AJR Am J Roentgenol. 1994 Jan;162(1):105-10
8273646