False aneurysm of the interosseous artery and anterior interosseous syndrome - an unusual complication of penetrating injury of the forearm: a case report
<p>Abstract</p> <p>Background</p> <p>Palsies involving the anterior interosseous nerve (AIN) comprise less than 1% of all upper extremity nerve palsies.</p> <p>Objectives</p> <p>This case highlights the potential vascular and neurological hazards...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
BMC
2009-12-01
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| Series: | Journal of Orthopaedic Surgery and Research |
| Online Access: | http://www.josr-online.com/content/4/1/44 |
| _version_ | 1811264309961949184 |
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| author | Garavaglia Guido Lucchina Stefano Pini Ramon Fusetti Cesare |
| author_facet | Garavaglia Guido Lucchina Stefano Pini Ramon Fusetti Cesare |
| author_sort | Garavaglia Guido |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p>Palsies involving the anterior interosseous nerve (AIN) comprise less than 1% of all upper extremity nerve palsies.</p> <p>Objectives</p> <p>This case highlights the potential vascular and neurological hazards of minimal penetrating injury of the proximal forearm and emphasizes the phenomenon of delayed presentation of vascular injuries following seemingly obscure penetrating wounds.</p> <p>Case Report</p> <p>We report a case of a 22-year-old male admitted for a minimal penetrating trauma of the proximal forearm that, some days later, developed an anterior interosseous syndrome. A Duplex study performed immediately after the trauma was normal. Further radiologic investigations i.e. a computer-tomographic-angiography (CTA) revealed a false aneurysm of the proximal portion of the interosseous artery (IA). Endovascular management was proposed but a spontaneous rupture dictated surgical revision with simple excision. Complete neurological recovery was documented at 4 months postoperatively.</p> <p>Conclusions/Summary</p> <p>After every penetrating injury of the proximal forearm we propose routinely a detailed neurological and vascular status and a CTA if Duplex evaluation is negative.</p> |
| first_indexed | 2024-04-12T20:02:00Z |
| format | Article |
| id | doaj.art-27e723c9b5d54eaf936446eb4673d539 |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-04-12T20:02:00Z |
| publishDate | 2009-12-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-27e723c9b5d54eaf936446eb4673d5392022-12-22T03:18:31ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2009-12-01414410.1186/1749-799X-4-44False aneurysm of the interosseous artery and anterior interosseous syndrome - an unusual complication of penetrating injury of the forearm: a case reportGaravaglia GuidoLucchina StefanoPini RamonFusetti Cesare<p>Abstract</p> <p>Background</p> <p>Palsies involving the anterior interosseous nerve (AIN) comprise less than 1% of all upper extremity nerve palsies.</p> <p>Objectives</p> <p>This case highlights the potential vascular and neurological hazards of minimal penetrating injury of the proximal forearm and emphasizes the phenomenon of delayed presentation of vascular injuries following seemingly obscure penetrating wounds.</p> <p>Case Report</p> <p>We report a case of a 22-year-old male admitted for a minimal penetrating trauma of the proximal forearm that, some days later, developed an anterior interosseous syndrome. A Duplex study performed immediately after the trauma was normal. Further radiologic investigations i.e. a computer-tomographic-angiography (CTA) revealed a false aneurysm of the proximal portion of the interosseous artery (IA). Endovascular management was proposed but a spontaneous rupture dictated surgical revision with simple excision. Complete neurological recovery was documented at 4 months postoperatively.</p> <p>Conclusions/Summary</p> <p>After every penetrating injury of the proximal forearm we propose routinely a detailed neurological and vascular status and a CTA if Duplex evaluation is negative.</p>http://www.josr-online.com/content/4/1/44 |
| spellingShingle | Garavaglia Guido Lucchina Stefano Pini Ramon Fusetti Cesare False aneurysm of the interosseous artery and anterior interosseous syndrome - an unusual complication of penetrating injury of the forearm: a case report Journal of Orthopaedic Surgery and Research |
| title | False aneurysm of the interosseous artery and anterior interosseous syndrome - an unusual complication of penetrating injury of the forearm: a case report |
| title_full | False aneurysm of the interosseous artery and anterior interosseous syndrome - an unusual complication of penetrating injury of the forearm: a case report |
| title_fullStr | False aneurysm of the interosseous artery and anterior interosseous syndrome - an unusual complication of penetrating injury of the forearm: a case report |
| title_full_unstemmed | False aneurysm of the interosseous artery and anterior interosseous syndrome - an unusual complication of penetrating injury of the forearm: a case report |
| title_short | False aneurysm of the interosseous artery and anterior interosseous syndrome - an unusual complication of penetrating injury of the forearm: a case report |
| title_sort | false aneurysm of the interosseous artery and anterior interosseous syndrome an unusual complication of penetrating injury of the forearm a case report |
| url | http://www.josr-online.com/content/4/1/44 |
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