Posterior interosseous nerve compression by a synovial cyst in Frohse's syndrome - A rare case report

Background: Frohse syndrome is a very rare upper limb compression syndrome. It is caused by compression of the posterior interosseous nerve at the arcade of Frohse. It is clinically diagnosed, by a low paralysis of the radial nerve, a deficit of extension of the fingers, a radial deviation of the wr...

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Main Authors: Walid Bouziane, Mohammed Sadougui, Lamhaoui Abdessamad, Mouncef Amahtil, Jamal Karbal Amine Machmachi, Imad Bakkal, Omar Agoumi, Abdelkrim Daoudi
Format: Article
Language:English
Published: Elsevier 2022-12-01
Series:Journal of Orthopaedic Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2773157X22000777
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author Walid Bouziane
Mohammed Sadougui
Lamhaoui Abdessamad
Mouncef Amahtil
Jamal Karbal Amine Machmachi
Imad Bakkal
Omar Agoumi
Abdelkrim Daoudi
author_facet Walid Bouziane
Mohammed Sadougui
Lamhaoui Abdessamad
Mouncef Amahtil
Jamal Karbal Amine Machmachi
Imad Bakkal
Omar Agoumi
Abdelkrim Daoudi
author_sort Walid Bouziane
collection DOAJ
description Background: Frohse syndrome is a very rare upper limb compression syndrome. It is caused by compression of the posterior interosseous nerve at the arcade of Frohse. It is clinically diagnosed, by a low paralysis of the radial nerve, a deficit of extension of the fingers, a radial deviation of the wrist, and a complete wrist extension. Additional paraclinical investigations will be conducted to determine the cause of the compression. The treatment is almost always surgical and consists of a neurolysis of the posterior interosseous nerve at the elbow. Case report: The authors report a case of posterior interosseous nerve compression at the arcade of Forhse by a synovial cyst, a very rare localization with a favorable prognosis., We followed the patient in the short and medium term, After six months, the patient started progressive recovery of the active extension of his fingers. Conclusion: Ignoring the posterior interosseous nerve palsy syndrome may lead to a diagnostic error and the outcome of this operation depends on the observed nerve damages.
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spelling doaj.art-700f1956e3f04f6cb7d851354873eaec2022-12-22T04:30:37ZengElsevierJournal of Orthopaedic Reports2773-157X2022-12-0114100071Posterior interosseous nerve compression by a synovial cyst in Frohse's syndrome - A rare case reportWalid Bouziane0Mohammed Sadougui1Lamhaoui Abdessamad2Mouncef Amahtil3Jamal Karbal Amine Machmachi4Imad Bakkal5Omar Agoumi6Abdelkrim Daoudi7Department of Orthopedic Surgery and Traumatology, University Hospital Oujda, Morocco; University Mohammed first Oujda Faculty of Medicine and Pharmacy Oujda, Morocco; Corresponding author. Department of Orthopedic Surgery and Traumatology, University Hospital Oujda, Morocco.Department of Orthopedic Surgery and Traumatology, University Hospital Oujda, Morocco; University Mohammed first Oujda Faculty of Medicine and Pharmacy Oujda, MoroccoDepartment of Orthopedic Surgery and Traumatology, University Hospital Oujda, Morocco; University Mohammed first Oujda Faculty of Medicine and Pharmacy Oujda, MoroccoDepartment of Orthopedic Surgery and Traumatology, University Hospital Oujda, Morocco; University Mohammed first Oujda Faculty of Medicine and Pharmacy Oujda, MoroccoDepartment of Orthopedic Surgery and Traumatology, University Hospital Oujda, Morocco; University Mohammed first Oujda Faculty of Medicine and Pharmacy Oujda, MoroccoDepartment of Orthopedic Surgery and Traumatology, University Hospital Oujda, Morocco; University Mohammed first Oujda Faculty of Medicine and Pharmacy Oujda, MoroccoDepartment of Orthopedic Surgery and Traumatology, University Hospital Oujda, Morocco; University Mohammed first Oujda Faculty of Medicine and Pharmacy Oujda, MoroccoDepartment of Orthopedic Surgery and Traumatology, University Hospital Oujda, Morocco; University Mohammed first Oujda Faculty of Medicine and Pharmacy Oujda, MoroccoBackground: Frohse syndrome is a very rare upper limb compression syndrome. It is caused by compression of the posterior interosseous nerve at the arcade of Frohse. It is clinically diagnosed, by a low paralysis of the radial nerve, a deficit of extension of the fingers, a radial deviation of the wrist, and a complete wrist extension. Additional paraclinical investigations will be conducted to determine the cause of the compression. The treatment is almost always surgical and consists of a neurolysis of the posterior interosseous nerve at the elbow. Case report: The authors report a case of posterior interosseous nerve compression at the arcade of Forhse by a synovial cyst, a very rare localization with a favorable prognosis., We followed the patient in the short and medium term, After six months, the patient started progressive recovery of the active extension of his fingers. Conclusion: Ignoring the posterior interosseous nerve palsy syndrome may lead to a diagnostic error and the outcome of this operation depends on the observed nerve damages.http://www.sciencedirect.com/science/article/pii/S2773157X22000777Frohse syndromeSynovial cystPosterior interosseous nerve
spellingShingle Walid Bouziane
Mohammed Sadougui
Lamhaoui Abdessamad
Mouncef Amahtil
Jamal Karbal Amine Machmachi
Imad Bakkal
Omar Agoumi
Abdelkrim Daoudi
Posterior interosseous nerve compression by a synovial cyst in Frohse's syndrome - A rare case report
Journal of Orthopaedic Reports
Frohse syndrome
Synovial cyst
Posterior interosseous nerve
title Posterior interosseous nerve compression by a synovial cyst in Frohse's syndrome - A rare case report
title_full Posterior interosseous nerve compression by a synovial cyst in Frohse's syndrome - A rare case report
title_fullStr Posterior interosseous nerve compression by a synovial cyst in Frohse's syndrome - A rare case report
title_full_unstemmed Posterior interosseous nerve compression by a synovial cyst in Frohse's syndrome - A rare case report
title_short Posterior interosseous nerve compression by a synovial cyst in Frohse's syndrome - A rare case report
title_sort posterior interosseous nerve compression by a synovial cyst in frohse s syndrome a rare case report
topic Frohse syndrome
Synovial cyst
Posterior interosseous nerve
url http://www.sciencedirect.com/science/article/pii/S2773157X22000777
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