A rare case of posterior interosseous nerve palsy post-venepuncture
Wrist drop post-venepuncture is uncommon. There has been reported cases of direct injury to the radial nerve during venepuncture but to our knowledge, there has never been a case of posterior interosseous nerve (PIN) injury. A 34-year female, right hand dominant homemaker, with a newly diagnosed dia...
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| Format: | Article |
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College of Physicians and Surgeons Pakistan
2021
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| author | Yeak, Raymond Dieu Kiat Yee, Yee Yap Mohd Nasir, Mohd Nizlan |
| author_facet | Yeak, Raymond Dieu Kiat Yee, Yee Yap Mohd Nasir, Mohd Nizlan |
| author_sort | Yeak, Raymond Dieu Kiat |
| collection | UPM |
| description | Wrist drop post-venepuncture is uncommon. There has been reported cases of direct injury to the radial nerve during venepuncture but to our knowledge, there has never been a case of posterior interosseous nerve (PIN) injury. A 34-year female, right hand dominant homemaker, with a newly diagnosed diabetes mellitus, was admitted for diabetic ketoacidosis. There was difficult access with multiple attempts in her blood taking over the antebrachial fossa and forearm. Thereafter, she was unable to fully extend her wrist, fingers and thumb with an intact sensation. The electrophysiological study was suggestive of demyelinating right radial neuropathy at the elbow. Despite the transient blood taking session, patient developed neuropraxia, which only resolved after four months. We wish to report this case of unusual presentation of a PIN palsy post- routine venepuncture, which can result in high morbidity to a patient. Key Words: Posterior interosseous nerve syndrome, venepuncture, neuropraxia, wrist drop. |
| first_indexed | 2024-03-06T11:02:45Z |
| format | Article |
| id | upm.eprints-95992 |
| institution | Universiti Putra Malaysia |
| last_indexed | 2024-03-06T11:02:45Z |
| publishDate | 2021 |
| publisher | College of Physicians and Surgeons Pakistan |
| record_format | dspace |
| spelling | upm.eprints-959922023-03-09T03:22:27Z http://psasir.upm.edu.my/id/eprint/95992/ A rare case of posterior interosseous nerve palsy post-venepuncture Yeak, Raymond Dieu Kiat Yee, Yee Yap Mohd Nasir, Mohd Nizlan Wrist drop post-venepuncture is uncommon. There has been reported cases of direct injury to the radial nerve during venepuncture but to our knowledge, there has never been a case of posterior interosseous nerve (PIN) injury. A 34-year female, right hand dominant homemaker, with a newly diagnosed diabetes mellitus, was admitted for diabetic ketoacidosis. There was difficult access with multiple attempts in her blood taking over the antebrachial fossa and forearm. Thereafter, she was unable to fully extend her wrist, fingers and thumb with an intact sensation. The electrophysiological study was suggestive of demyelinating right radial neuropathy at the elbow. Despite the transient blood taking session, patient developed neuropraxia, which only resolved after four months. We wish to report this case of unusual presentation of a PIN palsy post- routine venepuncture, which can result in high morbidity to a patient. Key Words: Posterior interosseous nerve syndrome, venepuncture, neuropraxia, wrist drop. College of Physicians and Surgeons Pakistan 2021 Article PeerReviewed Yeak, Raymond Dieu Kiat and Yee, Yee Yap and Mohd Nasir, Mohd Nizlan (2021) A rare case of posterior interosseous nerve palsy post-venepuncture. JCPSP-Journal of the College of Physicians and Surgeons Pakistan, 31 (11). 1357 - 1358. ISSN 1022-386X; ESSN: 1681-7168 https://jcpsp.pk/article-detail/a-rare-case-of-posterior-interosseous-nerve-palsy-postvenepuncture 10.29271/jcpsp.2021.11.1357 |
| spellingShingle | Yeak, Raymond Dieu Kiat Yee, Yee Yap Mohd Nasir, Mohd Nizlan A rare case of posterior interosseous nerve palsy post-venepuncture |
| title | A rare case of posterior interosseous nerve palsy post-venepuncture |
| title_full | A rare case of posterior interosseous nerve palsy post-venepuncture |
| title_fullStr | A rare case of posterior interosseous nerve palsy post-venepuncture |
| title_full_unstemmed | A rare case of posterior interosseous nerve palsy post-venepuncture |
| title_short | A rare case of posterior interosseous nerve palsy post-venepuncture |
| title_sort | rare case of posterior interosseous nerve palsy post venepuncture |
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