An Overuse Injury Leading to Pronator Teres Syndrome: A Case Report

Pronator teres syndrome (PTS) is a rare cause of compressive median nerve neuropathy in the proximal forearm, which often results from overuse. We present the case of a 25-year-old man who developed PTS due to work-related repetitive stress. Initially diagnosed with bursitis and carpal tunnel syndro...

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Main Authors: Joel DeJonge, Sachin Singh, Denise Mourad, Lodewijk van Holsbeeck, Ihsan Al-Sabbagh
Format: Article
Language:English
Published: American College of Physicians 2025-05-01
Series:Annals of Internal Medicine: Clinical Cases
Online Access:https://www.acpjournals.org/doi/10.7326/aimcc.2024.1131
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author Joel DeJonge
Sachin Singh
Denise Mourad
Lodewijk van Holsbeeck
Ihsan Al-Sabbagh
author_facet Joel DeJonge
Sachin Singh
Denise Mourad
Lodewijk van Holsbeeck
Ihsan Al-Sabbagh
author_sort Joel DeJonge
collection DOAJ
description Pronator teres syndrome (PTS) is a rare cause of compressive median nerve neuropathy in the proximal forearm, which often results from overuse. We present the case of a 25-year-old man who developed PTS due to work-related repetitive stress. Initially diagnosed with bursitis and carpal tunnel syndrome (CTS), investigation with electromyography and magnetic resonance imaging (MRI) confirmed PTS. Management with nonsteroidal anti-inflammatory drugs (NSAIDs), rest, and physical therapy led to significant symptom improvement. Our case highlights the importance of distinguishing PTS from other median nerve entrapment syndromes and emphasizes the utility of clinical and diagnostic evaluation in managing nerve compression.
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series Annals of Internal Medicine: Clinical Cases
spelling doaj-art-3e8a7f89b6d24e0b9000f15c9543dbab2025-08-20T02:14:28ZengAmerican College of PhysiciansAnnals of Internal Medicine: Clinical Cases2767-76642025-05-014510.7326/aimcc.2024.1131An Overuse Injury Leading to Pronator Teres Syndrome: A Case ReportJoel DeJonge0Sachin Singh1Denise Mourad2Lodewijk van Holsbeeck3Ihsan Al-Sabbagh41Central Michigan University College of Medicine, Saginaw, Michigan1Central Michigan University College of Medicine, Saginaw, Michigan1Central Michigan University College of Medicine, Saginaw, Michigan1Central Michigan University College of Medicine, Saginaw, Michigan2Diagnostic and Therapeutic Imaging, Saginaw, MichiganPronator teres syndrome (PTS) is a rare cause of compressive median nerve neuropathy in the proximal forearm, which often results from overuse. We present the case of a 25-year-old man who developed PTS due to work-related repetitive stress. Initially diagnosed with bursitis and carpal tunnel syndrome (CTS), investigation with electromyography and magnetic resonance imaging (MRI) confirmed PTS. Management with nonsteroidal anti-inflammatory drugs (NSAIDs), rest, and physical therapy led to significant symptom improvement. Our case highlights the importance of distinguishing PTS from other median nerve entrapment syndromes and emphasizes the utility of clinical and diagnostic evaluation in managing nerve compression.https://www.acpjournals.org/doi/10.7326/aimcc.2024.1131
spellingShingle Joel DeJonge
Sachin Singh
Denise Mourad
Lodewijk van Holsbeeck
Ihsan Al-Sabbagh
An Overuse Injury Leading to Pronator Teres Syndrome: A Case Report
Annals of Internal Medicine: Clinical Cases
title An Overuse Injury Leading to Pronator Teres Syndrome: A Case Report
title_full An Overuse Injury Leading to Pronator Teres Syndrome: A Case Report
title_fullStr An Overuse Injury Leading to Pronator Teres Syndrome: A Case Report
title_full_unstemmed An Overuse Injury Leading to Pronator Teres Syndrome: A Case Report
title_short An Overuse Injury Leading to Pronator Teres Syndrome: A Case Report
title_sort overuse injury leading to pronator teres syndrome a case report
url https://www.acpjournals.org/doi/10.7326/aimcc.2024.1131
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