Posterior Interosseous Nerve Syndrome from Thermal Injury

Background. Due to anatomical proximity to bone, the radial nerve is the most frequently injured major nerve of the upper extremity, frequently secondary to fractures (Li et al. (2013)). We describe an incidence when a branch of the radial nerve is injured as a result of a thermal injury. Observatio...

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Main Authors: Vijay A. Singh, Rami E. Michael, Duy-Bao P. Dinh, Scott Bloom, Michael Cooper
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Case Reports in Surgery
Online Access:http://dx.doi.org/10.1155/2014/891393
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author Vijay A. Singh
Rami E. Michael
Duy-Bao P. Dinh
Scott Bloom
Michael Cooper
author_facet Vijay A. Singh
Rami E. Michael
Duy-Bao P. Dinh
Scott Bloom
Michael Cooper
author_sort Vijay A. Singh
collection DOAJ
description Background. Due to anatomical proximity to bone, the radial nerve is the most frequently injured major nerve of the upper extremity, frequently secondary to fractures (Li et al. (2013)). We describe an incidence when a branch of the radial nerve is injured as a result of a thermal injury. Observation. Radial nerve injury can occur anywhere along the anatomical course with varied etiologies, but commonly related to trauma. The most frequent site is in the proximal forearm involving the posterior interosseous branch. However, problems can occur at the junction of the middle and proximal thirds of the humerus and wrist radially. When the radial nerve is injured by a burn, a new rehabilitation dynamic arises. Not only does one agonize about the return of nerve function but also fret about the skin grafts that replaced the devitalized tissue housing that compartment. Discussion. Although posterior interosseous nerve syndrome has been described in the context of many different etiologies, it has not previously been discussed in relation to burn injuries. In this case, not only did the patient’s rehabilitation involve aggressive therapy for return of sensation and function of the arm, but also prevention of contracture normally seen in replacement of full thickness burns.
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spelling doaj-art-6d1bf899d6474e31979efc8af16e90c82025-08-20T03:34:10ZengWileyCase Reports in Surgery2090-69002090-69192014-01-01201410.1155/2014/891393891393Posterior Interosseous Nerve Syndrome from Thermal InjuryVijay A. Singh0Rami E. Michael1Duy-Bao P. Dinh2Scott Bloom3Michael Cooper4Department of Surgery, Staten Island University Hospital, Staten Island, NY, USADepartment of Surgery, Staten Island University Hospital, Staten Island, NY, USADivision of Burns, Department of Surgery, Staten Island University Hospital, Staten Island, NY, USADepartment of Surgery, Staten Island University Hospital, Staten Island, NY, USADivision of Burns, Department of Surgery, Staten Island University Hospital, Staten Island, NY, USABackground. Due to anatomical proximity to bone, the radial nerve is the most frequently injured major nerve of the upper extremity, frequently secondary to fractures (Li et al. (2013)). We describe an incidence when a branch of the radial nerve is injured as a result of a thermal injury. Observation. Radial nerve injury can occur anywhere along the anatomical course with varied etiologies, but commonly related to trauma. The most frequent site is in the proximal forearm involving the posterior interosseous branch. However, problems can occur at the junction of the middle and proximal thirds of the humerus and wrist radially. When the radial nerve is injured by a burn, a new rehabilitation dynamic arises. Not only does one agonize about the return of nerve function but also fret about the skin grafts that replaced the devitalized tissue housing that compartment. Discussion. Although posterior interosseous nerve syndrome has been described in the context of many different etiologies, it has not previously been discussed in relation to burn injuries. In this case, not only did the patient’s rehabilitation involve aggressive therapy for return of sensation and function of the arm, but also prevention of contracture normally seen in replacement of full thickness burns.http://dx.doi.org/10.1155/2014/891393
spellingShingle Vijay A. Singh
Rami E. Michael
Duy-Bao P. Dinh
Scott Bloom
Michael Cooper
Posterior Interosseous Nerve Syndrome from Thermal Injury
Case Reports in Surgery
title Posterior Interosseous Nerve Syndrome from Thermal Injury
title_full Posterior Interosseous Nerve Syndrome from Thermal Injury
title_fullStr Posterior Interosseous Nerve Syndrome from Thermal Injury
title_full_unstemmed Posterior Interosseous Nerve Syndrome from Thermal Injury
title_short Posterior Interosseous Nerve Syndrome from Thermal Injury
title_sort posterior interosseous nerve syndrome from thermal injury
url http://dx.doi.org/10.1155/2014/891393
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AT duybaopdinh posteriorinterosseousnervesyndromefromthermalinjury
AT scottbloom posteriorinterosseousnervesyndromefromthermalinjury
AT michaelcooper posteriorinterosseousnervesyndromefromthermalinjury