A comprehensive analysis of a patient with anterior interosseous nerve neuropathy

Authors

Keywords:

cervical spine, diagnostic imaging, electromyography, nerve compression syndromes, peripheral nerve injuries, physical therapy modalities.

Abstract

Introduction: Isolated anterior interosseous nerve paralysis, initially characterized by Parsonage and Turner in 1948, evolved with Kiloh and Nevin's 1952 identification, leading to the term "Kiloh-Nevin syndrome." Recent cases prompted a comprehensive review, emphasizing accurate differentiation for tailored therapeutic guidance and improved patient outcomes, incorporating advanced imaging techniques like magnetic resonance imaging.
Objective: To present the clinical case of a patient with anterior interosseous nerve paralysis (Kiloh-Nevin syndrome).
Clinical case: A 44-year-old right-handed man, physically active, participates in functional training thrice weekly and amateur soccer. His perceived exertion ranges from "hard" to "very hard" on the Borg scale. He also works a sedentary office job. The patient suddenly exhibited an inability to flex his left thumb and perform an "OK" sign, with no identifiable preceding event.
Conclusion: The case of anterior interosseous nerve palsy in an active patient highlights the importance of recognizing peripheral nerve injuries in such individuals. Interactions between a sedentary job and physical activities suggest a multifactorial nature. Advanced diagnostic modalities aid in accurate diagnosis.

Downloads

Download data is not yet available.

Author Biographies

Josivaldo De Souza Lima, Facultad de Educación y Ciencias Sociales. Instituto del Deporte y Bienestar, Universidad Andres Bello. Las Condes, Santiago 7550000, Chile

Phd Student - Associate Profesor

Pedro Valdivia-Moral, Universidad de Granada

PROFESOR TITULAR DE UNIVERSIDAD

Sandra Mahecha-Matsudo, Universidad Mayor

Médica directora de carrera de postgrado en medicina deportiva

Victor Keihan Rodrigues Matsudo, Centro Estudos Laboratório Aptidão Física São Caetano Sul

Médico Traumatologo - Departamento de Aptidao Fisica

Mauro Rumbaut, Clinica Mano Hombro - Quito

Médico Traumatologo

Gerson Ferrari, Universidad Santiago de Chile

Profesor Titular - Departamento de Actividad Fisica y Salud

Frano Giakoni-Ramirez, Facultad de Educación y Ciencias Sociales. Instituto del Deporte y Bienestar

Profesor Dr. Asociado

References

1. Parsonage MJ, Turner JW. Neuralgic amyotrophy; the shoulder-girdle syndrome [Internet]. Lancet. 1948;1(6513):973-8. DOI: 10.1016/s0140-6736(48)90611-4

2. Kiloh LG, Nevin S. Isolated neuritis of the anterior interosseous nerve [Internet]. Br Med J. 1952;1(4763):850-1. DOI: 10.1136/bmj.1.4763.850

3. Gaitzsch G, Chamay A. Paralytic brachial neuritis or Parsonage-Turner syndrome anterior interosseous nerve involvement. Report of three cases [Internet]. Ann Chir Main. 1986;5(4):288-94. DOI: 10.1016/s0753-9053(86)80004-7

4. Shojaie P, Afzali M, Iyengar KP, Sharma GK, Arora V, Botchu R. Kiloh-Nevin syndrome: an unusual cause of forearm pain [Internet]. J Ultrasound. 2023. DOI: 10.1007/s40477-023-00794-4

5. Caetano EB, Vieira LA, Sabongi Neto JJ, Caetano MBF, Sabongi RG. Anterior interosseous nerve: anatomical study and clinical implications. Revista Brasileira de Ortopedia. 2018; 53: 575-81. DOI: 10.1016/j.rboe.2018.07.010

6. Lister G. The hand: diagnosis and indications [Internet]. Edinburgh: Churchill Livingstone; 1977. [acceso 20/03/2024]. Disponible en: https://pesquisa.bvsalud.org/portal/resource/pt/biblio-1085400

7. Spinner M. The anterior interosseous-nerve syndrome: with special attention to its variations [Internet]. The Journal of Bone & Joint Surgery. 1970 [acceso 21/07/2024];52(1):84-94. Disponible en: https://journals.lww.com/jbjsjournal/abstract/1970/52010/the_anterior_interos-seous_nerve_syndrome__with.7.aspx

8. Winter N, Gessner M, Schuhmann MU, Grimm A. Painful Kiloh-Nevin plus syndrome after Cimino-Shunt [Internet]. Neurol Sci. 2020;41(8):2281-2. DOI: 10.1007/s10072-020-04274-z

9. Rabaut V, VandeVyver V, Verstraete K. Kiloh-Nevin Syndrome. Journal of the Belgian Society of Radiology. 2020;104(1):49. DOI: 10.5334/jbsr.2183

Downloads

Published

2024-10-14

How to Cite

1.
Lima JDS, Valdivia-Moral P, Mahecha-Matsudo S, Rodrigues Matsudo VK, Rumbaut M, Ferrari G, et al. A comprehensive analysis of a patient with anterior interosseous nerve neuropathy. Rev Cubana Med Milit [Internet]. 2024 Oct. 14 [cited 2025 Jan. 14];53(4):e024066721. Available from: https://revmedmilitar.sld.cu/index.php/mil/article/view/66721

Issue

Vol. 53 No. 4 (2024): October - December

Section

Case Presentation

License

Authors who have publications with this Journal accept the following terms:

  • The authors will retain their copyright and guarantee the Journal the right of first publication of their work, which will simultaneously be subject to the Creative Commons Attribution License. The content presented here can be shared, copied and redistributed in any medium or format; Can be adapted, remixed, transformed or created from the material, using the following terms: Attribution (giving appropriate credit to the work, providing a link to the license, and indicating if changes have been made); non-commercial (you cannot use the material for commercial purposes) and share-alike (if you remix, transform or create new material from this work, you can distribute your contribution as long as you use the same license as the original work).
  • The authors may adopt other non-exclusive license agreements for the distribution of the published version of the work (for example: depositing it in an institutional electronic archive or publishing it in a monographic volume) as long as the initial publication in this Journal is indicated.
  • Authors are allowed and recommended to disseminate their work through the Internet (e.g., in institutional electronic archives or on their website) before and during the submission process, which can produce interesting exchanges and increase citations. of the published work.