La sindrome compressiva del nervo interosseo anteriore (sindrome di Kiloh-Nevin)

LO SCALPELLO-OTODI Educational - Tập 25 - Trang 21-24 - 2011
B. Battiston1, M. Borsetti2, F. Bergamin2, P. Tos1
1SC Ortopedia e Traumatologia ad indirizzo traumatologia muscolo-scheletrica, Azienda Ospedaliera CTO-Maria Adelaide, Torino, Italy
2Divisione di Chirurgia Plastica e della Mano, ASL TO2, Ospedale Maria Vittoria, Torino, Italy

Tóm tắt

Among compression neuropathies of the median nerve in the forearm we discuss the one affecting the anterior interosseous nerve (AIN), called Kiloh-Nevin syndrome. Literature is confusing since several sites of compression are enclosed in a misleading nomenclature. Diagnosis is mostly clinical but electrodiagnostic techniques may help in surgical indication. Surgery is often unnecessary since recovery usually occurs with conservative treatment. A difficult decision is required on timing of surgery since literature recommendations are not evidence-based.

Tài liệu tham khảo

Nigst H, Dick W (1979) Syndromes of compression of the median nerve in the proximal forearm (pronator teres syndrome; anterior interosseous nerve syndrome). Arch Orthop Trauma Surg 93:307–312 Mackinnon SE, Novak CB (2005) Compression neuropathies. In: Green DP, Hotchkiss RN, Pedersen WC, Wolfe SW (Eds.) Operative hand surgery, 5th edn. Churchill Livingstone, New York:1018–1022 Dang AC, Rodner CM (2009) Unusual compression neuropathies of the forearm, part II: median nerve. J Hand Surg Am 34:1915–1920 Fuss FK, Wurzl GH (1990) Median nerve entrapment. Pronator teres syndrome. Surgical anatomy and correlation with symptom patterns. Surg Radiol Anat 12:267–271 Dellon AL, Mackinnon SE (1987) Musculoaponeurotic variations along the course of the median nerve in the proximal forearm. J Hand Surg Br 12:359–363 Bezerra AJ, Carvalho VC, Nucci A (1986) An anatomical study of the palmar cutaneous branch of the median nerve. Surg Radiol Anat 8:183–188 Kiloh LG, Nevin S (1952) Isolated neuritis of the anterior interosseous nerve. Br Med J 1:850–851 Rodriguez-Niedenführ M, Vazquez T, Parkin I et al (2002) Martin-Gruber anastomosis revisited. Clin Anat 15:129–134 Turner JW, Parsonage MJ (1957) Neuralgic amyotrophy (paralytic brachial neuritis); with special reference to prognosis. Lancet 273:209–212 Dunn AJ, Salonen DC, Anastakis DJ (2007) MR imaging findings of anterior interosseous nerve lesions. Skeletal Radiol 36:1155–1162 Grainger AJ, Campbell RS, Stothard J (1998) Anterior interosseous nerve syndrome: appearance at MR imaging in three cases. Radiology 208:381–384 West GA, Haynor DR, Goodkin R et al (1994) Magnetic resonance imaging signal changes in denervated muscles after peripheral nerve injury. Neurosurgery 35:1077–1085 Miller-Breslow A, Terrono A, Millender LH (1990) Nonoperative treatment of anterior interosseous nerve paralysis. J Hand Surg Am 15:493–496 Seror P (1996) Anterior interosseous nerve lesions. Clinical and electrophysiological features. J Bone Joint Surg Br 78:238–241 Sood MK, Burke FD (1997) Anterior interosseous nerve palsy. A review of 16 cases. J Hand Surg Br 22:64–68 Schantz K, Riegels-Nielsen P (1992) The anterior interosseous nerve syndrome. J Hand Surg Br 17:510–512