Skip to main content
Log in

The anterior interosseous nerve syndrome

  • Original Investigations
  • Published:
Journal of Neurology Aims and scope Submit manuscript

Summary

A case of isolated anterior interosseous nerve palsy with its characteristic clinical picture of lack of function is described. The typical symptoms are the inability to flex the terminal phalanges of the thumb and index finger, possibly of other fingers too, and the inability to pronate the forearm when the elbow is flexed. The cases previously described in the literature are reported in comparison with the present case. Prognosis and treatment are discussed.

Zusammenfassung

Es wird über den Fall einer isolierten Lähmung des N. interosseus anterior mit ihrem charakteristischen Ausfallsmuster berichtet. Typisch ist das Unvermögen, den Daumen und den Zeigefinger, eventuell auch weitere Finger, im Endglied zu beugen und den Unterarm bei Anwinkelung in der Ellenbeuge zu pronieren. Die in der Literatur bisher bekanntgewordenen Fällen werden im Vergleich zum eigenen Fallbericht referiert und die Prognose sowie das therapeutische Vorgehen diskutiert.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Assmus, H., Hamer, J., Martin, K.: Das Nervus-interosseus-anterior-Syndrom. Nervenarzt 46, 659–661 (1975)

    Google Scholar 

  2. Benini, A., Tedeschi, N.: Die Schädigung des Nervus interosseus anterior (Kiloh-Nevin-Syndrom). Schweiz. med. Wschr. 104, 1695–1697 (1974)

    Google Scholar 

  3. Clara, M.: Das Nervensystem des Menschen. Leipzig: J. A. Barth 1959

    Google Scholar 

  4. Farber, J. S., Bryan, R. S.: Anterior interosseous nerve syndrome. J. Bone Jt Surg. 50-A, 521–523 (1968)

    Google Scholar 

  5. Fearn, C. B. d'A., Goodfellow, J. W.: Anterior interosseous nerve palsy. J. Bone Jt Surg. 47-B, 91–93 (1965)

    Google Scholar 

  6. Gardner-Thorpe, Ch.: Anterior interosseous nerve palsy: spontaneous recovery in two patients. J. Neurol. Neurosurg. Psychiat. 37, 1146–1150 (1974)

    Google Scholar 

  7. Griffiths, J. C.: Nerve injuries after plating of forearm bones. Brit. med. J. 1966 II, 277–279

    Google Scholar 

  8. Kiloh, L. G., Nevin, S.: Isolated neuritis of the anterior interosseous nerve. Brit. med. J. 1952 I, 850–851

    Google Scholar 

  9. Lake, P. A.: Anterior interosseous nerve syndrome. J. Neurosurg. 41, 306–309 (1974)

    Google Scholar 

  10. Lipscomb, P. R., Burleson, R. J.: Vascular and neural complications in supracondylar fractures of the humerus in children. J. Bone Jt Surg. 37-A, 487–492 (1955)

    Google Scholar 

  11. Mills, R. H. B., Mukherjee, K., Bassett, I. B.: Anterior interosseous nerve palsy. Brit. med. J. 1969 II, 555

    Google Scholar 

  12. O'Brien, M. D., Upton, A. R. M.: Anterior interosseous nerve syndrome. A case report with neurophysiological investigation. J. Neurol. Neurosurg. Psychiat. 35, 531–536 (1972)

    Google Scholar 

  13. Parsonage, M. J., Turner, J. W. A.: Neuralgic amyotrophy, the shoulder-girdle syndrome. Lancet 1948 I, 973–978

    Google Scholar 

  14. Schmidt, H., Eiken, O.: The anterior interosseous nerve syndrome: Case report. Scand. J. Plast. Reconstr. Surg. 5, 53–56 (1971)

    Google Scholar 

  15. Sharrard, W. J. W.: Anterior interosseous-nerve syndrome. Report of a case. J. Bone Jt Surg. 50-B, 804–805 (1968)

    Google Scholar 

  16. Smith, B. H., Herbst, B. A.: Anterior interosseous nerve palsy. Arch. Neurol. 30, 330–331 (1974)

    Google Scholar 

  17. Spinner, M., Schrieber, S. N.: The anterior interosseous nerve paralysis as a complication of supracondylar fractures in children. J. Bone Jt Surg. 51-A, 1584–1590 (1969)

    Google Scholar 

  18. Spinner, M.: The anterior interosseous-nerve syndrome with special attention to its variations. J. Bone Jt Surg. 52-A, 84–94 (1970)

    Google Scholar 

  19. Spinner, M.: Injuries to the major branches of peripheral nerves of the forearm, pp. 77–97. Philadelphia: Saunders 1972

    Google Scholar 

  20. Stern, M. B., Rosner, L. J., Blinderman, E. E.: Kiloh-Nevin syndrome. Report of a case and review of the literature. Clin. Orthop. 53, 95–98 (1967)

    Google Scholar 

  21. Thomas, D. F.: Kiloh-Nevin syndrome. J. Bone Jt Surg. 44-B, 962 (1962)

    Google Scholar 

  22. Turner, J. W. A., Parsonage, M. J.: Neuralgic amyotrophy (paralytic brachial neuritis) with special reference to prognosis. Lancet 1957 II, 209–212

    Google Scholar 

  23. Vichare, N. A.: Spontaneous paralysis of the anterior interosseous nerve. J. Bone Jt Surg. 50-B, 806–808 (1968)

    Google Scholar 

  24. Warren, J. D.: Anterior interosseous nerve palsy as a complication of forearm fractures. J. Bone Jt Surg. 45-B, 511–512 (1963)

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Neundörfer, B., Kröger, M. The anterior interosseous nerve syndrome. J Neurol 213, 347–352 (1976). https://doi.org/10.1007/BF00316275

Download citation

  • Received:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00316275

Key words

Navigation