Anterior Interosseous Syndrome - Causes

Causes

Injuries of the forearm with compression of the nerve is the most common cause: examples include supracondylar fractures, often associated with haemorrhage into the deep musculature; injury secondary to open reduction of a forearm fracture; or dislocation of the elbow.⁠⁠

Direct trauma from a penetrating injury such as a stab wound is a common cause for the syndrome.

Fibrous bands or arcuate ligaments may entrap the median as well as the anterior interosseous nerves, in which case a patient may experience numbness as well as pain.⁠⁠

Rheumatoid disease and gouty arthritis may be a predisposing factor in anterior interosseous nerve entrapment.

Very similar syndromes can be caused by more proximal lesions, such as brachial plexus neuritis.⁠

Anterior interosseous nerve entrapment or compression injury remains a difficult clinical diagnosis because it is mainly a motor nerve and the syndrome is often mistaken for finger ligamentous injury.⁠

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