Sadhishaan Sreedharan, Lipi Shukla, Mark Edmondson, Scott Ferris
{"title":"Hourglass Constriction of a Single Fascicle of the Anterior Interosseous Nerve: A Case Report.","authors":"Sadhishaan Sreedharan, Lipi Shukla, Mark Edmondson, Scott Ferris","doi":"10.1097/SAP.0000000000004223","DOIUrl":null,"url":null,"abstract":"<p><strong>Abstract: </strong>Hourglass fascicular constrictions have been reported in fewer than 100 cases globally and only in the upper limb. The etiology remains unknown. Patients often present with self-limiting pain in the affected limb followed by flaccid paralysis. As the external architecture of the nerve remains normal on traditional radiological studies, the diagnosis can be missed. The purpose of this case report is to describe this rare clinical entity and a successful treatment approach including ultrasound localization and targeted intraneural microsurgical neurolysis followed by excellent functional recovery.</p>","PeriodicalId":8060,"journal":{"name":"Annals of Plastic Surgery","volume":"94 2","pages":"192-194"},"PeriodicalIF":1.4000,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Annals of Plastic Surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/SAP.0000000000004223","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"SURGERY","Score":null,"Total":0}
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Abstract
Abstract: Hourglass fascicular constrictions have been reported in fewer than 100 cases globally and only in the upper limb. The etiology remains unknown. Patients often present with self-limiting pain in the affected limb followed by flaccid paralysis. As the external architecture of the nerve remains normal on traditional radiological studies, the diagnosis can be missed. The purpose of this case report is to describe this rare clinical entity and a successful treatment approach including ultrasound localization and targeted intraneural microsurgical neurolysis followed by excellent functional recovery.
期刊介绍：
The only independent journal devoted to general plastic and reconstructive surgery, Annals of Plastic Surgery serves as a forum for current scientific and clinical advances in the field and a sounding board for ideas and perspectives on its future. The journal publishes peer-reviewed original articles, brief communications, case reports, and notes in all areas of interest to the practicing plastic surgeon. There are also historical and current reviews, descriptions of surgical technique, and lively editorials and letters to the editor.
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