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Anterior Interosseous Syndrome, Sports Medicine

Reviewed 04/2019
 


BASICS

  • The anterior interosseous nerve (AIN) is a motor branch of the median nerve that innervates the pronator quadratus, flexor pollicis longus, and flexor digitorum profundus serving the index fing...

DIAGNOSIS

HISTORY

  • Pain in the forearm

  • Sensory loss not noted

  • Weakness noted as difficulty with writing or with fine-pinch activities

PHYSICAL EXAM

  • The signature finding is weakness of the flexor pollicis l...

TREATMENT

  • Once an accurate diagnosis of AIS is made, treatment must be guided by the underlying etiology 1[C].

  • Penetrating trauma suggests nerve disruption or compression and is best treated with surgi...

REFERENCES

1
Rodner CM, Tinsley BA, O’Malley MP. Pronator syndrome and anterior interosseous nerve syndrome. J Am Acad Orthop Surg.  2013;21(5):268–275.
2
Pham M, Bäumer P, Meinck H, et al. Anterior...

ADDITIONAL READING

  • Chin DH, Meals RA. Anterior interosseous nerve syndrome. J Am Soc Surg Hand.  2001;1:249–257.

  • Dang AC, Rodner CM. Unusual compression neuropathies of the forearm, part II: media...

CLINICAL PEARLS

  • Dysfunction of the AIN is characterized by weakness of the pronator quadratus, flexor pollicis longus, and flexor digitorum profundus serving the index finger.

  • On examination, the patie...

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