Revue de chirurgie orthopédique et traumatologique (2013) 99, 205
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Paralysie du nerf interosseux postérieur par synovite villonodulaire pigmentée du coude : à propos d’un cas et revue de la littérature夽 Posterior interosseous nerve palsy secondary to pigmented villonodular synovitis of the elbow: Case report and review of literature
K. Kohyama a,∗, H. Sugiura b, K. Yamada b, I. Hyodo c, H. Kato a, Y. Kamei d a
Department of Plastic and Reconstructive Surgery, Gifu University Hospital, 1-1 Yanagido, Gifu City, 501-1194, Japon Department of Orthopaedic Surgery, Aichi Cancer Center Hospital, Nagoya, Japon c Department of Plastic and Reconstructive Surgery, Aichi Cancer Center Hospital, Nagoya, Japon d Department of Plastic and Reconstructive Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japon b
Acceptation définitive le : 24 janvier 2013
KEYWORDS Elbow; Pigmented villonodular synovitis; Posterior interosseous nerve palsy; PVNS
Summary Local tumor compression is the main mechanical cause of posterior interosseous nerve palsy. The reported cases of these tumors do not include that of pigmented villonodular synovitis. Here, we report a case of a 53-year-old male with a 9-year history of painless swelling in his left elbow and a few months of progressive weakness in his left hand. Imaging identified the mass, and histological examination of the biopsy specimens revealed pigmented villonodular synovitis. The mass was compressing the nerve at the arcade of Frohse, and we performed a complete resection of the mass. Following removal of the mass, the patient regained complete function in his left upper extremity, and no local recurrence has been detected after 2 postoperative years. The possibility of pigmented villonodular synovitis should be considered in the differential diagnosis of posterior interosseous nerve palsy. © 2013 Elsevier Masson SAS. All rights reserved.
Déclaration d’intérêts DOI de l’article original : http://dx.doi.org/10.1016/j.otsr.2012.11.015. 夽 Cet article peut être consulté in extenso dans la version anglaise de la revue Orthopaedics & Traumatology: Surgery & Research sur Science Direct (sciencedirect.com) en utilisant le DOI ci-dessus. ∗ Auteur correspondant. Adresse e-mail : casey
[email protected] (K. Kohyama).
Les auteurs déclarent ne pas avoir de conflits d’intérêts en relation avec cet article.
1877-0517/$ – see front matter © 2013 Elsevier Masson SAS. Tous droits réservés. http://dx.doi.org/10.1016/j.rcot.2012.11.016