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[Anterior interosseous nerve lesions revisited in 2004].
[neuralgic amyotrophy]
When
the
anterior
interosseous
nerve
(
AIN
)
is
involved
,
a
motor
deficit
of
the
distal
pinch
appears
.
It
usually
occurred
suddenly
,
with
or
without
pain
and
the
deficit
may
be
complete
or
partial
.
Other
nerve
lesions
and
some
precipitating
conditions
can
be
noticed
and
are
important
to
assess
the
exact
mechanism
of
the
nerve
lesion
.
Partial
AIN
lesion
is
frequently
misdiagnosed
as
tendon
rupture
.
The
electrodiagnostic
examination
should
always
study
the
pronator
quadratus
or
another
muscle
innervated
by
the
AIN
,
the
AIN
conduction
and
the
motor
and
sensory
median
nerve
conduction
.
Thus
electrodiagnosis
will
always
assess
the
AIN
lesion
and
precise
its
axonal
or
compressive
mechanism
.
Mononeuritis
as
neuralgic
amyotrophy
is
the
most
frequent
cause
of
AIN
palsy
and
never
requires
surgery
.
Traumatic
lesions
are
less
frequent
and
usually
recover
spontaneously
.
Thus
,
surgery
is
rarely
required
before
12
to
18
months
except
when
no
recovery
occurs
after
trauma
.
Diseases
Validation
Diseases presenting
"pain"
symptom
achondroplasia
acute rheumatic fever
adrenal incidentaloma
adrenomyeloneuropathy
aniridia
aromatase deficiency
carcinoma of the gallbladder
cholangiocarcinoma
coats disease
congenital diaphragmatic hernia
congenital toxoplasmosis
cushing syndrome
cutaneous mastocytosis
cystinuria
dedifferentiated liposarcoma
dentin dysplasia
dracunculiasis
dystrophic epidermolysis bullosa
epidermolysis bullosa simplex
erdheim-chester disease
erythropoietic protoporphyria
esophageal adenocarcinoma
esophageal carcinoma
esophageal squamous cell carcinoma
fabry disease
familial mediterranean fever
focal myositis
hirschsprung disease
hodgkin lymphoma, classical
holt-oram syndrome
junctional epidermolysis bullosa
kabuki syndrome
kindler syndrome
lamellar ichthyosis
liposarcoma
locked-in syndrome
lymphangioleiomyomatosis
malignant atrophic papulosis
neuralgic amyotrophy
oligodontia
oral submucous fibrosis
papillon-lefèvre syndrome
phenylketonuria
pleomorphic liposarcoma
primary hyperoxaluria type 1
proteus syndrome
pyomyositis
scrub typhus
sneddon syndrome
systemic capillary leak syndrome
thoracic outlet syndrome
trochlear dysplasia
typhoid
von hippel-lindau disease
waldenström macroglobulinemia
well-differentiated liposarcoma
wolf-hirschhorn syndrome
This symptom has already been validated