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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
"thus electrodiagnosis"
symptom
neuralgic amyotrophy
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