Anterior Interosseous Nerve Syndrome Reconsidered: A Critical Analysis Review.

JBJS Rev · Sep 2020 · Review

Krishnan KR, Sneag DB, Feinberg JH, Wolfe SW

Center for Brachial Plexus and Traumatic Nerve Injury (K.R.K, D.B.S, J.H.F, NY

Hand & Upper Extremity

SUMMARY — THE REDUCTIONReframes anterior interosseous nerve syndrome as a form of neuralgic amyotrophy caused by fascicular constrictions of the median nerve, treatable with fascicular microneurolysis when spontaneous recovery fails.
Abstract, as published

Anterior interosseous nerve syndrome (AINS) represents a form of neuralgic amyotrophy (Parsonage-Turner syndrome). AINS does not originate from external compression of the AIN in the forearm. Fascicular constrictions (FCs) of the median nerve are identified within the anterior interosseous fascicular group at or above the medial epicondyle. Spontaneous recovery is not ensured, leaving up to 30% of patients with permanent weakness or palsy. Fascicular microneurolysis of the median nerve, performed at or above the elbow, is a treatment option for patients who do not recover spontaneously.

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