Abstract
Blind intramuscular injection might cause severe neurovascular injury if it would be performed with insufficient knowledge of anatomy around the injection area. We report a case of pseudo-anterior interosseous syndrome caused by multiple intramuscular steroid injections around the antecubital area. The patient had weakness of the 1st to 3rd digits flexion with typical OK sign. Muscle atrophy was noted on the proximal medial forearm, and sensation was intact. The electrophysiologic studies showed anterior interosseous nerve compromise, accompanying with injury of the other muscles innervated by the median nerve proximal to anterior interosseous nerve. Magnetic resonance imaging of the left proximal forearm revealed abnormally increased signal intensity of the pronator teres, flexor carpi radialis, proximal portion of flexor digitorum superficialis, and flexor digitorum profundus innervated by the median nerve on the T2-weighted images. This case shows the importance of knowledge about anatomic structures in considering intramuscular injection.
| Original language | English |
|---|---|
| Pages (from-to) | 138-142 |
| Number of pages | 5 |
| Journal | Annals of Rehabilitation Medicine |
| Volume | 37 |
| Issue number | 1 |
| DOIs | |
| Publication status | Published - 2013 Feb 1 |
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Keywords
- Intramuscular injections
- Pseudo-anterior interosseous nerve syndrome
ASJC Scopus subject areas
- Rehabilitation
Cite this
Pseudo-anterior interosseous nerve syndrome by multiple intramuscular injection. / Kim, Min Young; Kim, Dong Hwee; Park, Byung Kyu; Kim, Baik Hyun.
In: Annals of Rehabilitation Medicine, Vol. 37, No. 1, 01.02.2013, p. 138-142.Research output: Contribution to journal › Article
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TY - JOUR
T1 - Pseudo-anterior interosseous nerve syndrome by multiple intramuscular injection
AU - Kim, Min Young
AU - Kim, Dong Hwee
AU - Park, Byung Kyu
AU - Kim, Baik Hyun
PY - 2013/2/1
Y1 - 2013/2/1
N2 - Blind intramuscular injection might cause severe neurovascular injury if it would be performed with insufficient knowledge of anatomy around the injection area. We report a case of pseudo-anterior interosseous syndrome caused by multiple intramuscular steroid injections around the antecubital area. The patient had weakness of the 1st to 3rd digits flexion with typical OK sign. Muscle atrophy was noted on the proximal medial forearm, and sensation was intact. The electrophysiologic studies showed anterior interosseous nerve compromise, accompanying with injury of the other muscles innervated by the median nerve proximal to anterior interosseous nerve. Magnetic resonance imaging of the left proximal forearm revealed abnormally increased signal intensity of the pronator teres, flexor carpi radialis, proximal portion of flexor digitorum superficialis, and flexor digitorum profundus innervated by the median nerve on the T2-weighted images. This case shows the importance of knowledge about anatomic structures in considering intramuscular injection.
AB - Blind intramuscular injection might cause severe neurovascular injury if it would be performed with insufficient knowledge of anatomy around the injection area. We report a case of pseudo-anterior interosseous syndrome caused by multiple intramuscular steroid injections around the antecubital area. The patient had weakness of the 1st to 3rd digits flexion with typical OK sign. Muscle atrophy was noted on the proximal medial forearm, and sensation was intact. The electrophysiologic studies showed anterior interosseous nerve compromise, accompanying with injury of the other muscles innervated by the median nerve proximal to anterior interosseous nerve. Magnetic resonance imaging of the left proximal forearm revealed abnormally increased signal intensity of the pronator teres, flexor carpi radialis, proximal portion of flexor digitorum superficialis, and flexor digitorum profundus innervated by the median nerve on the T2-weighted images. This case shows the importance of knowledge about anatomic structures in considering intramuscular injection.
KW - Intramuscular injections
KW - Pseudo-anterior interosseous nerve syndrome
UR - http://www.scopus.com/inward/record.url?scp=84874906465&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84874906465&partnerID=8YFLogxK
U2 - 10.5535/arm.2013.37.1.138
DO - 10.5535/arm.2013.37.1.138
M3 - Article
C2 - 23526479
AN - SCOPUS:84874906465
VL - 37
SP - 138
EP - 142
JO - Annals of Rehabilitation Medicine
JF - Annals of Rehabilitation Medicine
SN - 2234-0645
IS - 1
ER -