Early Surgical Treatment of Pronator Teres Syndrome

Journal of Korean Neurosurgical Society 2014³â 55±Ç 5È£ p.296 ~ p.299

ÀÌÈ£Áø(Lee Ho-Jin) - Catholic University Incheon St. Mary¡¯s Hospital Department of Neurosurgery
±èÀϼ·(Kim Il-Sup) - Catholic University St. Vincent¡¯s Hospital Department of Neurosurgery
È«ÀçÅÃ(Hong Jae-Taek) - Catholic University St. Vincent¡¯s Hospital Department of Neurosurgery
±è¹®¼®(Kim Moon-Suk) - Catholic University St. Vincent¡¯s Hospital Department of Neurosurgery

Abstract

We report a rare case of pronator teres syndrome in a young female patient. She reported that her right hand grip had weakened and development of tingling sensation in the first-third fingers two months previous. Thenar muscle atrophy was prominent, and hypoesthesia was also examined on median nerve territory. The pronation test and Tinel sign on the proximal forearm were positive. Severe pinch grip power weakness and production of a weak "OK" sign were also noted. Routine electromyography and nerve conduction velocity showed incomplete median neuropathy above the elbow level with severe axonal loss. Surgical treatment was performed because spontaneous recovery was not seen one month later.

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Pronator teres syndrome, Pronation test, Thenar muscle atrophy, Tinel sign
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