He R, Yu JL, Jin HL, Ng L, Wang JC, Li X, Gai TT, Zhou Y, Li DP. Hourglass-like constriction of the anterior interosseous nerve in the left forearm: A case report. World J Clin Cases 2023; 11(17): 4194-4201 [PMID: 37388800 DOI: 10.12998/wjcc.v11.i17.4194]
Corresponding Author of This Article
Da-Peng Li, MD, MMed, Academic Research, Attending Doctor, Doctor, Neurosurgeon, Surgeon, Bone and Hand Microsurgery, Yantai Hospital of Shandong Wendeng Osteopathic & Traumatology, The middle section of Lvstar Road, Laishan District, Yantai 264009, Shandong Province, China. 13943172696@163.com
Research Domain of This Article
Neurosciences
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Jun 16, 2023; 11(17): 4194-4201 Published online Jun 16, 2023. doi: 10.12998/wjcc.v11.i17.4194
Hourglass-like constriction of the anterior interosseous nerve in the left forearm: A case report
Rong He, Jian-Long Yu, Hai-Long Jin, Liqi Ng, Jin-Chao Wang, Xin Li, Ting-Ting Gai, Yu Zhou, Da-Peng Li
Rong He, Jian-Long Yu, Jin-Chao Wang, Ting-Ting Gai, Da-Peng Li, Bone and Hand Microsurgery, Yantai Hospital of Shandong Wendeng Osteopathic & Traumatology, Yantai 264009, Shandong Province, China
Hai-Long Jin, Bone and Hand Microsurgery, Shandong Wendeng Osteopathic Hospital, Weihai 264400, Shandong Province, China
Liqi Ng, Institute of Orthopaedic and Musculoskeletal Science, University College London, London HA7 4LP, United Kingdom
Xin Li, Yu Zhou, Foot and Ankle Surgery, Chongqing Orthopedic Hospital of Traditional Chinese Medicine, Chongqing 400012, China
Author contributions: Zhou Y and Li DP designed the study; Yu JL and Jin HL collected the data; He R drafted the manuscript; Yu JL performed patient follow-up; Ng L did the retrospective study; Li X, Gai TT, Li DP, and Zhou Y reviewed and edited the manuscript; and all authors have read and approved the manuscript.
Informed consent statement: The patient agreed her medical records and images to be published. A written informed consent was obtained from the patient. The procurement of this study was obtained with written patient-informed consent and approved by the Institutional Ethics Committee Faculty of Medicine at Yantai Hospital of Shandong Wendeng Osteopathic & Traumatology.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Da-Peng Li, MD, MMed, Academic Research, Attending Doctor, Doctor, Neurosurgeon, Surgeon, Bone and Hand Microsurgery, Yantai Hospital of Shandong Wendeng Osteopathic & Traumatology, The middle section of Lvstar Road, Laishan District, Yantai 264009, Shandong Province, China. 13943172696@163.com
Received: April 18, 2023 Peer-review started: April 18, 2023 First decision: April 26, 2023 Revised: May 1, 2023 Accepted: May 19, 2023 Article in press: May 19, 2023 Published online: June 16, 2023 Processing time: 54 Days and 11.8 Hours
Abstract
BACKGROUND
Hourglass-like constriction neuropathy is a rare neurological disorder. The main clinical manifestation is peripheral nerve injury with no apparent cause, and the pathomorphological change is an unexplained narrowing of the diseased nerve. The diagnosis and treatment of the disease are challenging and there is no accepted diagnostic or therapeutic approach.
CASE SUMMARY
This report describes a rare hourglass constriction of the anterior interosseous nerve in the left forearm in a 47-year-old healthy male who was treated surgically and gradually recovered function over a 6-mo follow-up period.
CONCLUSION
Hourglass-like constriction neuropathy is a rare disorder. With the development of medical technology, more examinations are now available for diagnosis. This case aims to highlight the rare manifestations of Hourglass-like constriction neuropathy and provides a reference for enriching the clinical diagnosis and treatment experience.
Core Tip: The main aim of this article is to report a case of Hourglass-like constriction of the anterior interosseous nerve of the left forearm with serious consequences. The effect of hand and foot microsurgery on the pathological tissue and parallel nerve anastomosis was effective, which provides further success for clinical treatment.
