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Case Reports in Surgery
Volume 2014, Article ID 891393, 3 pages
http://dx.doi.org/10.1155/2014/891393
Case Report

Posterior Interosseous Nerve Syndrome from Thermal Injury

1Department of Surgery, Staten Island University Hospital, Staten Island, NY, USA
2Division of Burns, Department of Surgery, Staten Island University Hospital, Staten Island, NY, USA

Received 13 November 2013; Accepted 24 December 2013; Published 6 March 2014

Academic Editors: S. Bhatt, K. Honma, and M. Picchio

Copyright © 2014 Vijay A. Singh et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. Due to anatomical proximity to bone, the radial nerve is the most frequently injured major nerve of the upper extremity, frequently secondary to fractures (Li et al. (2013)). We describe an incidence when a branch of the radial nerve is injured as a result of a thermal injury. Observation. Radial nerve injury can occur anywhere along the anatomical course with varied etiologies, but commonly related to trauma. The most frequent site is in the proximal forearm involving the posterior interosseous branch. However, problems can occur at the junction of the middle and proximal thirds of the humerus and wrist radially. When the radial nerve is injured by a burn, a new rehabilitation dynamic arises. Not only does one agonize about the return of nerve function but also fret about the skin grafts that replaced the devitalized tissue housing that compartment. Discussion. Although posterior interosseous nerve syndrome has been described in the context of many different etiologies, it has not previously been discussed in relation to burn injuries. In this case, not only did the patient’s rehabilitation involve aggressive therapy for return of sensation and function of the arm, but also prevention of contracture normally seen in replacement of full thickness burns.