Isolated Paralysis of the Adductor Pollicis: A Case Report
We report a case of isolated paralysis of the right adductor pollicis in a 30-year-old woman. Electromyographic study showed involvement of the deep motor branch of the ulnar nerve. A ganglion and an anomalous muscle were both ruled out clinically and by MRI as a possible cause of the paralysis. At...
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2011-01-01
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Series: | Advances in Orthopedics |
Online Access: | http://dx.doi.org/10.4061/2011/321020 |
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doaj-b59ae86240894018a290e0374d718d062020-11-24T21:44:55ZengHindawi LimitedAdvances in Orthopedics2090-34722011-01-01201110.4061/2011/321020321020Isolated Paralysis of the Adductor Pollicis: A Case ReportF. De Maio0S. Bisicchia1P. Farsetti2E. Ippolito3Department of Orthopaedic Surgery, University of Rome “Tor Vergata”, Viale Oxford 81, 00133 Rome, ItalyDepartment of Orthopaedic Surgery, University of Rome “Tor Vergata”, Viale Oxford 81, 00133 Rome, ItalyDepartment of Orthopaedic Surgery, University of Rome “Tor Vergata”, Viale Oxford 81, 00133 Rome, ItalyDepartment of Orthopaedic Surgery, University of Rome “Tor Vergata”, Viale Oxford 81, 00133 Rome, ItalyWe report a case of isolated paralysis of the right adductor pollicis in a 30-year-old woman. Electromyographic study showed involvement of the deep motor branch of the ulnar nerve. A ganglion and an anomalous muscle were both ruled out clinically and by MRI as a possible cause of the paralysis. At surgical exploration, we found a fibrous band joining the pisiform and the hook of the hamate bone that compressed the deep motor branch of the ulnar nerve. The fibrous band was excised, and a neurolysis of the motor branch of the ulnar nerve was performed. At followup, eight months later, the patient had fully recovered strength of the adductor muscle.http://dx.doi.org/10.4061/2011/321020 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
F. De Maio S. Bisicchia P. Farsetti E. Ippolito |
spellingShingle |
F. De Maio S. Bisicchia P. Farsetti E. Ippolito Isolated Paralysis of the Adductor Pollicis: A Case Report Advances in Orthopedics |
author_facet |
F. De Maio S. Bisicchia P. Farsetti E. Ippolito |
author_sort |
F. De Maio |
title |
Isolated Paralysis of the Adductor Pollicis: A Case Report |
title_short |
Isolated Paralysis of the Adductor Pollicis: A Case Report |
title_full |
Isolated Paralysis of the Adductor Pollicis: A Case Report |
title_fullStr |
Isolated Paralysis of the Adductor Pollicis: A Case Report |
title_full_unstemmed |
Isolated Paralysis of the Adductor Pollicis: A Case Report |
title_sort |
isolated paralysis of the adductor pollicis: a case report |
publisher |
Hindawi Limited |
series |
Advances in Orthopedics |
issn |
2090-3472 |
publishDate |
2011-01-01 |
description |
We report a case of isolated paralysis of the right adductor pollicis in a 30-year-old woman. Electromyographic study showed involvement of the deep motor branch of the ulnar nerve. A ganglion and an anomalous muscle were both ruled out clinically and by MRI as a possible cause of the paralysis. At surgical exploration, we found a fibrous band joining the pisiform and the hook of the hamate bone that compressed the deep motor branch of the ulnar nerve. The fibrous band was excised, and a neurolysis of the motor branch of the ulnar nerve was performed. At followup, eight months later, the patient had fully recovered strength of the adductor muscle. |
url |
http://dx.doi.org/10.4061/2011/321020 |
work_keys_str_mv |
AT fdemaio isolatedparalysisoftheadductorpollicisacasereport AT sbisicchia isolatedparalysisoftheadductorpollicisacasereport AT pfarsetti isolatedparalysisoftheadductorpollicisacasereport AT eippolito isolatedparalysisoftheadductorpollicisacasereport |
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1725907899839938560 |