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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Main Authors: F. De Maio, S. Bisicchia, P. Farsetti, E. Ippolito
Format: Article
Language:English
Published: Hindawi Limited 2011-01-01
Series:Advances in Orthopedics
Online Access:http://dx.doi.org/10.4061/2011/321020
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spelling 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
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