Volume 12, Issue 1 (2023)                   WJPS 2023, 12(1): 86-89 | Back to browse issues page

XML Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Sharma N, Karmakar S, Rana L, Dhiman U. Schwannoma of Posterior Interosseous Nerve: A Case Report and Review of Literature. WJPS 2023; 12 (1) :86-89
URL: http://wjps.ir/article-1-1037-en.html
1- Department of Burns and Plastic Surgery, All India Institute of Medical Sciences,Bilaspur,Himachal Pradesh, India.
2- Department of Radiology, All India Institute of Medical Sciences, Bilaspur, Himachal Pradesh, India.
3- Department of Surgery, Dr. Rajinder Prasad Government Medical College,Tanda, imachal Pradesh, India.
Abstract:   (955 Views)
Schwannomas constitute only 5% of tumors of upper limb. Schwannoma of the posterior interosseous nerve is rare. A thorough search of literature revealed only three case reports of this entity. A 33-year old female presented with insidious onset swelling over extensor aspect of right forearm for one year and deficit of extension of fourth and fifth finger for a month. Magnetic Resonance Imaging and Fine Needle Aspiration Cytology were suggestive of low- grade nerve sheath tumor. The tumor was excised under tourniquet control and magnification, using microsurgical technique. Histopathology confirmed schwannoma. Result. Patient regained her full extension of fourth and fifth finger within 1.5 months. As schwannoma does not infiltrate the nerve fibers, so a complete surgical excision is the treatment of choice. We wrote this article to draw clinicians’ attention to this unusual entity.  Schwannoma of PIN is a relatively rare condition. Till date, there are only three cases reported in literature. Meticulous attention to detail is required while excising large schwannomas, as there is a risk of fascicular injury during dissection. Use of magnification and microsurgical technique prevents inadvertent nerve injury.

Full-Text [PDF 450 kb]   (1107 Downloads)    
Type of Study: Original Article | Subject: Special
ePublished: 2023/02/25

1. 1) Ichikawa J, Sato E, Haro H, Anayama S, Ando T, Hamada Y. Posterior Interosseous nerve palsy due to schwannoma: case report. J Hand Surg Am 2008;33:1525-1528. doi:10.1016/j.jhsa.2008.05.033. [DOI:10.1016/j.jhsa.2008.05.033]
2. 2) Tadros AS, O'Boyle MK, Chen KC. Schwannoma of the posterior interosseous nerve.
3. Ultrasound Q 2016;32:376-379. doi:10.1097/RUQ.0000000000000221. [DOI:10.1097/RUQ.0000000000000221]
4. 3) Terlemez R, Palamar D, Doğu B, Yilmaz F, Kuran B. Nadir görülen bir önkol ağrısı nedeni: Posterior interosseöz sinir Schwannomu [A rare cause of forearm pain: Schwannoma of the posterior interosseous nerve]. Agri 2018;30(2):99-101. doi:10.5505/ agri.2016.04127.
5. 4) Tang CYK, Fung B, Fok M, Zhu J. Schwannoma in the upper limbs. BioMed Res Int 2013;2013:167196. doi:10.1155/2013/167196. Epub 2013 Sep 4 [DOI:10.1155/2013/167196]
6. 5) Boufettal M, Azouz M, Rhanim A, Abouzahir M, Mahfoud M, Bardouni AE, Berrada MS, Yaacoubi ME. Schwannoma of the median nerve: diagnosis sometimes delayed. Clin Med Insights Case Rep 2014;7:71-73. doi:10.4137/CCRep.S16686. [DOI:10.4137/CCRep.S16686]
7. 6) Wheeler R, DeCastro A. Posterior Interosseous Nerve Syndrome. [Updated 2022 Jan 19]. In: StatPearls [Internet].Treasure Island(FL): StatPearls Publishing; 2022. Available from: https://www.ncbi.nlm.nih.gov/books/NBK541046/
8. 7) Kaya Y, Sarikcioglu L. Sir Herbert Seddon (1903-1977) and his classification scheme for peripheral nerve injury. Childs Nerve Syst 2015;31:177-180. doi: 10.1007/ s00381-014-2560-y. [DOI:10.1007/s00381-014-2560-y]
9. 8) Anesly AM, Ameer F, Pal HK. Case report of schwannomas: Benign tumour of peripheral nerve sheath. EMJ Neurol 2020;8:103-107. doi:10.33590/emjneurol/ 19-00203. [DOI:10.33590/emjneurol/19-00203]

Add your comments about this article : Your username or Email:

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2024 CC BY-NC 4.0 | World Journal of Plastic Surgery

Designed & Developed by : Yektaweb