Severe Apraxia due to Entrapment of the Radial Nerve in the Arm: “Lotem Syndrome”. Case Report

DOI: https://doi.org/10.15417/issn.1852-7434.2022.87.4.1494
Keywords: Radial nerve, Lotem syndrome, nerve apraxia, nerve entrapment

Abstract

We present the case of a 57-year-old male patient who consulted for high radial nerve palsy, with pain and positive Tinel test on the lateral side of the dominant arm, of sudden onset after great repetitive muscular efforts, without clinical improvement after three months of evolution. A decompressive surgical treatment was performed, presenting a rapid recovery since the 7th day and full recovery after 25 postoperative days. Conclusion: The entrapment of the radial nerve in the arm is a rare pathology and its clinical presentation may vary. We consider that in the face of no remission or favorable evolution of paralysis within the first three months of conservative treatment, surgery should be performed.

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Author Biographies

Juan Martín Patiño, Upper Limb Service, Department of Orthopedics and Traumatology, Central Military Hospital “Cirujano Mayor Cosme Argerich”, Autonomous City of Buenos Aires, Argentina
Upper Limb Service, Department of Orthopedics and Traumatology, Central Military Hospital “Cirujano Mayor Cosme Argerich”, Autonomous City of Buenos Aires, Argentina
Alexis Fernández, Upper Limb Surgery, Dupuytren Institute, Autonomous City of Buenos Aires, Argentina
Upper Limb Surgery, Dupuytren Institute, Autonomous City of Buenos Aires, Argentina
Nicolás Pedro Mondino, Upper Limb Surgery, Dupuytren Institute, Autonomous City of Buenos Aires, Argentina
Upper Limb Surgery, Dupuytren Institute, Autonomous City of Buenos Aires, Argentina
Alberto Luis Garay, Upper Limb Surgery, Dupuytren Institute, Autonomous City of Buenos Aires, Argentina
Upper Limb Surgery, Dupuytren Institute, Autonomous City of Buenos Aires, Argentina
Bernardo Andrés, Upper Limb Surgery, Dupuytren Institute, Autonomous City of Buenos Aires, Argentina
Upper Limb Surgery, Dupuytren Institute, Autonomous City of Buenos Aires, Argentina
Carlos Eugenio Martínez, Upper Limb Surgery, Dupuytren Institute, Autonomous City of Buenos Aires, Argentina
Head of Upper Limb Surgery, Dupuytren Institute, Autonomous City of Buenos Aires, Argentina
Igor Orsolini, Upper Limb Surgery, Dupuytren Institute, Autonomous City of Buenos Aires, Argentina
Upper Limb Surgery, Dupuytren Institute, Autonomous City of Buenos Aires, Argentina

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Published
2022-08-31
How to Cite
Patiño, J. M., Fernández, A., Mondino, N. P., Garay, A. L., Andrés, B., Martínez, C. E., & Orsolini, I. (2022). Severe Apraxia due to Entrapment of the Radial Nerve in the Arm: “Lotem Syndrome”. Case Report. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 87(4), 534-539. https://doi.org/10.15417/issn.1852-7434.2022.87.4.1494
Issue
Vol 87 No 4 (2022): RAAOT - AAHYC - REV. 4 2022 - ENGLISH
Section
Case Presentations
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