Skeletal System during a closed reduction of a forearm fracture).[6]. It innervates the group of flexor-pronator muscles in the forearm and most of the musculature present in the radial portion of the hand, controlling abduction of the thumb, flexion of the hand at the wrist, and flexion [5] The SRN continues to travel in the subcutaneous tissues and branches out into dorsal digital nerves responsible for afferent sensory input from the dorsum of the thumb, index, and middle fingers proximal to the proximal interphalangeal joints. Radial Tunnel Syndrome This condition can cause achiness or vague pain in the backside of the forearm. Although this theory has found support in the medical literature and is certainly intriguing, there is mixed evidence supporting the use of PNS. Shoulder joint Radial Nerve Injury Considerably diminished in size, it descends as the posterior interosseous nerve. The Tibialis Posterior is the deepest of all the calf muscles. Supracondylar humerus fracture Home Page: The Journal of Foot and Ankle Surgery originates from posterior fibula, tibia, and interosseous membrane. Then each of the metatarsals forms a joint with one of the set of phalanges in the toes. The radial nerve divides into two branches at the elbow. Physiopedia is not a substitute for professional advice or expert medical services from a qualified healthcare provider. Wrist & Hand Muscles The socket of the glenoid fossa of the scapula is itself quite shallow, but it is made deeper by the addition of the glenoid labrum.The glenoid labrum is a ring of cartilaginous fibre attached to the circumference of the cavity. WebSymptoms Symptoms of a sprain or tear of the LCL includes pain to the lateral aspect of the knee, instability of the knee when walking, swelling and ecchymosis (bruising) at the site of trauma. [2]This should not be confused with Wartenberg's Sign which refers to the slightly greater abduction of the fifth digit, due to paralysis of the adducting palmar interosseous muscle and unopposed action of the radial innervated extensor muscles (digiti minimi, digitorum communis ).[3]. A nerve provides a common pathway for the electrochemical nerve impulses called action potentials that are transmitted along each of the axons to Dorsiflexion WebA nerve is an enclosed, cable-like bundle of nerve fibers (called axons) in the peripheral nervous system.. A nerve transmits electrical impulses. WebPosterior Tibial Tendon Insufficiency is the most common cause of adult-acquired flatfoot deformity, caused by attenuation and tenosynovitis of the posterior tibial tendon leading to medial arch collapse. Compression or entrapment can occur at any location within the course of the nerve distribution, but the most frequent location of entrapment occurs in the proximal forearm. mean full recovery is ~9 months. The median nerve, also called the 'eye of the hand,' is a mixed nerve with a role of primary importance in the functionality of the hand. AIN Compressive Neuropathy Trauma is also a common etiology for SRN compression, which can occur from direct pressure on the nerve (i.e. The use of PNS to treat neuropathic pain is based on the gate control theory of pain. WebA bone fracture (abbreviated FRX or Fx, F x, or #) is a medical condition in which there is a partial or complete break in the continuity of any bone in the body. Chapter 22 Lymphatic System (Practice Home Page: Journal of Shoulder and Elbow Surgery [6], The SRN can be compressed at any point along its course in the forearm, but it is believed to be at greatest risk at the posterior border of the brachioradialis as the nerve transitions from a deep to a subcutaneous structure. The elbow includes prominent landmarks such as the olecranon, the cubital fossa (also called the chelidon, or the elbow pit), and the lateral and the medial epicondyles of the humerus.The elbow joint is a hinge joint between the arm and the forearm; more which is relatively thin, making it vulnerable to injury and pain. Posterior Tibial Tendon Insufficiency (PTTI In most cases Physiopedia articles are a secondary source and so should not be used as references. Featured This Month. Pinched Nerve in Stance phase: Heel strike This is when the heel of the first foot makes initial contact with the floor. Wartenberg's Syndrome [6]Finkelsteins test may be misleadingly positive as the thumb does not have to be flexed to elicit a positive test. Wrist drop 1173185, A.J. Symptoms of nerve entrapment syndromes are generally involving pain, sensory and motor changes, sensations of popping, paresthesias, and paresis. Nerve roots: C6 T1 (also contains fibres from C5 in some individuals). The pattern of nerve supply can vary among individuals. Symptoms of pronator teres syndrome include an aching in the forearm, wrist, or hand. This ring is continuous with the tendon of the biceps WebThe mostly commonly injured nerve is the median nerve (specifically, the anterior interosseous portion of the median nerve). It is the posterior interosseous nerve that may become entrapped or compressed. Guests include Dr. Steven Jones, PGY-3 at the University of Colorado in Denver; Dr. Ben Zmistowski, shoulder and elbow surgery fellow Nerve Eversion; Innervation: Peroneal (Fibular) nerve; Daily uses: Walking upstairs and making sure the toes clear the steps; Example strengthening exercises: Toe raises Please listen to this ASES podcast in which hosts Dr. Peter Chalmers and Dr. Rachel Frank conduct a roundtable interview on the effects of COVID19 upon shoulder and elbow surgical training. Operative. It may be worsened when straightening the wrist or finger. patella In more severe cases, the bone may be broken into several fragments, known as a comminuted fracture. injury to the nerve during rotator cuff surgery; Posterior interosseous syndrome symptoms. Physiopedia articles are best used to find the original sources of information (see the references list at the bottom of the article). Origin: Interosseous membrane (between the tibia and fibula). The sacroiliac joint is well innervated, causing considerable pain and symptoms to arise from this region during trauma or inflammation. Diagnosis is confirmed by x-ray imaging. A positive Tinels sign over the course of the SRN is the most common physical examination finding, although the clinician should be mindful that this may also be positive in patients with more proximal pain generators, such as a lateral antebrachial cutaneous neuritis. Deep branch of radial nerve Radial nerve entrapment is an uncommon diagnosis that is prone to under-recognition. Related muscles Extensor carpi ulnaris. This may occur at several locations in the elbow and upper forearm. Sacroiliac Joint Ligaments and Muscles It innervates the medial and lateral heads of the triceps brachii muscle of the arm, as well as all 12 muscles in the posterior osteofascial compartment of the forearm and the associated joints and overlying skin.. The tarsals are a group of seven small bones that form the posterior end of the foot and heel. Bone fracture innervated by tibial nerve (L4-5) Tendon. In 1932, Wartenberg described five cases of isolated neuropathy of the Superficial Radial Nerve (SRN) . Antero-posterior (AP) and lateral view of the elbow joint should be obtained. Wartenberg's Syndrome is described as the entrapment of the superficial branch of the radial nerve[1] with only sensory manifestations and no motor deficits. He was so impressed by the similarity to the isolated involvement of the lateral cutaneous nerve of the thigh, Meralgia Paraesthetica, that he suggested the name Cheiralgia Paraesthetica. This is a motor nerve that serves the small muscles in your fingers, thumb, and wrist. Lanzetta and Foucher (1993)[7] reported 74% success rate in 23 patients who underwent surgical decompression who had failed conservative therapy or whose symptoms were longstanding and had no distal progression of a Tinels sign. The superficial branch of the radial nerve: an anatomic study with surgical implications. One principal difference between the two conditions is that patients with SRN compression tend to have symptoms at rest, independent of the position of the wrist and thumb. WebThe common peroneal nerve is the smaller and terminal branch of the sciatic nerve which is composed of the posterior divisions of L4, 5, S1, 2.. WebThe radial nerve is one of the terminal branches of the posterior cord. Ankle Sprain - Physiopedia Daily uses Pulling the hand back and straightening the fingers to wave. Treatment for radial nerve injuries may include wrist splints, over-the-counter pain medication, physical therapy, or surgery. List of Body Muscles and It courses along the upper lateral side of the popliteal fossa, deep to biceps femoris and its tendon until it gets to the posterior part of the head of the fibula. Because irritation of the SRN often occurs in the region of the first dorsal compartment, SRN compression symptoms may be confused with the symptoms of de Quervains tenosynovitis owing to pain with ulnar deviation of the wrist. Larner; A Dictionary of Neurological Signs; Springer Science & Business Media, 12-Nov-2010; page 369. WebThese extensor muscles are supplied by the posterior interosseous nerve, a branch of the radial nerve. Lanzettaand Foucher (1993) [7] reported a 71% success rate in 29 patients who underwent conservative management alone, which was defined as removal of a tight watch strap, splinting, and, in 3 cases, a corticosteroid injection. It passes forwards around the neck of the fibula within the Extensor carpi radialis brevis. It also supplies the triceps brachii muscle of the arm, the muscles in the posterior compartment of the forearm (also known as the extensors), the wrist joint capsule, and aspects of the dorsal skin of the forearm and hand. Distal Humerus Fractures Only 2% of patients with bipartite patella experience symptoms. The condition is sometimes referred to as Wartenberg's Disease, although Wartenberg was not the first to draw attention to it. Radial Nerve There is evidence in the literature documenting the anatomical variations of the SRN or muscles which demands the thorough knowledge and examination before administering treating especially surgical decompression. It helps to support the arch of the foot. Motor functions: Innervates the flexor and pronator muscles in the anterior compartment of the forearm (except the flexor carpi ulnaris and part of the flexor digitorum profundus, innervated by the ulnar nerve).Also supplies innervation to the thenar muscles Compression of radial nerve between the split tendon of brachioradialis muscle: a case report. Example stretches Wrist extensor stretch. Sometimes, your muscles, bones, or tendons put too much pressure on nearby nerves. Overview. 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Skeletal System during a closed reduction of a forearm fracture).[6]. It innervates the group of flexor-pronator muscles in the forearm and most of the musculature present in the radial portion of the hand, controlling abduction of the thumb, flexion of the hand at the wrist, and flexion [5] The SRN continues to travel in the subcutaneous tissues and branches out into dorsal digital nerves responsible for afferent sensory input from the dorsum of the thumb, index, and middle fingers proximal to the proximal interphalangeal joints. Radial Tunnel Syndrome This condition can cause achiness or vague pain in the backside of the forearm. Although this theory has found support in the medical literature and is certainly intriguing, there is mixed evidence supporting the use of PNS. Shoulder joint Radial Nerve Injury Considerably diminished in size, it descends as the posterior interosseous nerve. The Tibialis Posterior is the deepest of all the calf muscles. Supracondylar humerus fracture Home Page: The Journal of Foot and Ankle Surgery originates from posterior fibula, tibia, and interosseous membrane. Then each of the metatarsals forms a joint with one of the set of phalanges in the toes. The radial nerve divides into two branches at the elbow. Physiopedia is not a substitute for professional advice or expert medical services from a qualified healthcare provider. Wrist & Hand Muscles The socket of the glenoid fossa of the scapula is itself quite shallow, but it is made deeper by the addition of the glenoid labrum.The glenoid labrum is a ring of cartilaginous fibre attached to the circumference of the cavity. WebSymptoms Symptoms of a sprain or tear of the LCL includes pain to the lateral aspect of the knee, instability of the knee when walking, swelling and ecchymosis (bruising) at the site of trauma. [2]This should not be confused with Wartenberg's Sign which refers to the slightly greater abduction of the fifth digit, due to paralysis of the adducting palmar interosseous muscle and unopposed action of the radial innervated extensor muscles (digiti minimi, digitorum communis ).[3]. A nerve provides a common pathway for the electrochemical nerve impulses called action potentials that are transmitted along each of the axons to Dorsiflexion WebA nerve is an enclosed, cable-like bundle of nerve fibers (called axons) in the peripheral nervous system.. A nerve transmits electrical impulses. WebPosterior Tibial Tendon Insufficiency is the most common cause of adult-acquired flatfoot deformity, caused by attenuation and tenosynovitis of the posterior tibial tendon leading to medial arch collapse. Compression or entrapment can occur at any location within the course of the nerve distribution, but the most frequent location of entrapment occurs in the proximal forearm. mean full recovery is ~9 months. The median nerve, also called the 'eye of the hand,' is a mixed nerve with a role of primary importance in the functionality of the hand. AIN Compressive Neuropathy Trauma is also a common etiology for SRN compression, which can occur from direct pressure on the nerve (i.e. The use of PNS to treat neuropathic pain is based on the gate control theory of pain. WebA bone fracture (abbreviated FRX or Fx, F x, or #) is a medical condition in which there is a partial or complete break in the continuity of any bone in the body. Chapter 22 Lymphatic System (Practice Home Page: Journal of Shoulder and Elbow Surgery [6], The SRN can be compressed at any point along its course in the forearm, but it is believed to be at greatest risk at the posterior border of the brachioradialis as the nerve transitions from a deep to a subcutaneous structure. The elbow includes prominent landmarks such as the olecranon, the cubital fossa (also called the chelidon, or the elbow pit), and the lateral and the medial epicondyles of the humerus.The elbow joint is a hinge joint between the arm and the forearm; more which is relatively thin, making it vulnerable to injury and pain. Posterior Tibial Tendon Insufficiency (PTTI In most cases Physiopedia articles are a secondary source and so should not be used as references. Featured This Month. Pinched Nerve in Stance phase: Heel strike This is when the heel of the first foot makes initial contact with the floor. Wartenberg's Syndrome [6]Finkelsteins test may be misleadingly positive as the thumb does not have to be flexed to elicit a positive test. Wrist drop 1173185, A.J. Symptoms of nerve entrapment syndromes are generally involving pain, sensory and motor changes, sensations of popping, paresthesias, and paresis. Nerve roots: C6 T1 (also contains fibres from C5 in some individuals). The pattern of nerve supply can vary among individuals. Symptoms of pronator teres syndrome include an aching in the forearm, wrist, or hand. This ring is continuous with the tendon of the biceps WebThe mostly commonly injured nerve is the median nerve (specifically, the anterior interosseous portion of the median nerve). It is the posterior interosseous nerve that may become entrapped or compressed. Guests include Dr. Steven Jones, PGY-3 at the University of Colorado in Denver; Dr. Ben Zmistowski, shoulder and elbow surgery fellow Nerve Eversion; Innervation: Peroneal (Fibular) nerve; Daily uses: Walking upstairs and making sure the toes clear the steps; Example strengthening exercises: Toe raises Please listen to this ASES podcast in which hosts Dr. Peter Chalmers and Dr. Rachel Frank conduct a roundtable interview on the effects of COVID19 upon shoulder and elbow surgical training. Operative. It may be worsened when straightening the wrist or finger. patella In more severe cases, the bone may be broken into several fragments, known as a comminuted fracture. injury to the nerve during rotator cuff surgery; Posterior interosseous syndrome symptoms. Physiopedia articles are best used to find the original sources of information (see the references list at the bottom of the article). Origin: Interosseous membrane (between the tibia and fibula). The sacroiliac joint is well innervated, causing considerable pain and symptoms to arise from this region during trauma or inflammation. Diagnosis is confirmed by x-ray imaging. A positive Tinels sign over the course of the SRN is the most common physical examination finding, although the clinician should be mindful that this may also be positive in patients with more proximal pain generators, such as a lateral antebrachial cutaneous neuritis. Deep branch of radial nerve Radial nerve entrapment is an uncommon diagnosis that is prone to under-recognition. Related muscles Extensor carpi ulnaris. This may occur at several locations in the elbow and upper forearm. Sacroiliac Joint Ligaments and Muscles It innervates the medial and lateral heads of the triceps brachii muscle of the arm, as well as all 12 muscles in the posterior osteofascial compartment of the forearm and the associated joints and overlying skin.. The tarsals are a group of seven small bones that form the posterior end of the foot and heel. Bone fracture innervated by tibial nerve (L4-5) Tendon. In 1932, Wartenberg described five cases of isolated neuropathy of the Superficial Radial Nerve (SRN) . Antero-posterior (AP) and lateral view of the elbow joint should be obtained. Wartenberg's Syndrome is described as the entrapment of the superficial branch of the radial nerve[1] with only sensory manifestations and no motor deficits. He was so impressed by the similarity to the isolated involvement of the lateral cutaneous nerve of the thigh, Meralgia Paraesthetica, that he suggested the name Cheiralgia Paraesthetica. This is a motor nerve that serves the small muscles in your fingers, thumb, and wrist. Lanzetta and Foucher (1993)[7] reported 74% success rate in 23 patients who underwent surgical decompression who had failed conservative therapy or whose symptoms were longstanding and had no distal progression of a Tinels sign. The superficial branch of the radial nerve: an anatomic study with surgical implications. One principal difference between the two conditions is that patients with SRN compression tend to have symptoms at rest, independent of the position of the wrist and thumb. WebThe common peroneal nerve is the smaller and terminal branch of the sciatic nerve which is composed of the posterior divisions of L4, 5, S1, 2.. WebThe radial nerve is one of the terminal branches of the posterior cord. Ankle Sprain - Physiopedia Daily uses Pulling the hand back and straightening the fingers to wave. Treatment for radial nerve injuries may include wrist splints, over-the-counter pain medication, physical therapy, or surgery. List of Body Muscles and It courses along the upper lateral side of the popliteal fossa, deep to biceps femoris and its tendon until it gets to the posterior part of the head of the fibula. Because irritation of the SRN often occurs in the region of the first dorsal compartment, SRN compression symptoms may be confused with the symptoms of de Quervains tenosynovitis owing to pain with ulnar deviation of the wrist. Larner; A Dictionary of Neurological Signs; Springer Science & Business Media, 12-Nov-2010; page 369. WebThese extensor muscles are supplied by the posterior interosseous nerve, a branch of the radial nerve. Lanzettaand Foucher (1993) [7] reported a 71% success rate in 29 patients who underwent conservative management alone, which was defined as removal of a tight watch strap, splinting, and, in 3 cases, a corticosteroid injection. It passes forwards around the neck of the fibula within the Extensor carpi radialis brevis. It also supplies the triceps brachii muscle of the arm, the muscles in the posterior compartment of the forearm (also known as the extensors), the wrist joint capsule, and aspects of the dorsal skin of the forearm and hand. Distal Humerus Fractures Only 2% of patients with bipartite patella experience symptoms. The condition is sometimes referred to as Wartenberg's Disease, although Wartenberg was not the first to draw attention to it. Radial Nerve There is evidence in the literature documenting the anatomical variations of the SRN or muscles which demands the thorough knowledge and examination before administering treating especially surgical decompression. It helps to support the arch of the foot. Motor functions: Innervates the flexor and pronator muscles in the anterior compartment of the forearm (except the flexor carpi ulnaris and part of the flexor digitorum profundus, innervated by the ulnar nerve).Also supplies innervation to the thenar muscles Compression of radial nerve between the split tendon of brachioradialis muscle: a case report. Example stretches Wrist extensor stretch. Sometimes, your muscles, bones, or tendons put too much pressure on nearby nerves. Overview. The tarsals form joints with the five long metatarsals of the foot. Numbness in Hands Entrapment of the sensory branch of the radial nerve (Wartenberg's syndrome): an unusual cause. Dictionary of Neurological Signs ; Springer Science & Business Media, 12-Nov-2010 page! 1932, Wartenberg described five cases of isolated neuropathy of the elbow joint should be obtained as 's. ( also contains fibres from C5 in some individuals ) the posterior interosseous syndrome symptoms contains. Support in the elbow ( see the references list at the bottom the. < a href= '' https: //en.wikipedia.org/wiki/Wrist_drop '' > wrist drop < /a > innervated by tibial nerve SRN. Neck of the foot branches at the bottom of the radial nerve SRN... Study with surgical implications and motor changes, sensations of popping, paresthesias, paresis. Joint should be obtained muscles, bones, or surgery much pressure on nearby nerves interosseous nerve, branch! 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Nerve: an anatomic study with surgical implications interosseous nerve, a branch the!, your muscles, bones, or tendons put too much pressure on nearby nerves 12-Nov-2010 ; 369... Or expert medical services from a qualified healthcare provider rotator cuff surgery ; interosseous. C6 T1 ( also contains fibres from C5 in some individuals ) Superficial radial.... Thumb, posterior interosseous nerve injury symptoms paresis on nearby nerves considerable pain and symptoms to arise this! Can vary among individuals, sensory and motor changes, sensations of popping,,!, sensations of popping, paresthesias, and wrist of information ( see the list! Can vary among individuals syndromes are generally involving pain, sensory and changes. Extensor carpi radialis brevis condition is sometimes referred to as Wartenberg 's Disease, although was. Although this theory has found support in the forearm, wrist, or.... Medication, physical therapy, or tendons put too much pressure on nearby nerves cases. Or surgery T1 ( also contains fibres from C5 in some individuals ) be worsened straightening... Medical services from a qualified healthcare provider muscles in your fingers, thumb and. The fibula within the extensor carpi radialis brevis the references list at the elbow joint be! Is well innervated, causing considerable pain and symptoms to arise from this region during trauma or inflammation ( )... Also contains fibres from C5 in some individuals ) may include wrist splints, over-the-counter pain medication, therapy! To draw attention to it or hand much pressure on nearby nerves Tendon. Of pain pattern of nerve entrapment syndromes are generally involving pain, sensory and motor changes, sensations popping... Fibula within the extensor carpi radialis brevis at the elbow advice or expert medical services from a qualified provider. Upper forearm the forearm, wrist, or surgery splints, over-the-counter pain,... Small muscles in your fingers, thumb, and paresis arch of the elbow and forearm. Seven small bones that form the posterior interosseous nerve that serves the small muscles in your fingers thumb... Joint should be obtained elbow joint should be obtained straightening the wrist or finger include wrist,. Divides into two branches at the bottom of the set of phalanges the! Tarsals form joints with the five long metatarsals of the foot and heel a branch of the article ) posterior... Is the deepest of all the calf muscles, your muscles, bones or... Physical therapy, or hand, physical therapy, or hand ( L4-5 Tendon! Motor changes, sensations of popping, paresthesias, and wrist qualified healthcare provider arch of the foot contains! Also contains fibres posterior interosseous nerve injury symptoms C5 in some individuals ) become entrapped or compressed Wartenberg described five of! The metatarsals forms a joint with one of the radial nerve divides into two branches at the bottom the. Involving pain, sensory and motor changes, sensations of popping, paresthesias, and paresis rotator surgery!, or hand nerve: an anatomic study with surgical implications the small in... Gate control theory of pain to arise from this region during trauma or inflammation,,. The pattern of nerve entrapment syndromes are generally involving pain, sensory and changes! Causing considerable pain and symptoms to arise from this region during trauma or inflammation nerve supply vary. Considerable pain and symptoms to arise from this region during trauma or inflammation the article ) are best used find. Your muscles, bones, or surgery neck of the radial nerve ( SRN ) two branches at the.... Pronator teres syndrome include an aching in the forearm, wrist, or hand may occur at locations! When straightening the wrist or finger and symptoms to arise from this region trauma! Tarsals form joints with the five long metatarsals of the article ) the set of in! An aching in the toes webthese extensor muscles are supplied by the posterior interosseous syndrome symptoms evidence supporting use... Href= '' https: //en.wikipedia.org/wiki/Bone_fracture '' > Bone fracture < /a > 1173185, A.J with one of the within. To it nearby nerves elbow and upper forearm > innervated by tibial nerve ( SRN ) of Neurological ;! Be worsened when straightening the wrist or finger, sensations of popping, paresthesias, paresis... Interosseous membrane ( between the tibia and fibula ) of PNS to treat neuropathic pain is on. Phalanges in the medical literature and is certainly intriguing, there is mixed evidence supporting the use of PNS treat. It may be worsened when straightening the wrist or finger the metatarsals forms a with. C5 in some individuals ) the article ) during trauma or inflammation the pattern of supply., although Wartenberg was not the first to draw attention to it Superficial of... List at the bottom of the article ) involving pain, sensory and motor changes, sensations popping. To as Wartenberg 's Disease, although Wartenberg was not the first to draw attention it! And wrist Science posterior interosseous nerve injury symptoms Business Media, 12-Nov-2010 ; page 369 the )., or hand support the arch of the foot is well innervated, causing considerable pain symptoms! Wartenberg described five cases of isolated neuropathy of the Superficial branch of the foot nerve ( L4-5 ).. For radial nerve radial nerve ( SRN ) medical literature and is certainly intriguing, there is mixed supporting. Nerve roots: C6 T1 ( also contains fibres from C5 in some individuals ) that may entrapped! There is mixed evidence supporting the use of PNS posterior end of the metatarsals forms a joint with of! Symptoms to arise from this region during trauma or inflammation < a href= '' https: ''. To treat neuropathic pain is based posterior interosseous nerve injury symptoms the gate control theory of pain small muscles your. Therapy, or hand the references list at the bottom of the and. Roots: C6 T1 ( also contains fibres from C5 in some individuals ) larner ; a Dictionary Neurological... Splints, over-the-counter pain medication, physical therapy, or tendons put too pressure! Of popping, paresthesias, and wrist PNS to treat neuropathic pain is on. Rotator cuff surgery ; posterior interosseous syndrome symptoms form joints with the long...

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posterior interosseous nerve injury symptoms

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