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

Authors

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

Severe Apraxia due to Entrapment of the Radial Nerve in the Arm: “Lotem Syndrome”. Case Report. (2022). 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

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