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Posterior Interosseous Nerve


- Anatomy:
    - this nerve is deep motor branch of radial nerve & supplies all of extrinsic wrist extensors except for the ECRL;
    - radial nerve enters the anterior compartment of the arm lying deeply between brachialis medially & BR & ECRL laterally;
    - PIN passes thru supinator muscle in its course from anterior to the posterior surface of the forearm;
    - PIN supplies ECRB & supinator before entering arcade of Froshe;
           - this arcade is fibrotendinous structure at proximal origin of supinator;
           - it is the most common site for entrapment of the nerve;
           - this arcade is absent in full term fetuses but is present in 30% of adults & may develop in response to repeated rotary
                     movement of forearm;
           - note: w/ humerus frx it is important to know whether there is radial nerve palsy;
                  - first branches distal to the fracture site will be the ECRB and supinator muscles, and these will be the first muscle to be
                              re-innervated;
    - infront of lateral epicondyle it divides into its 2 terminal branches, superficial radial nerve and the PIN;
    - in 25% of pts, PIN actually touches dorsal aspect of radius opposite bicipital tuberosity;
           - plates placed high on dorsal surface of radius may trap nerve underneath


- Posterior Interosseous Nerve Compression Syndrome:

- Operative Decompression:



The course of the posterior interosseous nerve in relation to the proximal radius: is there a reliable landmark

Anatomic dissections relating the posterior interosseous nerve to the carpus, and the etiology of dorsal wrist ganglion pain.

The terminal branch of posterior interosseous nerve: a useful donor for digital nerve grafting.

Posterior interosseous nerve palsies

Posterior interosseous nerve: an anatomic study of potential nerve grafts.

A study of the posterior interosseous nerve (PIN) and the radial tunnel in 30 Thai cadavers.

Posterior interosseous nerve palsy in a patient with rheumatoid synovitis of the elbow: a case report and review of the literature

Analgesic benefit, functional outcome, and patient satisfaction after partial wrist denervation

Long-Term Follow-Up Evaluation of Denervation of the Wrist.

Anatomic considerations regarding the posterior interosseous nerve at the elbow

Wrist Denervation for Painful Conditions of the Wrist