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Revista de la Asociación Argentina de Ortopedia y Traumatología

On-line version ISSN 1852-7434

Abstract

PATINO, Juan Martín et al. Apraxia severa por atrapamiento del nervio radial en el brazo: “síndrome de Lotem”. Presentación de un caso. Rev. Asoc. Argent. Ortop. Traumatol. [online]. 2022, vol.87, n.4, pp.534-539. ISSN 1852-7434.  http://dx.doi.org/https://doi.org/10.15417/issn.1852-7434.2022.87.4.1494.

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.

Keywords : Radial nerve; Lotem syndrome; nerve apraxia; nerve entrapment.

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