Posterior Interosseous Nerve Palsy Following Non-Anatomic Distal Biceps Repair.

J Hand Surg Asian Pac VolAug 31, 2026 (epub)

Kiran Kancherla, Haren Nandapalan B, Manish Gupta et al.

✦ AI-curated · Sources linked

Case in brief

A young labourer developed acute posterior interosseous nerve (PIN) palsy after undergoing single-incision cortical button fixation for a distal biceps rupture. Postoperative imaging indicated malposition of the Endobutton, leading to urgent re-exploration. The biceps tendon was found to be improperly routed over the PIN, causing nerve compression. After re-routing the tendon and securing it correctly, the patient achieved full neurological recovery within three months.

Diagnostic / clinical pearl

This case underscores the necessity of precise anatomical identification and technique during distal biceps tendon repair to prevent iatrogenic nerve injuries.

Source

Published in J Hand Surg Asian Pac Vol. This summary was written by xxcode from the publication's abstract and metadata. It is not peer reviewed and is not a substitute for the original article. For clinical decisions, review the original publication.

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