{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T19:17:49Z","timestamp":1770751069858,"version":"3.50.0"},"reference-count":13,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,5,6]],"date-time":"2025-05-06T00:00:00Z","timestamp":1746489600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,5,6]],"date-time":"2025-05-06T00:00:00Z","timestamp":1746489600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100006451","name":"Hospices Civils de Lyon","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100006451","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eur J Trauma Emerg Surg"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>The anterior interosseous nerve (AIN) is susceptible to injury during forearm surgery, particularly open reduction and internal fixation (ORIF) of radius fractures. This study aimed to analyze the anatomical relationships between the AIN and the radius to identify regions most vulnerable to iatrogenic injury.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cadaveric study was conducted on ten fresh, non-embalmed forearms. Standardized dissections were performed to assess the course of the AIN, its motor branches, and their proximity to bony landmarks. Measurements were taken using a graduated ruler, with reference to the radius, the bi-epicondylar and bi-styloid lines.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The AIN originated, on average, 13\u00a0mm from the radius, initially separated from the bone by the flexor digitorum profundus and flexor pollicis longus. The first branch to the flexor pollicis longus emerged at an average of 8\u00a0mm from the radius, marking the start of the nerve\u2019s close contact with the bone. The highest risk zone for AIN injury was identified at the junction of the proximal and middle thirds of the forearm.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The AIN and its motor branches exhibit significant anatomical variability but consistently demonstrate proximity to the radius at the proximal-middle third junction. To minimize iatrogenic injury, care should be taken when exposing the anterior radius, particularly by avoiding excessive traction or deep retractor placement in this region.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00068-025-02869-9","type":"journal-article","created":{"date-parts":[[2025,5,6]],"date-time":"2025-05-06T08:40:59Z","timestamp":1746520859000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Risk of anterior interosseous nerve injury during forearm surgery: a cadaveric study"],"prefix":"10.1007","volume":"51","author":[{"given":"Arnaud","family":"Walch","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hugo","family":"Despert","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cl\u00e9ment","family":"Jubelin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laurent","family":"Mathieu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Camille","family":"Brenac","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thibault","family":"Druel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,5,6]]},"reference":[{"key":"2869_CR1","unstructured":"Netter F. Upper Limb. Atlas of Human Anatomy. In: Masson E, editor Atlas of Human Anatomy. 2019:402\u2009\u2013\u200970."},{"issue":"5","key":"2869_CR2","doi-asserted-by":"publisher","first-page":"575","DOI":"10.1016\/j.rboe.2018.07.010","volume":"53","author":"EB Caetano","year":"2018","unstructured":"Caetano EB, Vieira LA, Sabongi Neto JJ, Caetano MBF, Sabongi RG. Anterior interosseous nerve: anatomical study and clinical implications. Rev Bras Ortop. 2018;53(5):575\u201381. https:\/\/doi.org\/10.1016\/j.rboe.2018.07.010.","journal-title":"Rev Bras Ortop"},{"key":"2869_CR3","doi-asserted-by":"crossref","unstructured":"Mathieu L, Simms ER, Rongi\u00e9ras F, Voiglio EJ, Oberlin C. Potential compressive sites of the anterior interosseous nerve in the proximal forearm: an anatomic study. 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Anterior interosseous nerve palsy following internal fixation of the proximal radius. J Bone Joint Surg Br. 1988;70(2):280. https:\/\/doi.org\/10.1302\/0301-620X.70B2.3346304. 2.","journal-title":"J Bone Joint Surg Br"},{"issue":"6","key":"2869_CR7","doi-asserted-by":"publisher","first-page":"373","DOI":"10.1080\/02844310410034321","volume":"38","author":"R Kajiwara","year":"2004","unstructured":"Kajiwara R, Matsuno T, Ishida O, Sunagawa T, Suzuki O, Ochi M. Anterior interosseous nerve palsy after reduction and percutaneous pinning of open fractures of the radius and ulna. Scand J Plast Reconstr Surg Hand Surg Suppl. 2004;38(6):373\u20135. https:\/\/doi.org\/10.1080\/02844310410034321.","journal-title":"Scand J Plast Reconstr Surg Hand Surg Suppl"},{"issue":"3","key":"2869_CR8","doi-asserted-by":"publisher","first-page":"375","DOI":"10.1016\/s0266-7681(97)80405-6","volume":"22","author":"P Keogh","year":"1997","unstructured":"Keogh P, Khan H, Cooke E, McCoy G. Loss of flexor pollicis longus function after plating of the radius. Report of six cases. J Hand Surg Br. 1997;22(3):375\u20136. https:\/\/doi.org\/10.1016\/s0266-7681(97)80405-6.","journal-title":"J Hand Surg Br"},{"key":"2869_CR9","doi-asserted-by":"publisher","first-page":"61","DOI":"10.1007\/BF00463528","volume":"107","author":"Y Mirovsky","year":"1987","unstructured":"Mirovsky Y, Hendel D, Halperin N. Anterior interosseous nerve palsy following closed fracture of the proximal Ulna: A case report and review of the literature. Arch Orth Traum Surg. 1987;107:61\u20134.","journal-title":"Arch Orth Traum Surg"},{"issue":"2","key":"2869_CR10","first-page":"76","volume":"9","author":"R Salkinder","year":"2010","unstructured":"Salkinder R, Liebenberg E. Isolated loss of flexor pollicis longus function after plating of the radius. 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