{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T10:54:24Z","timestamp":1780570464241,"version":"3.54.1"},"reference-count":6,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2020,10,9]],"date-time":"2020-10-09T00:00:00Z","timestamp":1602201600000},"content-version":"vor","delay-in-days":8,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,10,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>We present the case of a patient with severe symptoms of proximal forearm median nerve neuropathy. Over the course of 5 years his condition progressed to encompass rare features of combined pronator teres syndrome (PTS) and anterior interosseous nerve syndrome (AINS). The aetiology was found to be pronator teres compression and was managed successfully by surgical decompression. Proximal forearm median nerve compression should be considered as a continuum with two classic endpoints. At one end of the spectrum pure PTS presents with solely or mainly sensory symptoms, whereas at the other end AINS presents with pure motor symptoms. Hence, all possible anatomical sites of compression must be surgically explored in all cases of PTS or AINS, regardless of symptomatology. Timely referral to an experienced specialist is encouraged to ensure good outcomes, whenever a primary care practitioner encounters an atypical carpal tunnel syndrome-like presentation.<\/jats:p>","DOI":"10.1093\/jscr\/rjaa397","type":"journal-article","created":{"date-parts":[[2020,9,5]],"date-time":"2020-09-05T04:53:21Z","timestamp":1599281601000},"source":"Crossref","is-referenced-by-count":9,"title":["A rare and severe case of pronator teres syndrome"],"prefix":"10.1093","volume":"2020","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4691-541X","authenticated-orcid":false,"given":"Francisco Serra E","family":"Moura","sequence":"first","affiliation":[{"name":"Department of Plastic Surgery, Royal Preston Hospital, Preston, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anil","family":"Agarwal","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, Royal Preston Hospital, Preston, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2020,10,9]]},"reference":[{"key":"2020100910442228700_ref1","doi-asserted-by":"crossref","first-page":"713","DOI":"10.1056\/NEJM195810092591503","article-title":"Pronator syndrome: a confirmed case and its diagnosis","volume":"259","author":"Kopell","year":"1958","journal-title":"N Engl J Med"},{"key":"2020100910442228700_ref2","volume-title":"Pronator Teres Syndrome","author":"Dididze","year":"2020"},{"key":"2020100910442228700_ref3","volume-title":"Green\u2019s Operative Hand Surgery","author":"Wolfe","year":"2010","edition":"6th"},{"key":"2020100910442228700_ref4","doi-asserted-by":"crossref","first-page":"359","DOI":"10.1016\/0266-7681(87)90189-6","article-title":"Musculoaponeurotic variations along the course of the median nerve in the proximal forearm","volume":"12","author":"Dellon","year":"1987","journal-title":"J Hand Surg Eur Vol"},{"key":"2020100910442228700_ref5","article-title":"A rare case of pronator teres syndrome & accompanying anterior interosseous nerve syndrome","volume":"12","author":"Toyat","year":"2018","journal-title":"Malaysian Orthop J (MOA Sci Meet Abstr Suppl)"},{"key":"2020100910442228700_ref6","volume-title":"Gray\u2019s Anatomy","author":"Warwick","year":"1973","edition":"35th"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/jscr\/article-pdf\/2020\/10\/rjaa397\/33855062\/rjaa397.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/jscr\/article-pdf\/2020\/10\/rjaa397\/33855062\/rjaa397.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,10,9]],"date-time":"2020-10-09T14:44:29Z","timestamp":1602254669000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjaa397\/5919877"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,10,1]]},"references-count":6,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2020,10,1]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjaa397","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2020,10]]},"published":{"date-parts":[[2020,10,1]]},"article-number":"rjaa397"}}