This reflects involvement of the anterior interosseous nerve.Sensory changes may be found in the first three fingers as well as in the palm, indicating impairment of the median nerve proximal to the flexor retinaculum, but tend to involve the sensation of the entire hand going numb at night, with any pressure on the median nerve on the areas at the inside of the elbow.The clinical and electrophysiological features of pronator teres syndrome are quite different from patients with carpal tunnel syndrome or pure anterior interosseous syndrome, and are typically normal. Proper localisation is crucial to treatment options.Conduction velocity of the median nerve in the proximal forearm may be slow but the distal latency and sensory nerve action potential at the wrist are normal.Although MRI may show denervation atrophy of the affected muscles, its role in the evaluation of pronator teres syndrome is unclear.⁠
If the EMG or the MRI are abnormal for the pronator teres muscle and the flexor carpi radialis, this implies that the problem is at or proximal to the elbow, as the takeoff of the nerves to these muscles occurs proximal to the elbow. Treatment
Injection of corticosteroids into the pronator teres muscle may produce relief of symptoms.Massage therapy can also provide relief for individuals experiencing this condition.Surgical decompression can provide benefit in selected cases. References


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Nevus lipomatosus (cutaneous) superficialis (NLS or NLCS, also known as "Nevus lipomatosis of Hoffman and Zurhelle") is characterized by soft, yellowish papules or cerebriform plaques, usually of the buttock or thigh, less often of the ear or scalp, with a wrinkled rather than warty surface. : 625  It is usually congenital
in origin or appears within the first three decades.A pedunculated lipofibroma is a solitary variant of nevus lipomatosus superficialis. It usually appears in adult life, and usually on the axilla, knee, ear, arm, scalp and the lower trunk. In both multiple and solitary variants, the histopathology shows variable amounts of mature lipocytes within the dermis. Occasionally, there is an excessive fibrocollagenous tissue proliferation. The main differential diagnoses are acrochordon, seborrheic keratosis, intradermal melanocytic nevi, neurofibromas, verrucae and fibroepithelioma of Pinkus. See also
Skin lesion
List of cutaneous conditions


== References ==