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Observation
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Administration of ibuprofen
Needle electromyography
Surgical exploration
Transfer of the ring finger sublimis tendon to the thumb and index finger
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Patients with spontaneous atraumatic anterior interosseous nerve palsies are likely to recover with observation alone. Mean recovery time is 9 months, with most patients recovering by 1 year. Electromyography is not indicated until at least 3 to 5 weeks after nerve injury. Surgical exploration and tendon transfers are not indicated, as this lesion will likely resolve without such intervention.
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