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Disputed radial tunnel syndrome.
1Neurology Division, The Oregon Clinic, 5050 NE Hoyt Street, Suite 314, Portland, Oregon 97213, USA.
Muscle & Nerve
|July 9, 1999
Summary
True neurogenic radial tunnel syndrome involves nerve entrapment causing weakness. The term should be reserved for these cases, not for forearm pain without neurological deficits.
Area of Science:
- Neurology
- Orthopedic Surgery
Background:
- Radial tunnel syndrome is often misdiagnosed.
- Distinguishing true neurogenic cases from pain syndromes is crucial.
Purpose of the Study:
- To clarify the definition and diagnosis of radial tunnel syndrome.
- To differentiate true neurogenic radial tunnel syndrome from other forearm pain conditions.
Main Methods:
- Review of existing literature on radial tunnel syndrome.
- Analysis of clinical presentations and diagnostic criteria.
Main Results:
- True neurogenic radial tunnel syndrome presents with focal motor weakness.
- Proximal forearm pain without neurological deficits is not indicative of true radial tunnel syndrome.
Conclusions:
- The term "radial tunnel syndrome" should exclusively apply to neurogenic cases with nerve entrapment.
- Surgical interventions for "persistent tennis elbow" require controlled evaluation, not based on analogies to carpal tunnel syndrome.