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Radial tunnel syndrome
Ioannis K Sarris1, Nikolaos G Papadimitriou, Dean G Sotereanos
1Division of Hand and Upper Extremity Surgery Department of Orthopedic Surgery University of Pittsburgh Medical Center Pittsburgh, Pennsylvania, U.S.A.
Techniques in Hand & Upper Extremity Surgery
|March 8, 2006
Summary
True neurogenic radial tunnel syndrome, a nerve entrapment causing forearm pain, requires cautious surgical consideration. Non-surgical treatment is recommended first, with surgery reserved for persistent cases, offering a 60-70% success rate.
Area of Science:
- Neurology
- Orthopedic Surgery
Background:
- True neurogenic radial tunnel syndrome is an uncommon nerve entrapment.
- It primarily presents as subjective forearm pain with rare motor deficits.
Purpose of the Study:
- To evaluate the morbidity associated with radial tunnel syndrome and its treatment.
- To emphasize cautious surgical intervention and adherence to indications.
Main Methods:
- Review of existing literature on radial tunnel syndrome.
- Analysis of treatment outcomes, including surgical decompression.
Main Results:
- Electrodiagnostic studies are often unreliable for diagnosis.
- High morbidity rates are associated with both the condition and its surgical treatment.
- Surgical decompression yields approximately 60-70% good to excellent results.
Conclusions:
- Surgical release of the radial tunnel should be approached with caution.
- Non-surgical management is a crucial first step for all patients.
- Strict adherence to preoperative indications is essential before considering surgery.
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