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Updated: May 23, 2026

Ultrasound-Guided Needle Release Combined with Corticosteroid Injection for the Treatment of Supinator Syndrome

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Endoscopically assisted decompression for pronator syndrome.

Andrew K Lee¹, Mark Khorsandi, Nurulhusein Nurbhai

¹Department of Orthopedic and Hand Surgery, American Total Orthopedics/Brown Hand Center, Houston, TX 77024, USA. alee@thehandcenter.com

The Journal of Hand Surgery

|April 3, 2012

Summary

Endoscopic decompression for pronator syndrome offers a minimally invasive alternative to traditional surgery. This technique safely improved patient outcomes and reduced Disabilities of the Shoulder, Arm, and Hand (DASH) scores.

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Minimally Invasive Surgical Decompression of Occipital Nerves

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Last Updated: May 23, 2026

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Published on: May 26, 2023

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Minimally Invasive Surgical Decompression of Occipital Nerves

Minimally Invasive Surgical Decompression of Occipital Nerves

Published on: September 13, 2024

Area of Science:

Orthopedic Surgery
Minimally Invasive Procedures
Nerve Compression Syndromes

Background:

Pronator syndrome, a median nerve compression, is typically treated with open surgery.
Open surgery for pronator syndrome can result in long, noticeable scars in the antecubital fossa.

Purpose of the Study:

To introduce an endoscopic technique for proximal median nerve decompression in pronator syndrome.
To evaluate the safety and efficacy of this minimally invasive approach in improving patient outcomes.

Main Methods:

Retrospective review of 13 patients (14 cases) with isolated pronator syndrome treated with endoscopic decompression.
Exclusion of patients with concurrent carpal tunnel syndrome or other nerve compressions.
Assessment of patient outcomes using the Disabilities of the Shoulder, Arm, and Hand (DASH) scoring protocol.

Main Results:

All patients experienced symptomatic improvement, with average DASH scores decreasing from 56 preoperatively to 6 postoperatively.
The endoscopically assisted technique successfully decompressed the median nerve at all relevant anatomical points.
Three minor complications occurred, all of which resolved without intervention.

Conclusions:

Endoscopic decompression is a safe and effective minimally invasive treatment for pronator syndrome.
This approach leads to significant improvements in functional outcomes as measured by DASH scores.
The endoscopic method may offer reduced morbidity and faster recovery compared to open surgery.