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Ultrasound-Guided Needle Release Combined with Corticosteroid Injection for the Treatment of Supinator Syndrome
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Radial tunnel syndrome
1Plastic and Reconstructive Surgery, Southern Illinois Hand Center, Southern Illinois University, Effingham, IL 62401, USA. drnaam@handdocs.com
The Orthopedic Clinics of North America
|October 3, 2012
Summary
Radial tunnel syndrome, caused by posterior interosseous nerve compression, requires conservative treatment initially. Surgical intervention is indicated if conservative methods fail, with generally successful outcomes.
Area of Science:
- Orthopedics
- Neurology
- Surgical Anatomy
Background:
- Radial tunnel syndrome is a clinical condition characterized by pain in the proximal forearm.
- It results from the compression of the posterior interosseous nerve.
- This condition lacks specific diagnostic markers in imaging or electrodiagnostic tests.
Purpose of the Study:
- To outline the diagnostic and treatment strategies for radial tunnel syndrome.
- To describe the surgical approaches and techniques for nerve decompression.
- To identify factors influencing surgical outcomes.
Main Methods:
- Review of conservative management options.
- Description of surgical exploration via dorsal and anterior approaches.
- Emphasis on complete release of the supinator muscle's superficial head.
- Analysis of factors affecting surgical success.
Main Results:
- Conservative treatment is the initial approach.
- Surgical treatment involves exploring the posterior interosseous nerve and releasing entrapment sites.
- Complete release of the superficial head of the supinator muscle is crucial.
- Surgical success rates are generally high.
Conclusions:
- Radial tunnel syndrome management begins with conservative measures.
- Surgical decompression of the posterior interosseous nerve is effective when conservative treatment fails.
- Outcomes may be less favorable in patients with coexisting lateral epicondylitis or workers' compensation claims.
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