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[The supinator syndrome. An anatomic and clinical study]
1Abteilung für Orthopädie der Xiehe Klinik, Tongi Med. Universität, Wuhan, China.
Summary
The painful posterior interosseous syndrome, also known as radial tunnel syndrome, is often caused by a tendinous arcade of Frohse. This fibrous band was found in most operated patients but rarely in cadavers, suggesting its role in the condition.
Area of Science:
- Orthopedic Surgery
- Anatomy
- Neurology
Context:
- Posterior interosseous syndrome presents as paralytic or painful forms.
- This study focuses on twelve surgically treated patients with the painful variant, also termed radial tunnel syndrome.
Purpose:
- To investigate the intraoperative findings of the arcade of Frohse in patients with painful posterior interosseous syndrome.
- To compare these findings with anatomical observations in cadaveric specimens.
Summary:
- Intraoperative examination revealed a tendinous arcade of Frohse in ten out of twelve surgically treated patients.
- Cadaveric dissection showed this tendinous arcade in only two out of ten specimens.
- The study concludes that a tendinous arcade of Frohse is a significant factor in the development of posterior interosseous syndrome.
Impact:
- Highlights the anatomical predisposition to posterior interosseous syndrome.
- Provides insights for surgical considerations in radial tunnel syndrome treatment.
- Emphasizes the importance of the arcade of Frohse in the pathophysiology of posterior interosseous syndrome.