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Endoscopic Radial Tunnel Release.

Tun Hing Lui1, Ka Kin Cheung1, Amanda Mun Yee Slocum1

  • 1Department of Orthopaedics and Traumatology, North District Hospital, Hong Kong SAR, China.

Arthroscopy Techniques
|June 23, 2025
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Summary

This study details endoscopic radial tunnel release for treating radial tunnel syndrome and posterior interosseous nerve syndrome. This minimally invasive surgery effectively decompressess potential entrapment sites.

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Area of Science:

  • Orthopedic Surgery
  • Neuroscience
  • Minimally Invasive Procedures

Background:

  • Radial tunnel syndrome and posterior interosseous nerve syndrome are compression neuropathies of the radial nerve.
  • Entrapment can occur due to several structures within the radial tunnel, including fibrous bands, leash of Henry, extensor carpi radialis brevis, and the arcade of Frohse.

Purpose of the Study:

  • To describe the technique of endoscopic radial tunnel release.
  • To present a minimally invasive surgical approach for radial nerve decompression.

Main Methods:

  • Endoscopic visualization and release of potential radial tunnel entrapment sites.
  • Focus on decompressing fibrous bands, leash of Henry, extensor carpi radialis brevis, and arcade of Frohse.

Main Results:

  • Endoscopic radial tunnel release can address all identified potential entrapment sites.
  • This approach offers a minimally invasive solution for refractory cases.

Conclusions:

  • Endoscopic radial tunnel release is an effective technique for managing radial tunnel syndrome and posterior interosseous nerve syndrome.
  • Minimally invasive surgery provides a viable option for patients with symptoms unresponsive to nonoperative treatments.