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Quadrilateral space syndrome.

B R Cahill, R E Palmer

    The Journal of Hand Surgery
    |January 1, 1983
    PubMed
    Summary
    This summary is machine-generated.

    Quadrilateral space syndrome, caused by compression of the posterior humeral circumflex artery and axillary nerve, can be diagnosed via subclavian arteriogram. Surgical decompression offers significant symptom relief for affected patients.

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    Area of Science:

    • Orthopedics
    • Vascular Surgery
    • Neurology

    Background:

    • Quadrilateral space syndrome is an uncommon condition resulting from neurovascular compression.
    • Symptoms are exacerbated by specific arm movements like flexion, abduction, and external rotation.
    • Diagnosis involves identifying tenderness in the quadrilateral space.

    Purpose of the Study:

    • To describe the diagnostic methods and surgical outcomes for quadrilateral space syndrome.
    • To evaluate the effectiveness of surgical decompression for this condition.

    Main Methods:

    • Patient history and physical examination to identify characteristic symptoms and tenderness.
    • Subclavian arteriogram using the Seldinger technique to detect artery occlusion.
    • Surgical decompression via a posterior approach for persistent cases.

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    Main Results:

    • Subclavian arteriogram revealed posterior humeral circumflex artery occlusion in positive cases.
    • Surgical decompression was performed on 18 patients.
    • Outcomes included 8 dramatic reliefs, 8 improvements, and 2 no improvements.

    Conclusions:

    • Quadrilateral space syndrome requires specific diagnostic approaches, including arteriography.
    • Surgical decompression is an effective treatment option for carefully selected patients with persistent symptoms.