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Radial nerve entrapment

J M Kleinert1, S Mehta

  • 1Department of Orthopaedic Surgery, University of Louisville School of Medicine, Kentucky, USA.

The Orthopedic Clinics of North America
|April 1, 1996
PubMed
Summary

Radial nerve entrapment, often diagnosed by exclusion, can cause significant issues. Prompt decompression or splinting offers effective treatment for radial tunnel and sensory nerve entrapment.

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Area of Science:

  • Orthopedic Surgery
  • Neurology
  • Anatomy

Background:

  • The radial nerve is more susceptible to entrapment than ulnar and median nerves.
  • Common compression sites include the arm, radial tunnel, and wrist.
  • Diagnosis can be challenging, often relying on exclusion.

Observation:

  • Radial nerve entrapment syndromes present diagnostic difficulties, potentially delaying treatment.
  • Radial tunnel syndrome, though rare, is a recognized condition.
  • Forearm radial sensory nerve entrapment is also observed.

Findings:

  • Compression sites are identified at the middle/distal arm, distal elbow (radial tunnel), and proximal wrist.
  • Delayed diagnosis is common, impacting effective treatment initiation.
  • Surgical decompression can alleviate radial tunnel syndrome symptoms.

Implications:

  • Accurate diagnosis and timely intervention are crucial for managing radial nerve entrapment.
  • Understanding common entrapment sites aids clinical diagnosis.
  • Conservative measures like thumb spica splinting can be effective for distal radial sensory nerve issues.

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