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[The supinator syndrome]

M Völlinger1, B D Partecke

  • 1Abteilung für Handchirurgie, Plastische und Mikrochirurgie, Hamburg.

Handchirurgie, Mikrochirurgie, Plastische Chirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Handchirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Mikrochirurgie Der Peripheren Nerven Und Gefasse : Organ Der V
|May 21, 1998
PubMed
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Posterior interosseous nerve syndrome, a rare upper limb neuropathy, requires differentiation from tennis elbow. Surgical outcomes show high patient satisfaction and pain reduction, though elbow motion may be affected.

Area of Science:

  • Orthopedics
  • Neurology
  • Hand Surgery

Background:

  • Posterior interosseous nerve syndrome is a rare upper limb compression neuropathy.
  • It is crucial to differentiate this condition from tennis elbow.
  • Understanding its etiology, symptoms, and diagnostic methods is essential.

Purpose of the Study:

  • To outline the etiology, symptoms, and diagnostic methods for posterior interosseous nerve syndrome.
  • To illustrate common operative techniques for managing this condition.
  • To analyze surgical outcomes including joint mobility, pain, and patient satisfaction.

Main Methods:

  • Retrospective analysis of patients treated operatively for posterior interosseous nerve syndrome between 1984 and 1992.
  • Evaluation of elbow joint mobility, postoperative complaints, and patient satisfaction.

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  • Focus on surgical treatment and its efficacy.

    • Main Results:

    • 87% of patients reported reduced pain post-surgery.
    • 83% of patients expressed satisfaction with the treatment results.
    • 23% of patients experienced a reduction in elbow joint motion.

    Conclusions:

    • Clinical examination is effective in differentiating posterior interosseous nerve syndrome from tennis elbow.
    • The diagnostic value of preoperative neurophysiological examination remains unclear.
    • Consideration of multiple compression sites is vital for complete decompression of the deep radial nerve.