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International Orthopaedics
Published in: International Orthopaedics 10/2014

01-10-2014 | Original Paper

Radial tunnel syndrome: results of surgical decompression by a postero-lateral approach

Authors: Clarisa Simon Perez, Belén García Medrano, Jose Ignacio Rodriguez Mateos, Begoña Coco Martin, Omar Faour Martin, Miguel Angel Martin Ferrero

Published in: International Orthopaedics | Issue 10/2014

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Abstract

Purpose

Our purpose is to describe the results obtained in surgical treatment of a series of patients with symptoms of radial tunnel syndrome.

Methods

We performed a prospective study on 42 patients (43 limbs) operated for radial tunnel syndrome between 1996 and 2010, using a posterior-external approach.

Results

Using the Roles and Maudsley criteria, 21 patients had excellent results (48.8%), 16 good (37.2%) and six fair results (13.9%). Most patients were satisfied with the surgery, reporting symptom relief and improved functionality.

Conclusions

Radial tunnel syndrome consists of intermittent compression of the posterior interosseous nerve in the forearm, with pain and functional disability of the forearm, without motor or sensory electromyogram alterations. Because it is often confused with enthesitis of the epicondyle muscle insertions (an entity often occurring simultaneously), differential diagnosis is necessary with treatment-resistant epicondylitis. The most effective treatment is surgical, releasing all possible nerve compression sites.
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Metadata
Title
Radial tunnel syndrome: results of surgical decompression by a postero-lateral approach
Authors
Clarisa Simon Perez
Belén García Medrano
Jose Ignacio Rodriguez Mateos
Begoña Coco Martin
Omar Faour Martin
Miguel Angel Martin Ferrero
Publication date
01-10-2014
Publisher
Springer Berlin Heidelberg
Published in
International Orthopaedics / Issue 10/2014
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-014-2441-8

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