Radial Nerve Entrapment at the Elbow

Vögelin, Esther; Bignion, Dietmar; Leclère, Franck; Celli, Andrea; Bonucci, PierLugi; de Luise, Guglielmo (2019). Radial Nerve Entrapment at the Elbow. In: Bain, Gregory; Eygendaal, Denise; van Riet, Roger P. (eds.) Surgical Techniques for Trauma and Sports Related Injuries of the Elbow (pp. 763-767). Berlin, Heidelberg: Springer 10.1007/978-3-662-58931-1_104

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Radial nerve injuries, at different levels, have been reported in swimming, tennis, golf, weight lifting, and several kinds of throwing sports. The mechanisms of injury include direct trauma and compression injuries. Radial tunnel syndrome is an uncommon pathology. However 5–8% of patients with chronic lateral epicondylitis have involvement of the posterior interosseous nerve (Celli et al. Treatment of elbow lesions. Spinger 281–297, 2008).

It is important to differentiate the two clinical syndromes related to the radial nerve.

The radial tunnel syndrome (RTS) is a compression of the radial nerve in a potential space four fingerbreadths long, located along the anterior aspect of the proximal radius, whereas the posterior interosseous nerve (PIN) syndrome relates to a compression of the PIN, with weakness of its muscles. There is weakness of extension of all of the digits, with sparing of the extensor carpi radialis brevis (ECRB).

The proximal radial nerve compression sites include fibrous bands between brachial and brachioradialis muscle anterior to the radiocapitellar joint, recurrent radial vessels (leash of Henry) at the radial neck, bands at the medial proximal edge of ECRB muscle or at the Frohse arcade (proximal edge of the superficial portion of the supinator muscle), as well as at the distal edge of the supinator muscle. The most common site includes membranous or tendinous fibers of the proximal edge of the supinator muscle. Surgery indicated if clinical symptoms of radial nerve entrapment despite conservative treatment persist.

Item Type:

Book Section (Book Chapter)

Division/Institute:

04 Faculty of Medicine > Department of Orthopaedic, Plastic and Hand Surgery (DOPH) > Clinic of Plastic and Hand Surgery
04 Faculty of Medicine > Department of Orthopaedic, Plastic and Hand Surgery (DOPH) > Clinic of Plastic and Hand Surgery > Hand Surgery

UniBE Contributor:

Vögelin, Esther; Bignion, Dietmar and Leclère, Franck-Marie Patrick

Subjects:

600 Technology > 610 Medicine & health

ISBN:

978-3-662-58931-1

Publisher:

Springer

Language:

English

Submitter:

Veronika Picha

Date Deposited:

05 Dec 2019 10:52

Last Modified:

06 Dec 2019 01:33

Publisher DOI:

10.1007/978-3-662-58931-1_104

URI:

https://boris.unibe.ch/id/eprint/135901

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