Radial Tunnel Syndrome, Diagnostic and Treatment Dilemma
Publish place: The Archives of Bone and Joint Surgery، Vol: 3، Issue: 3
Publish Year: 1394
نوع سند: مقاله ژورنالی
زبان: English
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شناسه ملی سند علمی:
JR_TABO-3-3_002
تاریخ نمایه سازی: 11 بهمن 1400
Abstract:
Radial tunnel syndrome is a disease which we should consider it in elbow and forearm pains. It is diagnosed with lateral elbow and dorsal forearm pain may radiate to the wrist and dorsum of the fingers. The disease is more prevalent in women with the age of ۳۰ to ۵۰ years old. It occurs by intermittent compression on the radial nerve from the radial head to the inferior border of the supinator muscle, without obvious extensor muscle weakness. Compression could happen in five different sites but the arcade of Frose is the most common area that radial nerve is compressed. To diagnosis radial tunnel syndrome, clinical examination is more important than paraclinic tests such as electrodiagnsic test and imaging studies. The exact site of the pain which can more specified by rule of nine test and weakness of the third finger and wrist extension are valuable physical exams to diagnosis. MRI studies my show muscle edema or atrophy along the distribution of the posterior interosseous nerve. Although non-surgical treatments such as rest, NSAIDs, injections and physiotherapy do not believe to have permanent relief, but it is justify undergoing them before surgery. Surgery could diminish pain and symptoms in ۶۷ to ۹۳ percents of patients completely.
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Authors
Ali Moradi
Hand and Upper Extremity Service, Massachusetts General Hospital, Department of Orthopaedic Surgery, Yawkey Center for Outpatient Care, ۵۵ Fruit Street, YAW- ۲-۲C, Boston, Massachusetts ۰۲۱۱۴
Mohammad Hosein Ebrahimzadeh
Department of Orthopedic Surgery, Orthopedic Research Center, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran
Jesse Jupiter
Hand and Upper Extremity Service, Massachusetts General Hospital, Department of Orthopaedic Surgery, Yawkey Center for Outpatient Care, ۵۵ Fruit Street, YAW- ۲-۲C, Boston, Massachusetts ۰۲۱۱۴
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