[Radial tunnel syndrome/supinator lodge syndrome-neurolysis facilitating the anterolateral approach].

IF 1 4区医学 Q3 ORTHOPEDICS

Operative Orthopadie Und Traumatologie Pub Date : 2025-06-03 DOI:10.1007/s00064-025-00906-9

Florian Flock, F Unglaub, L P Müller, T Leschinger, Christian K Spies

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引用次数: 0

Abstract

Objective: Treatment of pain and hypaesthesia caused by radial tunnel syndrome and functional deficits caused by supinator lodge syndrome. The objective for chronic nerve compression is containment to prevent further damage.

Indications: Radial tunnel syndrome, supinator lodge syndrome, tumour compressing the nerve, unsuccessful conservative therapy for at least 6 weeks and up to 4-6 months.

Contraindications: Infection or skin disease at the surgical area, severe scarring from previous surgery, systemic diseases that prevent anaesthesia, and nerve entrapment outside the radial tunnel and supinator tunnel.

Surgical technique: Decompression of the radial nerve both by addressing the entrapments within the radial tunnel and incising the supinator tunnel facilitating the anterolateral approach via the internerval plane between the brachioradialis and brachialis muscles.

Postoperative management: Compressive dressing around the complete arm for 3 weeks.

Results: Radial tunnel syndrome (RTS) and supinator lodge syndrome are nerve compression syndromes of the radial nerve. Proximal compression may cause mixed symptoms with pain, sensory, and motor deficits, while distal compression may cause either sensory or motor deficits. If symptoms persist for 4-6 months, surgical decompression is recommended, whereby the anterolateral approach is preferred due to better healing results and extensibility. The success rate after surgical decompression averages between 67 and 92%.

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[桡骨隧道综合征/旋后肌移位综合征-神经松解促进前外侧入路]。

目的：治疗桡骨隧道综合征所致疼痛和感觉减退及旋后肌移位综合征所致功能障碍。慢性神经压迫的目的是防止进一步的损害。适应症：桡骨隧道综合征，旋后肌移位综合征，肿瘤压迫神经，保守治疗不成功至少6周，最长4-6个月。禁忌症：手术部位感染或皮肤疾病，既往手术留下的严重疤痕，阻止麻醉的全身性疾病，以及桡骨隧道和旋后肌隧道外的神经卡压。手术技术：通过桡神经隧道内的夹闭和切开旋后肌隧道来减压桡神经，通过肱桡肌和肱肌之间的神经间平面促进前外侧入路。术后处理：全臂加压包扎3周。结果：桡管综合征（RTS）和旋后肌移位综合征是桡神经压迫综合征。近端压迫可引起疼痛、感觉和运动缺陷的混合症状，而远端压迫可引起感觉或运动缺陷。如果症状持续4-6个月，建议进行手术减压，由于愈合效果和延伸性较好，首选前外侧入路。手术减压后的成功率平均在67 - 92%之间。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Operative Orthopadie Und Traumatologie ORTHOPEDICS-

CiteScore

2.10

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： Orthopedics and Traumatology is directed toward all orthopedic surgeons, trauma-tologists, hand surgeons, specialists in sports injuries, orthopedics and rheumatology as well as gene-al surgeons who require access to reliable information on current operative methods to ensure the quality of patient advice, preoperative planning, and postoperative care. The journal presents established and new operative procedures in uniformly structured and extensively illustrated contributions. All aspects are presented step-by-step from indications, contraindications, patient education, and preparation of the operation right through to postoperative care. The advantages and disadvantages, possible complications, deficiencies and risks of the methods as well as significant results with their evaluation criteria are discussed. To allow the reader to assess the outcome, results are detailed and based on internationally recognized scoring systems. Orthopedics and Traumatology facilitates effective advancement and further education for all those active in both special and conservative fields of orthopedics, traumatology, and general surgery, offers sup-port for therapeutic decision-making, and provides – more than 30 years after its first publication – constantly expanding and up-to-date teaching on operative techniques.