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Moradi A, Ebrahimzadeh MH, Jupiter JB. Radial Tunnel Syndrome, Diagnostic and Treatment Dilemma. Arch Bone Jt Surg. 2015;3(3):156-62
Moradi, A., Ebrahimzadeh, M. H., & Jupiter, J. B. (2015). Radial Tunnel Syndrome, Diagnostic and Treatment Dilemma. The archives of bone and joint surgery, 3(3), 156-62.
Moradi, Ali, et al. "Radial Tunnel Syndrome, Diagnostic and Treatment Dilemma." The archives of bone and joint surgery vol. 3,3 (2015): 156-62.
Moradi A, Ebrahimzadeh MH, Jupiter JB. Radial Tunnel Syndrome, Diagnostic and Treatment Dilemma. Arch Bone Jt Surg. 2015 Jul;3(3):156-62. PMID: 26213698; PMCID: PMC4507067.
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Arch Bone Jt Surg. 2015 Jul;3(3):156-62.

Radial Tunnel Syndrome, Diagnostic and Treatment Dilemma.

The archives of bone and joint surgery

Ali Moradi, Mohammad H Ebrahimzadeh, Jess B Jupiter

Affiliations

  1. Hand and Upper Extremity Service, Massachusetts General Hospital, Department of Orthopaedic Surgery, Yawkey Center for Outpatient Care, 55 Fruit Street, YAW-2-2C, Boston, Massachusetts 02114.

PMID: 26213698 PMCID: PMC4507067

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 30 to 50 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 67 to 93 percents of patients completely.

Keywords: Diagnosis; Radial Tunnel Syndrome; Treatment

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