Radial tunnel syndrome-diagnosis and treatment

Radial tunnel syndrome is defined as intermittent compression of the deep branch of the radial nerve through the borders of the radial tunnel. This is one of the diagnosis in the spectrum of the causes for lateral elbow pain. The condition is associated with pain in the area of radial nerve compress...

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Main Authors: Ivona Kocheva, Georgi Ganchev, Dimitar Raikov
Format: Article
Language:English
Published: Bulgarian Orthopaedics and Trauma Association 2023-12-01
Series:Journal of the Bulgarian Orthopaedics and Trauma Association
Subjects:
Online Access:https://jbota.org/index.php/jbota/article/view/104
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author Ivona Kocheva
Georgi Ganchev
Dimitar Raikov
author_facet Ivona Kocheva
Georgi Ganchev
Dimitar Raikov
author_sort Ivona Kocheva
collection DOAJ
description Radial tunnel syndrome is defined as intermittent compression of the deep branch of the radial nerve through the borders of the radial tunnel. This is one of the diagnosis in the spectrum of the causes for lateral elbow pain. The condition is associated with pain in the area of radial nerve compression which is located in most of the cases at the entrance of the nerve in the arcade of Frohse. The clinical examination is of utmost importance for determination of the diagnosis. . The standard static electromyography can’t record the intermittent compression of the nerve and it is not sensitive for the injury of the unmyelinated fibers (C-type) which is the main source of the pain. The goals of the treatment of RTS are to eliminate the pain and to encourage the patients to return to their routine activities. A trial of nonsurgical treatment is warrant in all the patients. In the cases with no respond to the conservative methods we advocate for surgical decompression of the nerve.
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spelling doaj.art-47f9486dbc04442dafcaa2f1fe33af3a2024-03-15T19:52:06ZengBulgarian Orthopaedics and Trauma AssociationJournal of the Bulgarian Orthopaedics and Trauma Association0473-43782815-37152023-12-01600310.58542/jbota.v60i03.104Radial tunnel syndrome-diagnosis and treatmentIvona Kocheva0Georgi Ganchev1Dimitar Raikov2Department of Orthopedics and Traumatology, MHAT “Maichin dom”, Varna, BulgariaDepartment of Orthopedics and Traumatology, MHAT “Maichin dom”, Varna, BulgariaClinic of Orthopedics and Traumatology, UMHAT “St. Marina”, Varna, BulgariaRadial tunnel syndrome is defined as intermittent compression of the deep branch of the radial nerve through the borders of the radial tunnel. This is one of the diagnosis in the spectrum of the causes for lateral elbow pain. The condition is associated with pain in the area of radial nerve compression which is located in most of the cases at the entrance of the nerve in the arcade of Frohse. The clinical examination is of utmost importance for determination of the diagnosis. . The standard static electromyography can’t record the intermittent compression of the nerve and it is not sensitive for the injury of the unmyelinated fibers (C-type) which is the main source of the pain. The goals of the treatment of RTS are to eliminate the pain and to encourage the patients to return to their routine activities. A trial of nonsurgical treatment is warrant in all the patients. In the cases with no respond to the conservative methods we advocate for surgical decompression of the nerve. https://jbota.org/index.php/jbota/article/view/104radial tunnel syndromedeep branch of radial nervelateral elbow painintermittent compressionarcade of Frohsescratch collapse test
spellingShingle Ivona Kocheva
Georgi Ganchev
Dimitar Raikov
Radial tunnel syndrome-diagnosis and treatment
Journal of the Bulgarian Orthopaedics and Trauma Association
radial tunnel syndrome
deep branch of radial nerve
lateral elbow pain
intermittent compression
arcade of Frohse
scratch collapse test
title Radial tunnel syndrome-diagnosis and treatment
title_full Radial tunnel syndrome-diagnosis and treatment
title_fullStr Radial tunnel syndrome-diagnosis and treatment
title_full_unstemmed Radial tunnel syndrome-diagnosis and treatment
title_short Radial tunnel syndrome-diagnosis and treatment
title_sort radial tunnel syndrome diagnosis and treatment
topic radial tunnel syndrome
deep branch of radial nerve
lateral elbow pain
intermittent compression
arcade of Frohse
scratch collapse test
url https://jbota.org/index.php/jbota/article/view/104
work_keys_str_mv AT ivonakocheva radialtunnelsyndromediagnosisandtreatment
AT georgiganchev radialtunnelsyndromediagnosisandtreatment
AT dimitarraikov radialtunnelsyndromediagnosisandtreatment