Endoscopically assisted proximal radial nerve decompression: surgical technique

Neurochirurgie. 2015 Feb;61(1):30-4. doi: 10.1016/j.neuchi.2014.11.005. Epub 2015 Jan 31.

Abstract

State of the art: The proximal radial nerve compression syndrome includes supinator syndrome and proximal radial nerve constrictions. This article presents a new endoscopic assisted radial nerve decompression surgical technique described for the first time by Leclère et al. in 2013.

Surgical technique: Endoscopic scissor decompression of the proximal radial nerve is always performed under plexus anaesthesia. It includes 8 key steps documented in this article. We review the indications and limitations of the surgical technique.

Conclusion: Early clinical results after endoscopic assisted decompression of the radial nerve appear excellent. However, they still need to be compared with conventional techniques. Clinical studies are likely to widely develop because of the mini-invasive nature of this new surgical technique.

Keywords: Compression nerveuse; Endoscopie; Endoscopy; Hourglass-like constrictions; Nerve compression; Nerve constriction; Supinator syndrome; Syndrome canalaire; Syndrome supinateur.

MeSH terms

  • Anesthesia, Conduction
  • Brachial Plexus
  • Decompression, Surgical / methods*
  • Endoscopy / methods*
  • Forearm / surgery
  • Humans
  • Nerve Compression Syndromes / surgery*
  • Neurosurgical Procedures / methods*
  • Postoperative Care
  • Radial Nerve / surgery*
  • Radial Neuropathy / surgery*
  • Treatment Outcome