Ultrasound-Guided Hydraulic Release Associated With Corticosteroids in Radial Tunnel Syndrome: Description of Technique and Preliminary Clinical Results

J Ultrasound Med. 2020 Jan;39(1):165-168. doi: 10.1002/jum.15085. Epub 2019 Jul 3.

Abstract

The aim of this study was to describe a perineural ultrasound-guided infiltration technique for management of radial tunnel syndrome and to report its preliminary results in 54 patients. A mixture of a saline solution, a local anesthetic, and a corticosteroid solution was infiltrated in the perineural region at the arcade of Frohse. Pain was reported in 100% of patients before the procedure versus 1.9% after the procedure. Scratch collapse and Cozen test results were positive in 98.1% and 66.7% of patients before infiltration, respectively, versus 5.6% and 9.2% after infiltration. All variables had statistically significant differences between preprocedure and postprocedure evaluations (P < .01).

Keywords: interventional radiology; musculoskeletal ultrasound; posterior interosseus nerve; ultrasound-guided infiltration.

MeSH terms

  • Adrenal Cortex Hormones / administration & dosage
  • Adrenal Cortex Hormones / therapeutic use*
  • Anesthetics, Local / administration & dosage
  • Anesthetics, Local / therapeutic use*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Radial Nerve / diagnostic imaging
  • Radial Neuropathy / diagnostic imaging
  • Radial Neuropathy / drug therapy*
  • Retrospective Studies
  • Saline Solution / administration & dosage
  • Saline Solution / therapeutic use*
  • Syndrome
  • Treatment Outcome
  • Ultrasonography, Interventional / methods*

Substances

  • Adrenal Cortex Hormones
  • Anesthetics, Local
  • Saline Solution