[RADIAL TUNNEL SYNDROME]

Harefuah. 2023 Mar;162(3):152-156.
[Article in Hebrew]

Abstract

The radial tunnel syndrome (RTS) is an entrapment of the radial nerve in the forearm. It is characterized by pain focused on the trapping area in the proximal forearm as well as pain radiated down the forearm. The syndrome is more common in men and in our estimation, there is a circumstantial connection to the continuous use of the computer keyboard. Radial tunnel syndrome is a consequence of nerve entrapment in the tunnel, which is formed from a covering consisting of the supinator muscle and the distal margins of this muscle. There is a clear association between radial tunnel syndrome and the occurrence of tennis elbow. The sensitivity in nearby locations along with the lack of familiarity of some of the clinicians with RTS lead to misdiagnosis and therefore, even to mistreatment in some cases. The physical examination is the most important means of making the correct diagnosis. The treatment of radial tunnel syndrome is divided into the conservative one in which emphasis is placed on physiotherapy and mobilizations of the nerve and the surgical one during which decompression of the radial canal is performed and in fact release of pressure at the exact anatomical location.

Publication types

  • English Abstract

MeSH terms

  • Elbow
  • Humans
  • Male
  • Nerve Compression Syndromes* / diagnosis
  • Nerve Compression Syndromes* / etiology
  • Nerve Compression Syndromes* / surgery
  • Pain
  • Radial Nerve / surgery
  • Radial Neuropathy* / diagnosis
  • Radial Neuropathy* / etiology
  • Radial Neuropathy* / therapy
  • Tennis Elbow* / diagnosis
  • Tennis Elbow* / surgery