OrthoProcedure - Radial Tunnel Decompression

Description

This video transcript discusses radial tunnel syndrome, a condition resulting from compression of the radial nerve in the forearm, characterized by dorsal forearm pain and other symptoms. The diagnosis can be complicated, as it presents overlapping signs with conditions like lateral epicondylitis. The video outlines the historical evolution of the understanding and treatment of radial tunnel syndrome since its initial description in 1956 and highlights a pivotal study from the late 1990s that challenged earlier optimistic findings about the efficacy of surgical decompression.



A specific case involving a 28-year-old man is presented. He suffers from chronic dorsal forearm and elbow pain aggravated by certain motions, has not found relief through conservative treatments, and responded well to corticosteroid injections at the radial tunnel site. Consequently, he was prepared for surgical decompression of the radial nerve.



The surgical process is meticulously outlined, including the preparation and marking of the incision, dissection to locate the nerve alongside the muscles, and detailed techniques for nerve decompression while avoiding damage to nearby structures. A canoe-like anatomy illustration is used to demonstrate critical landmarks during surgery, such as the radial nerve and its branches. Ultimately, after thorough decompression, the patient's recovery is highlighted three months post-operation, where he exhibits significant improvement and returns to normal activities.

DOI: 10.1302/3114-251015

Specialties