Surgical Treatment of Supinator Canal Syndrome
R. Kaiser; L. Houšťava; P. Haninec
Authors‘ workplace: Neurochirurgická klinika 3. LF UK a FN Královské Vinohrady, Praha
Published in: Cesk Slov Neurol N 2013; 76/109(5): 619-622
Category: Short Communication
Supinator canal syndrome, caused by compression of the deep branch of the radial nerve by the arcade of Frohse in the elbow, is rare. We present our experience with surgical treatment of four patients with this compressive neuropathy at our department between 2007 and 2010. This group accounted for 0.24% of non-traumatic nerve lesions of the upper extremities. Indication for surgery was based both on an EMG-confirmed nerve lesion and failure of conservative therapy. All patients had severe paresis of extensors on the forearm that improved after nerve deliberation. None of them, however, improved completely. This corresponds to international experience.
supinator canal syndrome – arcade of Frohse – compressive neuropathy
The authors declare they have no potential conflicts of interest concerning drugs, products, or services used in the study.
The Editorial Board declares that the manuscript met the ICMJE “uniform requirements” for biomedical papers.
1. Hazani R, Engineer NJ, Mowlavi A, Neumeister M, Lee WP, Wilhelmi BJ. Anatomic landmarks for the radial tunnel. Eplasty 2008; 8: e37.
2. Kim DH, Murovic JA, Kim YY, Kline DG. Surgical treatment and outcomes in 45 cases of posterior interosseous nerve entrapments and injuries. J Neurosurg 2006; 104(5): 766– 777.
3. Mackinnon SE, Dellon AL. Surgery of the Peripheral Nerve. New York: Thieme 1988.
4. Zvěřina E, Stejskal L. Poranění periferních nervů. Praha: Avicenum 1979.
5. Frohse F, Fränkel M. Die Muskeln des menschlichen Armes. In: von Bardeleben K (ed). Handbuch der Anatomie des Menschen, vol 2/ 2/ 2. Jena: Fischer 1908: 164– 165.
6. Spinner M. The arcade of Frohse and its relationship to posterior interosseous nerve paralysis. J Bone Joint Surg Br 1968; 50(4): 809– 812.
7. Clavert P, Lutz JC, Adam P, Wolfram‑ Gabel R, Liverneaux P, Kahn JL. Frohse’s arcade is not the exclusive compression site of the radial nerve in its tunnel. Orthop Traumatol Surg Res 2009; 95(2): 114– 118.
8. Ehler E, Latta J. Compression neuropathies as an occupational disease. Prakt Lék 2008; 88(9): 515– 520.
9. Stanley J. Radial tunnel syndrome: a surgeon’s perspective. J Hand Ther 2006; 19(2): 180– 184.
10. Seddon HJ. Peripheral Nerve Injuries. London: HM Stationery Office 1954.
11. Barnum M, Mastey RD, Weiss AC, Akelman E. Radial tunnel syndrome. Hand Clin 1996; 12(4): 679– 689.
12. Riffaud L, Morandi X, Godey B, Brassier G, Guegan Y, Darnault P et al. Anatomic bases for the compression and neurolysis of the deep branch of the radial nerve in the radial tunnel. Surg Radiol Anat 1999; 21(4): 229– 233.
13. Jou IM, Wang HN, Wang PH, Yong IS, Su WR. Compression of the radial nerve at the elbow by a ganglion: two case reports. J Med Case Rep 2009; 3: 7258.
14. Daurka J, Chen A, Akhtar K, Kamineni S. Tardy posterior interosseous nerve palsy associated with radial head fracture: a case report. Cases J 2009; 2(1): 22.
15. White SH, Goodfellow JW, Mowat A. Posterior interosseous nerve palsy in rheumatoid arthritis. J Bone Joint Surg Br 1988; 70(3): 468– 471.
16. Smola C. About the problem of radial tunnel syndrome or „where does the tennis elbow end and where does the radial tunnel syndrome begin?“. Handchir Mikrochir Plast Chir 2004; 36(4): 241– 245.
17. Leppilahti J, Raatikainen T, Pienimäki T, Hänninen A, Jalovaara P. Surgical treatment of resistant tennis elbow. A prospective, randomised study comparing decompression of the posterior interosseous nerve and lengthening of the tendon of the extensor carpi radialis brevis muscle. Arch Orthop Trauma Surg 2001; 121(6): 329– 332.
18. Kalb K, Gruber P, Landsleitner B. Compression syndrome of the radial nerve in the area of the supinator groove. Experiences with 110 patients. Handchir Mikrochir Plast Chir 1999; 31(5): 303– 310.
LabelsPaediatric neurology Neurosurgery Neurology
Article was published in
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