Document Type : Case Series
Authors
Kerman Neuroscience research center, Kerman University of medical sciences, Orthopedics Department, Shahid Bahonar Hospital, Kerman, Iran
Abstract
Introduction: Radial tunnel syndrome is an uncommon compression neuropathy of upper limb, for which surgical treatment is frequently necessary.
Methods: Between 2010 and 2023, 83 patients underwent surgery for this condition by a single surgeon, if they failed to respond to conservative treatment. Diagnosis was based on clinical examination and electrodiagnostic findings. We could find 47 of them in 2024, a mean follow up of about 5 years (55.53±5.48 months).
Results: The mean age of the patients was 31.85±5.48 years. One major complication, an iatrogenic nerve injury and 3 minor ones were observed. One patient failed to respond to surgery at all. 35 were symptom free. All others had improved significantly, but 11 had some degrees of residual pain and discomfort, though none had undergone repeat surgery.
Among the patients who were successfully followed, no patient had experienced recurrence of symptoms. One patient, with new symptoms, underwent surgery for cervical disc herniation one year after initial surgery. So, there were 35 (75%) excellent results, 7 (15%) good, 4 (8%) fair and 1 (2%) poor result.
Conclusion: In our experience surgery was very successful for this condition, but one must consider many other aspects of the disease, too.
Keywords
- Radial Neuropathies
- Peripheral Nerve Compression Syndromes
- Nerve Decompression
- Peripheral Nerve Injuries
- Upper Extremity
Main Subjects
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