Universität zu Köln

Spies, C. K., Mueller, L. P., Oppermann, J., Neiss, W. F., Hahn, P. and Unglaub, F. (2016). Surgical decompression of the superficial radial nerve. Oper. Orthopade Traumatol., 28 (2). S. 145 - 153. MUNICH: URBAN & VOGEL. ISSN 1439-0981

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Abstract

Objective. Open decompression of the superficial radial nerve is performed at the distal forearm in cases of circumscript entrapment. Broad-based entrapments can be treated by endoscopically assisted decompression. Indications. Entrapment of the nerve along its course between the brachioradialis and extensor carpi radialis longus muscles or tendons. Persistent neuropathic pain with Tinel's sign. Numbness distal to the entrapment in accordance to nerval innervation. Futile conservative treatment. Pathological electrophysiological findings. Contraindications. Endogeneous neuropathy, bleeding disorders, anticoagulation medication. Surgical technique. Longitudinal skin incision at the Tinel's sign at the forearm. The subcutaneous tissue is dissected until forearm fascia is detected. The fascia is opened cautiously under direct visualization and the superficial radial nerve is identified. In cases of broad-based entrapments, endoscopically assisted decompression can be performed. The dissector with attached optical device is introduced proximally and distally. Blunt mobilization using the dissector and preparation with the Metzenbaum scissors release the superficial radial nerve sufficiently. Postoperative management. Bandaging allowing immediate motion, removal of sutures after 14 days, avoidance of excessive use for 2 weeks. Results. Surgical decompression of the superficial radial nerve yields good to excellent results regarding pain reduction and sensory function.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Spies, C. K. UNSPECIFIED UNSPECIFIED UNSPECIFIED Mueller, L. P. UNSPECIFIED UNSPECIFIED UNSPECIFIED Oppermann, J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Neiss, W. F. UNSPECIFIED UNSPECIFIED UNSPECIFIED Hahn, P. UNSPECIFIED UNSPECIFIED UNSPECIFIED Unglaub, F. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-279951
DOI:	10.1007/s00064-015-0431-7
Journal or Publication Title:	Oper. Orthopade Traumatol.
Volume:	28
Number:	2
Page Range:	S. 145 - 153
Date:	2016
Publisher:	URBAN & VOGEL
Place of Publication:	MUNICH
ISSN:	1439-0981
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language ENDOSCOPIC DECOMPRESSION; WARTENBERGS-SYNDROME; TUNNEL-SYNDROME; BRANCH; WRIST; ENTRAPMENT; NEUROPATHY; RELEASE Multiple languages Orthopedics Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/27995