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Establishing the diagnosis of radial tunnel syndrome: a systematic review of published clinical series.
Hones, Keegan M; Cueto, Robert J; Ndjonko, Laura C; Raymond, Brittany T; Buchanan, Timothy R; Aibinder, William R; Srinivasan, Ramesh C; Wright, Thomas W; King, Joseph J; Hao, Kevin A.
Afiliación
  • Hones KM; Department of Orthopaedic Surgery and Sports Medicine, University of Florida, 3450 Hull Road, Gainesville, FL, 32611, USA.
  • Cueto RJ; College of Medicine, University of Florida, Gainesville, FL, USA.
  • Ndjonko LC; Weinberg College of Arts and Sciences, Northwestern University, Evanston, IL, USA.
  • Raymond BT; Department of Orthopaedic Surgery and Sports Medicine, University of Florida, 3450 Hull Road, Gainesville, FL, 32611, USA.
  • Buchanan TR; College of Medicine, University of Florida, Gainesville, FL, USA.
  • Aibinder WR; Department of Orthopaedic Surgery, University of Michigan, Ann Arbor, MI, USA.
  • Srinivasan RC; The Hand and Upper Extremity Center of San Antonio, San Antonio, TX, USA.
  • Wright TW; Department of Orthopaedic Surgery and Sports Medicine, University of Florida, 3450 Hull Road, Gainesville, FL, 32611, USA.
  • King JJ; Department of Orthopaedic Surgery and Sports Medicine, University of Florida, 3450 Hull Road, Gainesville, FL, 32611, USA. kingjj@ortho.ufl.edu.
  • Hao KA; College of Medicine, University of Florida, Gainesville, FL, USA.
Eur J Orthop Surg Traumatol ; 34(6): 2813-2821, 2024 Aug.
Article en En | MEDLINE | ID: mdl-38782802
ABSTRACT

PURPOSE:

Radial tunnel syndrome (RTS) is a controversial diagnosis due to non-specific exam findings and frequent absence of positive electromyography (EMG) and nerve conduction study (NCS) findings. The purpose of this study was to identify the methods used to diagnose RTS in the literature.

METHODS:

We queried PubMed, Embase, Web of Science, and Cochrane databases per PRISMA guidelines. Extracted data included article and patient characteristics, diagnostic assessments utilized and their respective findings, and treatments. Objective data were summarized descriptively. The relationship between reported diagnostic findings (i.e., physical exam and diagnostic tests) and treatments was assessed via a descriptive synthesis.

RESULTS:

Our review included 13 studies and 391 upper extremities. All studies utilized physical exam in diagnosing RTS; most commonly, patients had tenderness over the radial tunnel (381/391, 97%). Preoperative EMG/NCS was reported by 11/13 studies, with abnormal findings in 8.9% (29/327) of upper extremities. Steroid and/or lidocaine injection for presumed lateral epicondylitis was reported by 9/13 studies (46/295 upper extremities, 16%), with RTS being diagnosed after patients received little to no relief. It was also common to inject the radial tunnel to make the diagnosis (218/295, 74%). The most common reported intraoperative finding was narrowing of the PIN (38/137, 28%). The intraoperative compressive site most commonly reported was the arcade of Frohse (142/306, 46%).

CONCLUSIONS:

There is substantial heterogeneity in modalities used to diagnose RTS and the reported definition of RTS. This, in conjunction with many patients having concomitant lateral epicondylitis, makes it difficult to compare treatment outcomes for RTS. LEVEL OF EVIDENCE Level III. Systematic review of retrospective and prospective cohort studies.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neuropatía Radial / Electromiografía / Conducción Nerviosa Límite: Humans Idioma: En Revista: Eur J Orthop Surg Traumatol Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Francia
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neuropatía Radial / Electromiografía / Conducción Nerviosa Límite: Humans Idioma: En Revista: Eur J Orthop Surg Traumatol Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Francia