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Endoscopically Assisted Decompression of Radial Nerve

  • Esther VögelinEmail author
  • Dietmar Bignion
  • Franck Leclère
Chapter

Abstract

Using an endoscopically assisted technique, we are able to identify all possible compression sites and where required to release them. The entry point, located 5 cm proximal of the radial humeral epicondyle between the brachioradialis/brachialis and triceps muscle, allows endoscopic exposure of the superficial and deep radial nerve branches distal of the elbow as well as the radial nerve proximal of the elbow. From this entry point, the radial nerve can be followed proximally to the spiral groove until the radial nerve disappears around the humerus. The superficial branch and the posterior interosseous nerve can be followed distally, 3–4 cm distal of the anterior elbow crease from a second incision. This forearm portal can be created by incising the skin over the transilluminated light. The scope can then be introduced at this level, and the radial nerve (superficial radial nerve and PIN) may be followed distally to the supinator muscle.

Keywords

Decompression Radial nerve Superficial radial nerve (SBRN) Posterior interosseous nerve (PIN) 

Notes

Acknowledgments

Declaration of Conflict of Interest: The authors declare that they have no conflicts of interest concerning this article.

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Supplementary material

Video 107.1

Release of radial nerve at the supinator muscle (MOV 8763 kb)

Video 107.2

Release of radial nerve and compression signs of the branch of ECRB after release (MPG 7411 kb)

References

  1. 1.
    Leclère FM, Bignion D, Franz T, Mathys L, Vögelin E. Endoscopically assisted nerve decompression of rare nerve compression syndromes at the upper extremity. Arch Orthop Trauma Surg. 2013;133:575–82.CrossRefGoogle Scholar
  2. 2.
    Leclère FM, Bignion D, Franz T, Mathys L, Klimsa C, Vögelin E. Endoscopically assisted proximal radial nerve decompression: surgical technique. Neurochirurgie. 2015;61(1):30–4.CrossRefGoogle Scholar

Copyright information

© ISAKOS 2020

Authors and Affiliations

  • Esther Vögelin
    • 1
    Email author
  • Dietmar Bignion
    • 1
  • Franck Leclère
    • 1
  1. 1.Department of Plastic and Hand SurgeryUniversity of Bern, InselspitalBernSwitzerland

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