Stanley John
Centre for Hand and Upper Limb Surgery, University of Manchester, Wrightington Hospital, Lancashire, UK.
J Hand Ther. 2006 Apr-Jun;19(2):180-4. doi: 10.1197/j.jht.2006.02.005.
Radial tunnel syndrome is relatively uncommon but is an important cause of lateral forearm pain. Clinical examination is a crucial part of the diagnosis with weakness of finger extension and local tenderness at the ligament of Frohse being the two most important. Surgical release of the superficial head of the supinator muscle and the division of the ligament of Frohse is usually successful in relieving the symptoms. Radial tunnel syndrome (supinator syndrome) can coexist with tennis elbow and cervical brachial neuritis. The diagnosis must be considered when there is atypical tennis elbow or de Quervain's tenovaginitis stenosans resistant to normal treatment. The relationship between radial tunnel syndrome and work remains unclear but repeated supination of the forearm combined with extension of the elbow appears to aggravate the symptoms. There is no scientific evidence to suggest a direct causal relationship between work practices and radial tunnel syndrome.
桡管综合征相对少见，但却是前臂外侧疼痛的重要原因。临床检查是诊断的关键部分，其中手指伸展无力和弗罗瑟韧带处局部压痛最为重要。旋后肌浅层手术松解及弗罗瑟韧带切断术通常能成功缓解症状。桡管综合征（旋后肌综合征）可与网球肘和颈臂神经炎并存。当出现非典型网球肘或对常规治疗耐药的桡骨茎突狭窄性腱鞘炎时，必须考虑该诊断。桡管综合征与工作之间的关系尚不清楚，但前臂反复旋后并伴有肘关节伸展似乎会加重症状。尚无科学证据表明工作方式与桡管综合征之间存在直接因果关系。
