Naam Nash H, Nemani Sajjan
Plastic and Reconstructive Surgery, Southern Illinois Hand Center, Southern Illinois University, Effingham, IL 62401, USA.
Orthop Clin North Am. 2012 Oct;43(4):529-36. doi: 10.1016/j.ocl.2012.07.022.
Radial tunnel syndrome is a pain syndrome resulting from compression of the posterior interosseous nerve at the proximal forearm. It has no specific radiologic or electrodiagnostic findings. Treatment should be started conservatively; if not successful, surgical treatment is indicated. The posterior interosseous nerve may be explored through dorsal or anterior approaches. All the potential sites of entrapment should be released, including complete release of the superficial head of the supinator muscle. Surgical treatment is generally successful, but patients who have associated lateral epicondylitis or those who are involved in workers' compensation claims have less successful outcomes.
桡管综合征是一种因前臂近端骨间后神经受压引起的疼痛综合征。它没有特定的影像学或电诊断表现。治疗应首先采用保守方法；若不成功，则需进行手术治疗。可通过背侧或前侧入路探查骨间后神经。所有可能的卡压部位均应松解，包括完全松解旋后肌浅层。手术治疗通常是成功的，但伴有外侧上髁炎的患者或涉及工伤赔偿的患者，手术效果较差。
