Moraes Marco Aurélio DE, Gonçalves Rubens Guilherme, Santos João Baptista Gomes Dos, Belloti João Carlos, Faloppa Flávio, Moraes Vinícius Ynoe DE
. Universidade de São Paulo, Escola Paulista de Medicina, Department of Orthopedics and Traumatology, São Paulo, SP, Brazil.
Acta Ortop Bras. 2017 Jan-Feb;25(1):52-54. doi: 10.1590/1413-785220172501164801.
Compressive syndromes of the radial nerve have different presentations. There is no consensus on diagnostic and therapeutic methods. The aim of this review is to summarize such methods. Eletronic searches related terms, held in databases (1980-2016): Pubmed (via Medline), Lilacs (via Scielo) and Google Scholar. Through pre-defined protocol, we identified relevant studies. We excluded case reports. Aspects of diagnosis and treatment were synthesized for analysis and tables. Quantitative analyzes were followed by their dispersion variables. Fourteen studies were included. All studies were considered as level IV evidence. Most studies consider aspects of clinical history and provocative maneuvers. There is no consensus on the use of electromyography, and methods are heterogeneous. Studies have shown that surgical treatment (muscle release and neurolysis) has variable success rate, ranging from 20 to 96.5%. Some studies applied self reported scores, though the heterogeneity of the population does not allow inferential analyzes on the subject. few complications reported. Most studies consider the diagnosis of compressive radial nerve syndromes essentially clinical. The most common treatment was combined muscle release and neurolysis, with heterogeneous results. There is a need for comparative studies
桡神经压迫综合征有不同的表现形式。对于其诊断和治疗方法尚无共识。本综述的目的是总结这些方法。在数据库（1980 - 2016年）中进行电子检索相关术语：PubMed（通过Medline）、Lilacs（通过Scielo）和谷歌学术。通过预定义方案，我们确定了相关研究。我们排除了病例报告。对诊断和治疗方面进行综合分析并制成表格。定量分析之后是其离散变量。纳入了14项研究。所有研究均被视为IV级证据。大多数研究考虑了临床病史和激发试验等方面。在肌电图的使用上没有共识，且方法各异。研究表明手术治疗（肌肉松解和神经松解）的成功率各不相同，范围在20%至96.5%之间。一些研究应用了自我报告评分，但人群的异质性不允许对该主题进行推断性分析。报告的并发症较少。大多数研究认为桡神经压迫综合征的诊断主要基于临床。最常见的治疗方法是肌肉松解和神经松解相结合，结果各异。需要进行比较研究
