Otero Villaverde S, Formigo Couceiro J, Martin Mourelle R, Alonso Bidegain M
Servicio de Rehabilitación, Complexo Hospitalario Universitario A Coruña, A Coruña, España.
Servicio de Rehabilitación, Complexo Hospitalario Universitario A Coruña, A Coruña, España.
Rehabilitacion (Madr). 2021 Apr-Jun;55(2):153-156. doi: 10.1016/j.rh.2019.11.001. Epub 2020 Oct 14.
The radial nerve has a long and sinuous course in the upper limb from the axilla to the hand and fingers. There are several possible areas of compression along this trajectory, the most frequent being on the Arcade of Frohse, with entrapment of its terminal nerve, the posterior interosseous nerve. We report the case of a patient with radial nerve entrapment in the spiral groove and describe how ultrasound and nerve blocks could be useful in diagnosis and treatment. In our patient, nerve block at the main radial nerve in the spiral groove was insufficient. A second nerve block was needed in the inferior lateral cutaneous nerve of the arm to achieve an optimal clinical result.
桡神经在上肢从腋窝到手和手指走行漫长且蜿蜒曲折。沿此路径有几个可能的受压部位，最常见的是在弗罗瑟弓处，其终末神经即骨间后神经会在此处受压。我们报告一例桡神经在螺旋沟处受压的病例，并描述超声和神经阻滞在诊断和治疗中如何发挥作用。在我们的患者中，在螺旋沟处对桡神经主干进行神经阻滞并不充分。需要在臂外侧下皮神经处进行第二次神经阻滞才能取得最佳临床效果。
