Khoury Ayman, Gannot Gil, Oron Amir
Department of Orthopedic Surgery, Hand Surgery Unit, Kaplan Medical Center, Rehovot, Israel.
Harefuah. 2023 Mar;162(3):152-156.
The radial tunnel syndrome (RTS) is an entrapment of the radial nerve in the forearm. It is characterized by pain focused on the trapping area in the proximal forearm as well as pain radiated down the forearm. The syndrome is more common in men and in our estimation, there is a circumstantial connection to the continuous use of the computer keyboard. Radial tunnel syndrome is a consequence of nerve entrapment in the tunnel, which is formed from a covering consisting of the supinator muscle and the distal margins of this muscle. There is a clear association between radial tunnel syndrome and the occurrence of tennis elbow. The sensitivity in nearby locations along with the lack of familiarity of some of the clinicians with RTS lead to misdiagnosis and therefore, even to mistreatment in some cases. The physical examination is the most important means of making the correct diagnosis. The treatment of radial tunnel syndrome is divided into the conservative one in which emphasis is placed on physiotherapy and mobilizations of the nerve and the surgical one during which decompression of the radial canal is performed and in fact release of pressure at the exact anatomical location.
桡管综合征（RTS）是桡神经在前臂的一种卡压性疾病。其特征为前臂近端卡压部位的疼痛以及沿前臂放射的疼痛。该综合征在男性中更为常见，据我们估计，它与持续使用电脑键盘存在间接关联。桡管综合征是神经在由旋后肌及其远端边缘构成的覆盖物所形成的管道中被卡压的结果。桡管综合征与网球肘的发生之间存在明确关联。附近部位的敏感性以及一些临床医生对RTS缺乏了解导致误诊，甚至在某些情况下造成误治。体格检查是做出正确诊断的最重要手段。桡管综合征的治疗分为保守治疗，即着重进行物理治疗和神经松动，以及手术治疗，即在手术中对桡管进行减压，实际上是在精确的解剖位置释放压力。
