Shojaie Parham, Botchu Rajesh, Iyengar Karthikeyan, Drakonaki Elena, Sharma Gaurav Kant
Medical School, Aston Medical School, Aston, United Kingdom.
Department of Musculoskeletal Radiology, Royal Orthopedic Hospital, Birmingham, United Kingdom.
J Ultrason. 2023 Sep 11;23(94):e165-e169. doi: 10.15557/jou.2023.0026. eCollection 2023 Sep.
To describe the sonographic appearance of pronator teres syndrome and the role of ultrasound-guided hydrodissection for its management.
Pronator teres syndrome is a well-known compressive neuropathy of the median nerve between the two heads of pronator teres. However, the clinical presentation of this syndrome can be indolent with vague pain at the proximal volar forearm leading to a delay in diagnosis. We describe our experience in the management of pronator teres syndrome in a healthy young badminton player with ultrasound-guided median nerve hydrodissection. We highlight the clinical presentation, the role of dynamic Ultrasound scan (USS) in the diagnosis and effective treatment of pronator teres syndrome.
In conclusion, managing PTS can be challenging, and this case highlights the importance of ultrasound-guided hydrodissection, when conservative measures have failed to improve the symptoms. Further studies are required to assess and compare the long-term outcomes of these interventions.
描述旋前圆肌综合征的超声表现以及超声引导下液压分离术在其治疗中的作用。
旋前圆肌综合征是一种众所周知的正中神经在旋前圆肌两头之间受压的神经病变。然而，该综合征的临床表现可能较为隐匿，在前臂掌侧近端有模糊疼痛，导致诊断延迟。我们描述了在一名健康年轻羽毛球运动员中应用超声引导下正中神经液压分离术治疗旋前圆肌综合征的经验。我们强调了临床表现、动态超声扫描（USS）在旋前圆肌综合征诊断和有效治疗中的作用。
总之，治疗旋前圆肌综合征可能具有挑战性，本病例突出了在保守措施未能改善症状时超声引导下液压分离术的重要性。需要进一步研究来评估和比较这些干预措施的长期效果。
