[ÆȲÞÄ¡] ¿ä°ñ°üÁõÈıº(radial tunnel syndrome) ÃÊÀ½ÆÄ°Ë»ç ¼Ò°ß | |||
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ÀÛ¼ºÀÚ : °ü¸®ÀÚ(khu3265442@naver.com) ÀÛ¼ºÀÏ : 2014-08-09 Á¶È¸¼ö : 3883 | |||
ÆÄÀÏ÷ºÎ : | |||
Radial tunnel syndrome - same nerve is being compressed in the same location in RTS. only pain, discomfort and - large myelinated fiber(group IIB), unmyelinated(group IV, c-fiber), small myelinated(group IIa) * symptoms and signs - pain distal to lateral epicondyle, tenderness over radial tunnel along the path of PIN, - pain worsened by extending elbow, pronating forearm and flexing wrist - pain with resisted active supination or wrist extension - pain with active supination against resistance - pain with resisted middle finger extension at metacarpophalangeal joint, induce cocontraction of ECRB * neurological deficit, local tenderness at mobile wad * pain disappears after instilling local anaesthetic at the site of entry of PIN * Electrodiagnostic studies : normal * differential diagnosis: lateral epicondylitis, osteoarthritis of radial capitellar joint, * management - conservative : rest and splinting, avoid provocative postures, injection of local steroids - surgical decompression |
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