Radial tunnel syndrome: Diagnostic and treatment algorithm

Volume 6 | Issue 1 | Jan-April 2018 | Page 14-17 | Monish Malhotra, Anil K Bhat, Ashwath Acharya

Authors: Monish Malhotra [1], Anil K Bhat [1], Ashwath Acharya [1].

[1]Department of Orthopedics, Kasturba Medical College, Manipal, India.

Address of Correspondence

Dr. Anil K. Bhat
Professor and Head, Department of Orthopedics, Kasturba Medical College, Manipal
Email: anilkbhat@yahoo.com


Radial tunnel syndrome is a compressive neuropathy of Posterior interossei nerve(PIN) in the radial tunnel. Radial tunnel is commonly misdiagnosed and often treated as lateral epicondylitis. The difficulty in diagnoses is due to overlapping features among both the conditions. Understanding the anatomy of radial tunnel and possible sites of compression of PIN in the tunnel guides the surgical planning and management of radial tunnel syndrome. Dynamic ultrasonography helps in early diagnosis by assessing compression of the nerve during supination and pronation. Rule of 9 test and maudsley’s test are sensitive for detection of radial tunnel syndrome. Conservative treatment is less successful and surgical decompression is the treatment of choice. Complete release of possible sites of compression prevents recurrence.
Keywords: Radial Tunnel Syndrome, Conservative management, diagnosis


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How to Cite this article: Malhotra M, Bhat AK, Acharya A. Radial tunnel syndrome: Diagnostic and treatment algorithm. J Kar Orth Assoc. July-Dec 2017; 5(2): 14-17

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