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Is Dry Needling of the Supinator a Safe Procedure? A Potential Treatment for Lateral Epicondylalgia or Radial Tunnel Syndrome. A Cadaveric Study

The supinator muscle is involved in two pain conditions of the forearm and wrist: lateral epicondylalgia and radial tunnel syndrome. Its close anatomical relationship with the radial nerve at the arcade of Frohse encourages research on dry needling approaches. Our aim was to determine if a solid fil...

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Autores principales: Fernández-de-las-Peñas, César, López-de-Celis, Carlos, Rodríguez-Sanz, Jacobo, Hidalgo-García, César, Donnelly, Joseph M., Cedeño-Bermúdez, Simón A, Pérez-Bellmunt, Albert
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8430708/
https://www.ncbi.nlm.nih.gov/pubmed/34501752
http://dx.doi.org/10.3390/ijerph18179162
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author Fernández-de-las-Peñas, César
López-de-Celis, Carlos
Rodríguez-Sanz, Jacobo
Hidalgo-García, César
Donnelly, Joseph M.
Cedeño-Bermúdez, Simón A
Pérez-Bellmunt, Albert
author_facet Fernández-de-las-Peñas, César
López-de-Celis, Carlos
Rodríguez-Sanz, Jacobo
Hidalgo-García, César
Donnelly, Joseph M.
Cedeño-Bermúdez, Simón A
Pérez-Bellmunt, Albert
author_sort Fernández-de-las-Peñas, César
collection PubMed
description The supinator muscle is involved in two pain conditions of the forearm and wrist: lateral epicondylalgia and radial tunnel syndrome. Its close anatomical relationship with the radial nerve at the arcade of Frohse encourages research on dry needling approaches. Our aim was to determine if a solid filiform needle safely penetrates the supinator muscle during the clinical application of dry needling. Needle insertion of the supinator muscle was conducted in ten cryopreserved forearm specimens with a 30 × 0.32 mm filiform needle. With the forearm pronated, the needle was inserted perpendicular into the skin at the dorsal aspect of the forearm at a point located 4cm distal to the lateral epicondyle. The needle was advanced to a depth judged to be in the supinator muscle. Safety was assessed by measuring the distance from the needle to the surrounding neurovascular bundles of the radial nerve. Accurate needle penetration of the supinator muscle was observed in 100% of the forearms (needle penetration:16.4 ± 2.7 mm 95% CI 14.5 mm to 18.3 mm). No neurovascular bundle of the radial nerve was pierced in any of the specimen’s forearms. The distances from the tip of the needle were 7.8 ± 2.9 mm (95% CI 5.7 mm to 9.8 mm) to the deep branch of the radial nerve and 8.6 ± 4.3 mm (95% CI 5.5 mm to 11.7 mm) to the superficial branch of the radial nerve. The results from this cadaveric study support the assumption that needling of the supinator muscle can be accurately and safely conducted by an experienced clinician.
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spelling pubmed-84307082021-09-11 Is Dry Needling of the Supinator a Safe Procedure? A Potential Treatment for Lateral Epicondylalgia or Radial Tunnel Syndrome. A Cadaveric Study Fernández-de-las-Peñas, César López-de-Celis, Carlos Rodríguez-Sanz, Jacobo Hidalgo-García, César Donnelly, Joseph M. Cedeño-Bermúdez, Simón A Pérez-Bellmunt, Albert Int J Environ Res Public Health Brief Report The supinator muscle is involved in two pain conditions of the forearm and wrist: lateral epicondylalgia and radial tunnel syndrome. Its close anatomical relationship with the radial nerve at the arcade of Frohse encourages research on dry needling approaches. Our aim was to determine if a solid filiform needle safely penetrates the supinator muscle during the clinical application of dry needling. Needle insertion of the supinator muscle was conducted in ten cryopreserved forearm specimens with a 30 × 0.32 mm filiform needle. With the forearm pronated, the needle was inserted perpendicular into the skin at the dorsal aspect of the forearm at a point located 4cm distal to the lateral epicondyle. The needle was advanced to a depth judged to be in the supinator muscle. Safety was assessed by measuring the distance from the needle to the surrounding neurovascular bundles of the radial nerve. Accurate needle penetration of the supinator muscle was observed in 100% of the forearms (needle penetration:16.4 ± 2.7 mm 95% CI 14.5 mm to 18.3 mm). No neurovascular bundle of the radial nerve was pierced in any of the specimen’s forearms. The distances from the tip of the needle were 7.8 ± 2.9 mm (95% CI 5.7 mm to 9.8 mm) to the deep branch of the radial nerve and 8.6 ± 4.3 mm (95% CI 5.5 mm to 11.7 mm) to the superficial branch of the radial nerve. The results from this cadaveric study support the assumption that needling of the supinator muscle can be accurately and safely conducted by an experienced clinician. MDPI 2021-08-31 /pmc/articles/PMC8430708/ /pubmed/34501752 http://dx.doi.org/10.3390/ijerph18179162 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Brief Report
Fernández-de-las-Peñas, César
López-de-Celis, Carlos
Rodríguez-Sanz, Jacobo
Hidalgo-García, César
Donnelly, Joseph M.
Cedeño-Bermúdez, Simón A
Pérez-Bellmunt, Albert
Is Dry Needling of the Supinator a Safe Procedure? A Potential Treatment for Lateral Epicondylalgia or Radial Tunnel Syndrome. A Cadaveric Study
title Is Dry Needling of the Supinator a Safe Procedure? A Potential Treatment for Lateral Epicondylalgia or Radial Tunnel Syndrome. A Cadaveric Study
title_full Is Dry Needling of the Supinator a Safe Procedure? A Potential Treatment for Lateral Epicondylalgia or Radial Tunnel Syndrome. A Cadaveric Study
title_fullStr Is Dry Needling of the Supinator a Safe Procedure? A Potential Treatment for Lateral Epicondylalgia or Radial Tunnel Syndrome. A Cadaveric Study
title_full_unstemmed Is Dry Needling of the Supinator a Safe Procedure? A Potential Treatment for Lateral Epicondylalgia or Radial Tunnel Syndrome. A Cadaveric Study
title_short Is Dry Needling of the Supinator a Safe Procedure? A Potential Treatment for Lateral Epicondylalgia or Radial Tunnel Syndrome. A Cadaveric Study
title_sort is dry needling of the supinator a safe procedure? a potential treatment for lateral epicondylalgia or radial tunnel syndrome. a cadaveric study
topic Brief Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8430708/
https://www.ncbi.nlm.nih.gov/pubmed/34501752
http://dx.doi.org/10.3390/ijerph18179162
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