Cargando…
Cadaveric and Ultrasound Validation of Percutaneous Electrolysis Approaches at the Arcade of Frohse: A Potential Treatment for Radial Tunnel Syndrome
Entrapment of the radial nerve at the arcade of Frohse could contribute to symptoms in patients with lateral epicondylalgia or radial tunnel syndrome. Our aim was to determine the validity of applying percutaneous electrolysis, targeting the supinator muscle at the Frohse’s arcade with ultrasound im...
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8872469/ https://www.ncbi.nlm.nih.gov/pubmed/35206659 http://dx.doi.org/10.3390/ijerph19042476 |
_version_ | 1784657246112710656 |
---|---|
author | Belón-Pérez, Pedro Calderón-Díez, Laura Sánchez-Sánchez, José Luis Robles-García, Miguel Plaza-Manzano, Gustavo Fernández-de-las-Peñas, César |
author_facet | Belón-Pérez, Pedro Calderón-Díez, Laura Sánchez-Sánchez, José Luis Robles-García, Miguel Plaza-Manzano, Gustavo Fernández-de-las-Peñas, César |
author_sort | Belón-Pérez, Pedro |
collection | PubMed |
description | Entrapment of the radial nerve at the arcade of Frohse could contribute to symptoms in patients with lateral epicondylalgia or radial tunnel syndrome. Our aim was to determine the validity of applying percutaneous electrolysis, targeting the supinator muscle at the Frohse’s arcade with ultrasound imaging and in a Thiel-embalmed cadaver model (not ultrasound-guiding). Percutaneous electrolysis targeting the supinator muscle was conducted in five healthy volunteers (ultrasound study) and three Thiel-embalmed cadaver forearms. Two approaches, one with the forearm supinated and other with the forearm pronated were conducted. The needle was inserted until the tip reached the interphase of both bellies of the supinator muscle. Accurate needle penetration of the supinator muscle was observed in 100% in both US-imaging and cadaveric studies. No neurovascular bundle of the radial-nerve deep branch was pierced in any insertion. The distance from the tip of the needle to the neurovascular bundle was 15.3 ± 0.6 mm with the forearm supinated, and 11.2 ± 0.6 mm with the forearm pronated. The results of the current study support that percutaneous electrolysis can properly target the supinator muscle with either the forearm in supination or in pronation. In fact, penetration of the neurovascular bundle was not observed in any approach when percutaneous needling electrolysis was performed by an experienced clinician. |
format | Online Article Text |
id | pubmed-8872469 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-88724692022-02-25 Cadaveric and Ultrasound Validation of Percutaneous Electrolysis Approaches at the Arcade of Frohse: A Potential Treatment for Radial Tunnel Syndrome Belón-Pérez, Pedro Calderón-Díez, Laura Sánchez-Sánchez, José Luis Robles-García, Miguel Plaza-Manzano, Gustavo Fernández-de-las-Peñas, César Int J Environ Res Public Health Brief Report Entrapment of the radial nerve at the arcade of Frohse could contribute to symptoms in patients with lateral epicondylalgia or radial tunnel syndrome. Our aim was to determine the validity of applying percutaneous electrolysis, targeting the supinator muscle at the Frohse’s arcade with ultrasound imaging and in a Thiel-embalmed cadaver model (not ultrasound-guiding). Percutaneous electrolysis targeting the supinator muscle was conducted in five healthy volunteers (ultrasound study) and three Thiel-embalmed cadaver forearms. Two approaches, one with the forearm supinated and other with the forearm pronated were conducted. The needle was inserted until the tip reached the interphase of both bellies of the supinator muscle. Accurate needle penetration of the supinator muscle was observed in 100% in both US-imaging and cadaveric studies. No neurovascular bundle of the radial-nerve deep branch was pierced in any insertion. The distance from the tip of the needle to the neurovascular bundle was 15.3 ± 0.6 mm with the forearm supinated, and 11.2 ± 0.6 mm with the forearm pronated. The results of the current study support that percutaneous electrolysis can properly target the supinator muscle with either the forearm in supination or in pronation. In fact, penetration of the neurovascular bundle was not observed in any approach when percutaneous needling electrolysis was performed by an experienced clinician. MDPI 2022-02-21 /pmc/articles/PMC8872469/ /pubmed/35206659 http://dx.doi.org/10.3390/ijerph19042476 Text en © 2022 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 Belón-Pérez, Pedro Calderón-Díez, Laura Sánchez-Sánchez, José Luis Robles-García, Miguel Plaza-Manzano, Gustavo Fernández-de-las-Peñas, César Cadaveric and Ultrasound Validation of Percutaneous Electrolysis Approaches at the Arcade of Frohse: A Potential Treatment for Radial Tunnel Syndrome |
title | Cadaveric and Ultrasound Validation of Percutaneous Electrolysis Approaches at the Arcade of Frohse: A Potential Treatment for Radial Tunnel Syndrome |
title_full | Cadaveric and Ultrasound Validation of Percutaneous Electrolysis Approaches at the Arcade of Frohse: A Potential Treatment for Radial Tunnel Syndrome |
title_fullStr | Cadaveric and Ultrasound Validation of Percutaneous Electrolysis Approaches at the Arcade of Frohse: A Potential Treatment for Radial Tunnel Syndrome |
title_full_unstemmed | Cadaveric and Ultrasound Validation of Percutaneous Electrolysis Approaches at the Arcade of Frohse: A Potential Treatment for Radial Tunnel Syndrome |
title_short | Cadaveric and Ultrasound Validation of Percutaneous Electrolysis Approaches at the Arcade of Frohse: A Potential Treatment for Radial Tunnel Syndrome |
title_sort | cadaveric and ultrasound validation of percutaneous electrolysis approaches at the arcade of frohse: a potential treatment for radial tunnel syndrome |
topic | Brief Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8872469/ https://www.ncbi.nlm.nih.gov/pubmed/35206659 http://dx.doi.org/10.3390/ijerph19042476 |
work_keys_str_mv | AT belonperezpedro cadavericandultrasoundvalidationofpercutaneouselectrolysisapproachesatthearcadeoffrohseapotentialtreatmentforradialtunnelsyndrome AT calderondiezlaura cadavericandultrasoundvalidationofpercutaneouselectrolysisapproachesatthearcadeoffrohseapotentialtreatmentforradialtunnelsyndrome AT sanchezsanchezjoseluis cadavericandultrasoundvalidationofpercutaneouselectrolysisapproachesatthearcadeoffrohseapotentialtreatmentforradialtunnelsyndrome AT roblesgarciamiguel cadavericandultrasoundvalidationofpercutaneouselectrolysisapproachesatthearcadeoffrohseapotentialtreatmentforradialtunnelsyndrome AT plazamanzanogustavo cadavericandultrasoundvalidationofpercutaneouselectrolysisapproachesatthearcadeoffrohseapotentialtreatmentforradialtunnelsyndrome AT fernandezdelaspenascesar cadavericandultrasoundvalidationofpercutaneouselectrolysisapproachesatthearcadeoffrohseapotentialtreatmentforradialtunnelsyndrome |