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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...

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Autores principales: Belón-Pérez, Pedro, Calderón-Díez, Laura, Sánchez-Sánchez, José Luis, Robles-García, Miguel, Plaza-Manzano, Gustavo, Fernández-de-las-Peñas, César
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
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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.
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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
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