Yuksel ERSOY, Semra AKTURK, Raikan BUYUKAVCİ

Radial nerve neuropathies: a retrospective analysis

Aim: Radial nerve neuropathy is a less common neuropathy among other upper extremity entrapment neuropathies. The aim of this study was to evaluate patients referred to our electrophysiology laboratory with a diagnosis of radial nerve neuropathy.Material and Methods: Electrophysiological finding of the 42 patients who were referred to the electrophysiology laboratory with the preliminary diagnosis of radial nerve lesion between 2017-2018 were retrospectively scanned.Results : Forty-two patients were included in the study. 36 patients were male (85.7%), 6 were female (14.3%) and the mean age was 36.09 ± 14.26. Evaluating the relationship between the etiology of the nerve injury showed that the highest rate was consisted of radial nerve sensory and motor axonal lesions which occurred after traffic accidents. The majority of the patients had dropped hand and finger (85.7%).Conclusion : In the etiology of radial nerve lesions, the causes such as trauma and work accidents are at the forefront and this may explain the increased incidence in men. Electromyography can provide valuable contributions to diagnosis, treatment planning and prognosis.

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McGillicuddy JE, Sullivan SE. Entrapment/Compression Neuropathies. In: Batjer HH, Loftus CM, editors. Textbook of Neurological Surgery: Principles and Practice, Vol 3, 1st ed. Philadelphia: Lippincott Williams and Wilkins; 2003. p. 2201-28.
Ferdinand BD, Rosenberg ZS, Schweitzer ME, Stuchin SA, Jazrawi LM, Lenzo SR, et al. RJ, MR imaging features of radial tunnel syndrome: initial experience. Radiology 2006;240(1):161-8.
Lister GD, Belsole RB, Kleinert HE. The radial tunnel syndrome. J Hand Surg Am 1979;4(1):52-9.
Roles NC, Maudsley RH. Radial tunnel syndrome: resistant tennis elbow as a nerve entrapment. J Bone Joint Surg Br 1972;54(3):499-508.
Dang AC, Rodner CM. Unusual compression neuropathies of the forearm, part I: radial nerve. J Hand Surg Am 2009;34(10):1915-20.
Özkan M. Compression neuropathies related to radial nerve. TOTBİD 2015;14:548-54.
Manske PR. Compression of the radial nerve by the triceps muscle:a case report. J Bone Joint Surg Am 1977;59(6):835-6.
Demiryürek BE, Emre U, Demirel E, Taşçılar FN, Atasoy HT, Ortancıl Ö, et al. Radial Nerve Neuropathies A Retrosective Study. İstanbul Med J 2015;16(3):116-8.
Lowe JB 3rd, Sen SK, Mackinnon SE. Current approach to radial nerve paralysis. Plastic and Reconstr Surg 2002;110(4):1099-113.
Garcia AJr, Maeck BH. Radial nerve injures in fractures of shafts of the humerus. Am J Surg 1960;99:625-7.
Bolster MA, Bakker XR. Radial tunnel syndrome: emphasis on the superficial branch of the radial nerve. J Hand Surg Eur Vol 2009;34(3):343-7
Suematsu N, Hirayama T. Posterior interosseous nerve palsy. J Hand Surg Br 1998;23:104-6
Verhaar J, Spaans F. Radial tunnel syndrome. an investigation of compression neuropathy as a possible cause. J Bone Joint Surg Am 1991;73:539-44.
Gurtekin Y. Yüzeyel radiyal sinir sensoriyel iletiminin normal verileri ve tanı değeri. Gülhane Tıp Dergisi 2003;45:32-5.
Güdemez E. Üst ekstremitelerde görülen periferik sinir kompresyon nöropatileri. Türk Aile Hekimleri Dergisi 2007;11:5-12.
Doğan YP, Eser F, Bodur H, Atan Ç. Posterior interosseöz sinir sendromu: Olgu sunumu. FTR Bil Dergisi 2007;3:110-3.