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J Korean Med Assoc.  2017 Dec;60(12):958-962. 10.5124/jkma.2017.60.12.958.

Radial nerve neuropathy

Affiliations
  • 1Department of Orthopedic Surgery, Seoul National University Hospital, Seoul, Korea. orthoyhl@snu.ac.kr
  • 2Department of Orthopedic Surgery, Seoul National University College of Medicine, Seoul, Korea.

Abstract

Radial nerve entrapment or compression in the upper extremity is relatively rare compared to medial nerve or ulnar nerve entrapment and compression. Various syndrome types are defined according to the location of radial nerve entrapment and the pattern of symptom expression. In the upper arm, Saturday night palsy or honeymoon palsy occurs. Around the elbow, posterior interosseous nerve entrapment syndrome, which involves pure motor symptoms, and radial tunnel syndrome, which mainly involves pain symptoms, can develop. Finally, superficial radial nerve entrapment occurs in the distal forearm and has the symptom of painful or abnormal sensory disturbances of the hand. Conservative treatment is usually the first choice for radial nerve neuropathy, unless there is motor paralysis. Surgical treatment can be considered if there is no improvement after adequate conservative treatment.

Keyword

Radial nerve; Entrapment neuropathy; Paralysis

MeSH Terms

Arm
Elbow
Forearm
Hand
Nerve Compression Syndromes
Paralysis
Radial Nerve*
Radial Neuropathy
Ulnar Nerve Compression Syndromes
Upper Extremity
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