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Radial Nerve Compression Graham Chuter SpR Teaching, RVI April 2007
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Radial nerve Largest branch of brachial plexus Roots C5,6,7,8 and T1 Least common nerve to be compressed
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Sites of Compression Axilla Mid-humeral Elbow Distal forearm
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Axillary Saturday night palsy Honeymooner’s palsy Crutches Preceding pain Transient
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Mid-humeral Trauma most common cause fracture penetrating injury Exploration v conservative
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Elbow Most common site Radial tunnel syndrome local structures PIN syndrome supinator entrapment level-dependent
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Forearm Superficial radial nerve entrapment brachioradialis and ECRL repetitive pronation / supination 50% assoc with De Quervain’s Pain and paraesthesia 1932: Wartenberg’s Syndrome
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Summary Revision of anatomy 4 main sites of compression / injury axillary humeral elbow forearm Surgery only after failed conservative Rx
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