An Anatomical Study to the Branching Pattern of the Posterior Interosseous Nerve on the Dorsal Side of the Hand

Zwart, Koen; Roeling, Tom A.P.; Leeuwen, Wouter van; Schuurman, Arnold H.

doi:10.1002/ca.23486

Cited by 5 publications

(8 citation statements)

References 19 publications

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“…9,17,23 To evaluate the historical burying techniques for neuralgia of the SBRN, we conducted this retrospective cohort study. Although only patients with neuropathic pain in the dorsoradial hand or wrist caused by the SBRN, lateral antebrachial cutaneous nerve, and posterior interosseous nerve 24 were involved, the study population itself remained a heterogeneous group. It consisted of patients who had a very long mean duration of pain of almost 3 years (34 months) and who were referred to a university medical center for expertise in the field of neuropathic pain treatment.…”

Section: Discussionmentioning

confidence: 99%

Surgical Treatment Strategies for Injuries of the “Unforgiving” Superficial Branch of the Radial Nerve

Brakkee

Stokvis

DeVinney

et al. 2022

Plastic &Amp; Reconstructive Surgery

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Background: Neuropathic pain caused by adhesions or neuroma formation of the superficial branch of the radial nerve (SBRN) is difficult to treat. The authors evaluated the effectiveness of different routinely used surgical techniques for SBRN neuralgia to provide a basis for future studies on SBRN neuralgia and explored the prognostic value of a preoperative diagnostic nerve block. Methods: The authors performed a retrospective cohort study by reviewing surgical records for procedures to treat SBRN neuralgia. Patient satisfaction was scored as satisfied or unsatisfied, and pain intensity was scored with a numeric rating scale. Results: The authors included 71 patients who had 105 surgeries on the SBRN. Patients with a neuroma (n = 43) were most satisfied after proximal denervation with burying into the brachioradialis muscle compared with burying elsewhere (53 versus 0 percent; p < 0.001). Adhesions of the SBRN (n = 28) were treated with neurolysis (39 percent satisfied). If neurolysis or denervation did not suffice, an additional denervation of the lateral antebrachial cutaneous nerve or posterior interosseous nerve led to satisfaction in 38 percent. A decrease of less than 3.5 points on the numeric rating scale score after diagnostic nerve block led to higher postoperative pain scores (4.0 versus 7.5; p = 0.014). The authors found that the outcome of the diagnostic nerve block can predict the outcome of SBRN denervation and burying into brachioradialis muscle. Conclusions: The most effective burying technique is burying the SBRN into the brachioradialis muscle. Future studies on the treatment of SBRN neuralgia should therefore compare newer techniques, with burying the SBRN into the brachioradialis muscle as the control group.

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Section: Discussionmentioning

confidence: 99%

Surgical Treatment Strategies for Injuries of the “Unforgiving” Superficial Branch of the Radial Nerve

Brakkee

Stokvis

DeVinney

et al. 2022

Plastic &Amp; Reconstructive Surgery

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“…The distal part of the nerve consists mainly of sensory fibers supplying the dorsal part of the carpal joint capsule. It also supplies sensory input to the carpal joints: radiocarpal, midcarpal, and second, third, fourth carpometacarpal joint [6,10,[12][13][14]. It should be noted that this nerve does not provide sensory innervation of the skin [8,15].…”

Section: Anatomy Of Posterior Interosseous Nerve Of the Forearmmentioning

confidence: 99%

Anatomical and clinical aspects of the posterior interosseous nerve of the forearm

Lepich,

Karaś,

Kania

et al. 2024

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The radial nerve arises from the brachial plexus posterior cord from roots C5-Th1. It divides into two terminal branches: superficial and deep. The superficial branch is mostly sensory. From the deep branch arises the posterior interosseous nerve of the forearm. The deep branch of the radial nerve passes through the arcade of Frohse. The arcade of Frohse begins in the apex of the lateral epicondyle of the humerus and is attached to its medial part. It is the highest, proximal part of the supinator muscle, which may have a tendinous or membranous structure. Significant topographic points that are useful in describing the posterior interosseous nerve of the forearm are the radial channel and arcade of Frohse. There exists the anatomical variation of the distal part of the posterior interosseous nerve of the forearm. It is called the Froment-Rauber nerve. Posterior interosseous nerve of forearm dysfunction leads to radial nerve syndrome. There are two different syndromes which are associated with posterior interosseous nerve of forearm dysfunction: radial tunnel syndrome and posterior interosseous nerve syndrome. These syndromes are distinguished on the basis of characteristic symptoms. StreszczenieNerw promieniowy pochodzi z pęczka tylnego splotu ramiennego z korzeni C5-Th1. Dzieli się na dwie końcowe gałęzie: powierzchowną i głęboką. Powierzchowna gałąź jest głównie czuciowa. Z gałęzi głębokiej odchodzi nerw międzykostny tylny przedramienia. Gałąź głęboka nerwu promieniowego przechodzi przez tzw. arkadę Frohsa. Rozpoczyna się w części szczytowej nadkłykcia bocznego kości ramiennej i rozciąga się, przyczepiając się do jego przyśrodkowej części. Jest to najwyższa, proksymalna część mięśnia odwracacza, która może mieć charakter ścięgnisty lub błoniasty. Istotnymi punktami topograficznymi przydatnymi w opisie nerwu międzykostnego tylnego przedramienia są kanał promieniowy i arkada Frohsa. Istnieje zmienność anatomiczna dystalnej części nerwu międzykostnego tylnego przedramienia. Jest to tak zwany nerw Fromenta-Raubera. Dysfunkcja nerwu międzykostnego tylnego przedramienia prowadzi do zespołu nerwu promieniowego. Istnieją dwa różne zespoły związane z dysfunkcją nerwu międzykostnego tylnego przedramienia: zespół kanału promieniowego i zespół nerwu międzykostnego tylnego. Zespoły te wyróżnia się na podstawie charakterystycznych objawów.

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“…The nerve is usually near the scapholunate ligament and demonstrates a variable branching pattern. 60 The proximity of the nerve to the dorsal wrist capsule, scapholunate ligament, and fourth dorsal extensor compartment tendons is likely a contributing factor to dorsal wrist pain when ganglia develop in this region. 61…”

Section: Radial Nervementioning

confidence: 99%

Nerve Imaging in the Wrist

Daniels

Tolla

Azad

et al. 2022

Semin Musculoskelet Radiol

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Neuropathic symptoms involving the wrist are a common clinical presentation that can be due to a variety of causes. Imaging plays a key role in differentiating distal nerve lesions in the wrist from more proximal nerve abnormalities such as a cervical radiculopathy or brachial plexopathy. Imaging complements electrodiagnostic testing by helping define the specific lesion site and by providing anatomical information to guide surgical planning. This article reviews nerve anatomy, normal and abnormal findings on ultrasonography and magnetic resonance imaging, and common and uncommon causes of neuropathy.

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An Anatomical Study to the Branching Pattern of the Posterior Interosseous Nerve on the Dorsal Side of the Hand

Cited by 5 publications

References 19 publications

Surgical Treatment Strategies for Injuries of the “Unforgiving” Superficial Branch of the Radial Nerve

Surgical Treatment Strategies for Injuries of the “Unforgiving” Superficial Branch of the Radial Nerve

Anatomical and clinical aspects of the posterior interosseous nerve of the forearm

Nerve Imaging in the Wrist

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