The arcade of Frohse: a systematic review and meta-analysis

Beneš, Michal; Kachlík, David; Kunc, Vladimír; Kunc, Vojtěch

doi:10.1007/s00276-021-02718-5

Cited by 8 publications

(13 citation statements)

References 30 publications

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“…This nerve can be entrapped at different anatomical locations throughout its course. An important, and sometimes underreported, potential entrapment area of the deep branch of the radial nerve is when it passes between the superficial and deep heads of the supinator, commonly referred to as the arcade of Frohse [5]. The compression of the posterior interosseous nerve at this location is called radial tunnel syndrome [6].…”

Section: Introductionmentioning

confidence: 99%

Is Dry Needling of the Supinator a Safe Procedure? A Potential Treatment for Lateral Epicondylalgia or Radial Tunnel Syndrome. A Cadaveric Study

Fernández‐de‐las‐Peñas

López-de-Celis

Rodríguez-Sanz

et al. 2021

IJERPH

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The supinator muscle is involved in two pain conditions of the forearm and wrist: lateral epicondylalgia and radial tunnel syndrome. Its close anatomical relationship with the radial nerve at the arcade of Frohse encourages research on dry needling approaches. Our aim was to determine if a solid filiform needle safely penetrates the supinator muscle during the clinical application of dry needling. Needle insertion of the supinator muscle was conducted in ten cryopreserved forearm specimens with a 30 × 0.32 mm filiform needle. With the forearm pronated, the needle was inserted perpendicular into the skin at the dorsal aspect of the forearm at a point located 4cm distal to the lateral epicondyle. The needle was advanced to a depth judged to be in the supinator muscle. Safety was assessed by measuring the distance from the needle to the surrounding neurovascular bundles of the radial nerve. Accurate needle penetration of the supinator muscle was observed in 100% of the forearms (needle penetration:16.4 ± 2.7 mm 95% CI 14.5 mm to 18.3 mm). No neurovascular bundle of the radial nerve was pierced in any of the specimen’s forearms. The distances from the tip of the needle were 7.8 ± 2.9 mm (95% CI 5.7 mm to 9.8 mm) to the deep branch of the radial nerve and 8.6 ± 4.3 mm (95% CI 5.5 mm to 11.7 mm) to the superficial branch of the radial nerve. The results from this cadaveric study support the assumption that needling of the supinator muscle can be accurately and safely conducted by an experienced clinician.

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Section: Introductionmentioning

confidence: 99%

Is Dry Needling of the Supinator a Safe Procedure? A Potential Treatment for Lateral Epicondylalgia or Radial Tunnel Syndrome. A Cadaveric Study

Fernández‐de‐las‐Peñas

López-de-Celis

Rodríguez-Sanz

et al. 2021

IJERPH

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“…The AF was encountered in 73% of cases. After surgical studies with dominant pathological conditions were excluded, the frequency was counted as 66% [ 67 ].…”

Section: Posterior Interosseous Nerve Syndromementioning

confidence: 99%

“…The width was estimated as 10.13 to 12.8 mm, 11.05 mm on average. The thickness varies from 0.43 to 0.8 mm (mean: 0.67) [ 67 ].…”

Section: Posterior Interosseous Nerve Syndromementioning

confidence: 99%

Radial nerve compression: anatomical perspective and clinical consequences

et al. 2023

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The radial nerve is the biggest branch of the posterior cord of the brachial plexus and one of its five terminal branches. Entrapment of the radial nerve at the elbow is the third most common compressive neuropathy of the upper limb after carpal tunnel and cubital tunnel syndromes. Because the incidence is relatively low and many agents can compress it along its whole course, entrapment of the radial nerve or its branches can pose a considerable clinical challenge. Several of these agents are related to normal or variant anatomy. The most common of the compressive neuropathies related to the radial nerve is the posterior interosseus nerve syndrome. Appropriate treatment requires familiarity with the anatomical traits influencing the presenting symptoms and the related prognoses. The aim of this study is to describe the compressive neuropathies of the radial nerve, emphasizing the anatomical perspective and highlighting the traps awaiting physicians evaluating these entrapments.

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“…An important and underreported potential entrapment area of the deep branch of the radial nerve is when it passes between both layers of the supinator muscle, that is, the arcade of Frohse or supinator arch [ 2 ]. The arcade of Frohse is formed by a fibrous band between the superficial and deep layer of the supinator muscle, between which the deep branch of the radial nerve passes [ 2 ]. In fact, this area can exhibit different anatomical variations leading to a further radial nerve compression [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Cadaveric and Ultrasound Validation of Percutaneous Electrolysis Approaches at the Arcade of Frohse: A Potential Treatment for Radial Tunnel Syndrome

Belón-Pérez¹,

Calderón-Díez

Sánchez-Sánchez

et al. 2022

IJERPH

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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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The arcade of Frohse: a systematic review and meta-analysis

Cited by 8 publications

References 30 publications

Is Dry Needling of the Supinator a Safe Procedure? A Potential Treatment for Lateral Epicondylalgia or Radial Tunnel Syndrome. A Cadaveric Study

Is Dry Needling of the Supinator a Safe Procedure? A Potential Treatment for Lateral Epicondylalgia or Radial Tunnel Syndrome. A Cadaveric Study

Radial nerve compression: anatomical perspective and clinical consequences

Cadaveric and Ultrasound Validation of Percutaneous Electrolysis Approaches at the Arcade of Frohse: A Potential Treatment for Radial Tunnel Syndrome

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