The Controversial Pain Syndrome of Proximal Radial Compression Syndrome (PRKS): Pathogenesis and Surgical Treatment of R
Gowers in 1892 first described complete radial paresis after a sudden contraction of the triceps muscle, e.g. after throwing a heavy stone. The author described localisation and compression mechanism of this radial paresis (Wilhelm 1970). The crossing tri
- PDF / 1,872,779 Bytes
- 23 Pages / 439.37 x 666.14 pts Page_size
- 49 Downloads / 173 Views
The Controversial Pain Syndrome of Proximal Radial Compression Syndrome (PRKS): Pathogenesis and Surgical Treatment of Resistant Cases
Contents 3.1 3.2 3.3 3.4 3.5 3.6 3.7
Introduction ..................................................................................................................... Surgically Relevant Anatomy and Physiology ................................................................ Epidemiology .................................................................................................................. Aetiology and Pathogenesis ............................................................................................ Diagnostics ...................................................................................................................... Classification ................................................................................................................... Therapy ........................................................................................................................... 3.7.1 Conservative Treatment ...................................................................................... 3.7.2 Surgical Treatment .............................................................................................. 3.8 Results ............................................................................................................................. 3.9 Mistakes, Dangers and Complications ............................................................................ References ..................................................................................................................................
3.1
59 61 63 63 68 69 71 71 71 75 78 80
Introduction
At the axilla and the upper arm, the radial nerve can be damaged by acute and chronic pressure influence, depending on the strength and duration of the influence even leading to paresis. Exogenous causes at the axilla may be the incorrect use of crutches, supporting body weight resulting in pressure damage of the nerve between the proximal section of the humerus and the tendons of the latissimus dorsi and teres major muscles (Tackmann et al. 1989). Pressure damage of the radial nerve is more frequent in the course of its flat spiral channel, as here it runs in direct contact with the humeral shaft. Typical examples are the “park paralysis”, the “Saturday-night paralysis” and the “Paralysie des Amoureux”, which can develop in sleeping deeply, further on the paralysis caused by tourniquet and by position, during surgical procedures with anaesthesia. In literature the special vulnerability of the radial nerve at the spiral channel is connected to its unique situative conditions at the humeral shaft. Further
A. Wilhelm, Controversial Pain Syndromes of the Arm, DOI 10.1007/978-3-642-54513-9_3, © Springer-Verlag Berlin Heidelberg 2015
59
60
3
The Controversial Pain Syndrome of Proximal Radial Compression Syndrome (PRKS)
damage of the radial nerve can occur during birth, by compression, by traction or by
Data Loading...
