Calixto BLF, Gómez RJF, Álvarez TGA, Villegas GM

Language: Spanish
References: 14
Page: 1-8
PDF size: 365.47 Kb.

ABSTRACT

Introduction: several procedures are described in the epicondylitis surgical treatment to resect the origin of the carpi radialis brevis extensor. It is still painful for a percent of patients who receive surgical treatment. The compression of the posterior interosseous nerve is a possible cause.
Objective: describe the origin of the superficial and deep heads of supinator muscle and the relationship between them and the origin of carpi radialis brevis extensor at lateral epicondyle.
Methods: dissection of 18 fresh corpses elbows. The muscles that originate from the lateral epicondyle were dissected, emphasizing on the superficial and deep heads of supinator and its relation to the origin of carpi radialis brevis extensor and the lateral ulnar collateral ligament.
Results: the origins of the superficial and deep heads of supinator are adjacent to each other but different, closely related to the origin of carpi radialis brevis extensor. Deep head originates at the base from the superior lateral epicondyle to the capitellum Ecuador, before the origin of carpi radialis brevis extensor. Head surface originates at the base of lateral epicondyle 2 to 4 mm below the origin of the anterior and carpi radialis brevis extensor and in the length of the lateral ulnar collateral ligament.
Conclusions: the anatomical relationship of the origin of the superficial and deep heads of supinator to the origin of carpi radialis brevis extensor and lateral ulnar collateral ligament would allow for concomitant resection of the carpi radialis brevis extensor safely resection in the treatment of epicondylitis.

REFERENCES

1. Moore KL, Dalley AF, Agur AMR. Clinically Oriented Anatomy, 7th Ed. Lippincott Williams & Williams, 2014.

2. Thomas SJ, Yakin DE, Parry BR, Lubahn JD. The anatomical relationship between the posterior interosseous nerve and the supinator muscle. J Hand Surg 2000;25A:936-941.

3. Prasartritha T, Liupolvanish P, Rojanakit A. A study of the posterior interosseous nerve (PIN) and the radial tunnel in 30 Thai cadavers. J Hand Surg 1993;18A:107-112.

4. Fuss FK, Wurzl GH. Radial nerve entrapment at the elbow: surgical anatomy. J Hand Surg 1991;16A:742-747.

5. Abrams RA, Ziets RJ, Lieber RL, Botte MJ. Anatomy of the radial nerve motor branches in the forearm. J Hand Surg 1997;22A:232-237.

6. Spinner M. The arcade of Frohse and its relationship to posterior interosseous nerve paralysis. J Bone Joint Surg 1968;50B:809-812.

7. Capener N. The vulnerability of the posterior interosseous nerve of the forearm. A case report and an anatomical study. J Bone Joint Surg 1966;48B:770-773.

8. Ozturk A, Kutlu C, Taskara N, Kale Ac, Bayraktar B, Cecen A. Anatomic and morphometric study of the arcade of Frohse in cadavers. Surg Radiol Anat 2005;27:171-175.

9. Erak S, Day R, Wang A. The role of the supinator in the pathogenesis of chronic lateral elbow pain: a biomechanical study. J Hand Surg 2004;29B:461-464.

10. Atroshi I, Johnsson R, Ornstein E. Radial tunnel release.Unpredictable outcome in 37 consecutive cases with a 1-5 year follow-up. Acta Orthop Scand. 1995;66:255- 257.

11. Sotereanos DG, Varitimidis SE, Giannakopoulos PN, Westkaemper JG. Results of surgical treatment for radial tunnel syndrome. J Hand Surg 1999;24A:566-570.

12. Verhaar J, Walenkamp G, Kester A, van Mameren H, van der Linden T. Lateral extensor release for tennis elbow. A prospective long-term follow-up study. J Bone Joint Surg 1993;75A:1034-1043.

13. Henry M, Stutz C. A unified approach to radial tunnel syndrome and lateral tendinosis. Tech Hand Up Extrem Surg. 2006;10(4):200-205.

14. Peart RE, Strickler SS, Schweitzer KM Jr. Lateral epicondylitis: a comparative study of open and arthroscopic lateral release. Am J Orthop. 2004;33:565-7.