RESUMO
STATE OF THE ART: The proximal radial nerve compression syndrome includes supinator syndrome and proximal radial nerve constrictions. This article presents a new endoscopic assisted radial nerve decompression surgical technique described for the first time by Leclère et al. in 2013. SURGICAL TECHNIQUE: Endoscopic scissor decompression of the proximal radial nerve is always performed under plexus anaesthesia. It includes 8 key steps documented in this article. We review the indications and limitations of the surgical technique. CONCLUSION: Early clinical results after endoscopic assisted decompression of the radial nerve appear excellent. However, they still need to be compared with conventional techniques. Clinical studies are likely to widely develop because of the mini-invasive nature of this new surgical technique.
Assuntos
Descompressão Cirúrgica/métodos , Endoscopia/métodos , Síndromes de Compressão Nervosa/cirurgia , Procedimentos Neurocirúrgicos/métodos , Nervo Radial/cirurgia , Neuropatia Radial/cirurgia , Anestesia por Condução , Plexo Braquial , Antebraço/cirurgia , Humanos , Cuidados Pós-Operatórios , Resultado do TratamentoRESUMO
We report on the case of a young patient with bipartite carpal scaphoid with osteonecrosis of the proximal pole. The important differentiation of this entity to the pseudarthrosis of the scaphoid is discussed.