{"id":597,"date":"2018-11-26T10:56:04","date_gmt":"2018-11-26T10:56:04","guid":{"rendered":"https:\/\/www.neuroecho.se\/?page_id=597"},"modified":"2019-02-18T16:06:29","modified_gmt":"2019-02-18T16:06:29","slug":"case-studies-media-radial-nerve-supinator-entrance","status":"publish","type":"page","link":"https:\/\/www.neuroecho.se\/sv\/case-studies-media-radial-nerve-supinator-entrance\/","title":{"rendered":"Case studies media Radial nerve, supinator entrance"},"content":{"rendered":"<div data-elementor-type=\"wp-post\" data-elementor-id=\"597\" class=\"elementor elementor-597 elementor-bc-flex-widget\" data-elementor-settings=\"[]\">\n\t\t\t<div class=\"elementor-inner\">\n\t\t\t\t<div class=\"elementor-section-wrap\">\n\t\t\t\t\t\t\t<section class=\"elementor-element elementor-element-ace483c elementor-hidden-phone elementor-section-boxed elementor-section-height-default elementor-section-height-default elementor-section elementor-top-section\" data-id=\"ace483c\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t<div class=\"elementor-row\">\n\t\t\t\t<div class=\"elementor-element elementor-element-ad40307 elementor-column elementor-col-100 elementor-top-column\" data-id=\"ad40307\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-column-wrap  elementor-element-populated\">\n\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t<div class=\"elementor-element elementor-element-43f0908 elementor-widget elementor-widget-heading\" data-id=\"43f0908\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Supinator entrance<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-05a7091 elementor-widget elementor-widget-text-editor\" data-id=\"05a7091\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-text-editor elementor-clearfix\"><p>Patient, woman 40 years old veterinarian, presenting with decreased strength at extension of dig 4+5. Problems controlling finger movement, lifting a cup etc. No sensory symptoms. Some pain in hypothenar region and forearm. Standard electroneurography of median and ulnar nerve shows normal findings and excludes ulnar nerve entrapment. First electromyography shows findings of demyelinating changes in radial nerve innervated muscles with no clearly identifiable level of impact.<\/p><p>According to the patient she had done an MR scan wich did not show any findings of radial nerve entrapment.<\/p><p>Patient is referred for the third time for a neurophysiological examination. Referring handsurgeon wants to decompress the nerve relatively quickly if the symptoms remain. He is wondering where exactly is the radial nerve inflected. If there is any other neurophysiological exam that can be done. He considers the possibility that the patient might get better from antiinflammatory treatment so that surgery can be avoided.<\/p><p>Electroneurography of the radial nerve shows normal sensory conduction velocity and reduced motor conduction velocity of 38 m\/s. Electromyography confirms as seen before an injury to the radial nerve. The location is described to be below triceps innervating nerve branches. The suggestion is made to do echoneurography, wich you can see below.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ccb0853 elementor-aspect-ratio-169 elementor-widget elementor-widget-video\" data-id=\"ccb0853\" data-element_type=\"widget\" data-settings=\"{&quot;aspect_ratio&quot;:&quot;169&quot;}\" data-widget_type=\"video.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-wrapper elementor-fit-aspect-ratio elementor-open-inline\">\n\t\t\t<iframe class=\"elementor-video-iframe\" allowfullscreen title=\"youtube-videospelare\" src=\"https:\/\/www.youtube-nocookie.com\/embed\/dYXXTEWTyOg?feature=oembed&amp;playlist=dYXXTEWTyOg&amp;wmode=opaque&amp;loop=1&amp;controls=1&amp;mute=1&amp;rel=0&amp;modestbranding=1\"><\/iframe>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-63fb5d8 elementor-widget elementor-widget-text-editor\" data-id=\"63fb5d8\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-text-editor elementor-clearfix\"><p>Short axis view. Radial nerve entrapment at proximal radial tunnel, passing through arcade of Frohse, supinator entrance. Images show increased density in the area and a hypoechogenic structure that crosses the radial nerve at the supinator entrance. Possibly a ganglion of the radiocapitallar joint. Exam 4-5 months after symptom debut.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-96b30c2 elementor-aspect-ratio-169 elementor-widget elementor-widget-video\" data-id=\"96b30c2\" data-element_type=\"widget\" data-settings=\"{&quot;aspect_ratio&quot;:&quot;169&quot;}\" data-widget_type=\"video.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-wrapper elementor-fit-aspect-ratio elementor-open-inline\">\n\t\t\t<iframe class=\"elementor-video-iframe\" allowfullscreen title=\"youtube-videospelare\" src=\"https:\/\/www.youtube-nocookie.com\/embed\/uUGvR1yyjEY?feature=oembed&amp;playlist=uUGvR1yyjEY&amp;wmode=opaque&amp;loop=1&amp;controls=1&amp;mute=1&amp;rel=0&amp;modestbranding=1\"><\/iframe>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-37f9a1b elementor-widget elementor-widget-text-editor\" data-id=\"37f9a1b\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-text-editor elementor-clearfix\"><p>Short to long axis in plane rotation.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4e930ac elementor-aspect-ratio-169 elementor-widget elementor-widget-video\" data-id=\"4e930ac\" data-element_type=\"widget\" data-settings=\"{&quot;aspect_ratio&quot;:&quot;169&quot;}\" data-widget_type=\"video.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-wrapper elementor-fit-aspect-ratio elementor-open-inline\">\n\t\t\t<iframe class=\"elementor-video-iframe\" allowfullscreen title=\"youtube-videospelare\" src=\"https:\/\/www.youtube-nocookie.com\/embed\/swnspsKM8sE?feature=oembed&amp;playlist=swnspsKM8sE&amp;wmode=opaque&amp;loop=1&amp;controls=1&amp;mute=1&amp;rel=0&amp;modestbranding=1\"><\/iframe>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4c81cde elementor-widget elementor-widget-text-editor\" data-id=\"4c81cde\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-text-editor elementor-clearfix\"><p>Normal passage through arcade of Frohse, supinator entrance. Same patient, opposite arm. Short axis view.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-97fac09 elementor-widget elementor-widget-spacer\" data-id=\"97fac09\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-element elementor-element-35d54f8 elementor-section-full_width elementor-hidden-desktop elementor-hidden-tablet elementor-section-height-default elementor-section-height-default elementor-section elementor-top-section\" data-id=\"35d54f8\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t<div class=\"elementor-row\">\n\t\t\t\t<div class=\"elementor-element elementor-element-f1ccadc elementor-column elementor-col-100 elementor-top-column\" data-id=\"f1ccadc\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-column-wrap  elementor-element-populated\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t<div class=\"elementor-element elementor-element-68ed885 elementor-widget elementor-widget-heading\" data-id=\"68ed885\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Supinator entrance<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a3bc053 elementor-widget elementor-widget-text-editor\" data-id=\"a3bc053\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-text-editor elementor-clearfix\"><p>Patient, woman 40 years old veterinarian, presenting with decreased strength at extension of dig 4+5. Problems controlling finger movement, lifting a cup etc. No sensory symptoms. Some pain in hypothenar region and forearm. Standard electroneurography of median and ulnar nerve shows normal findings and excludes ulnar nerve entrapment. First electromyography shows findings of demyelinating changes in radial nerve innervated muscles with no clearly identifiable level of impact.<\/p><p>According to the patient she had done an MR scan wich did not show any findings of radial nerve entrapment.<\/p><p>Patient is referred for the third time for a neurophysiological examination. Referring handsurgeon wants to decompress the nerve relatively quick if the symptoms remain. He is wondering where exactly is the radial nerve inflected. If there is any other neurophysiological exam that can be done. He considers the possibility that the patient might get better from antiinflammatory treatment so that surgery can be avoided.<\/p><p>Electroneurography of the radial nerve shows normal sensory conduction velocity and reduced motor conduction velocity of 38 m\/s. Electromyography confirms as seen before an injury to the radial nerve. The location is described to be below triceps innervating nerve branches. The suggestion is made to do echoneurography, wich you can see below.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-12fb337 elementor-aspect-ratio-169 elementor-widget elementor-widget-video\" data-id=\"12fb337\" data-element_type=\"widget\" data-settings=\"{&quot;aspect_ratio&quot;:&quot;169&quot;}\" data-widget_type=\"video.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-wrapper elementor-fit-aspect-ratio elementor-open-inline\">\n\t\t\t<iframe class=\"elementor-video-iframe\" allowfullscreen title=\"youtube-videospelare\" src=\"https:\/\/www.youtube-nocookie.com\/embed\/dYXXTEWTyOg?feature=oembed&amp;playlist=dYXXTEWTyOg&amp;wmode=opaque&amp;loop=1&amp;controls=1&amp;mute=1&amp;rel=0&amp;modestbranding=1\"><\/iframe>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-88d925c elementor-widget elementor-widget-text-editor\" data-id=\"88d925c\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-text-editor elementor-clearfix\"><p>Short axis view. Radial nerve entrapment at proximal radial tunnel, passing through arcade of Frohse, supinator entrance. Images show increased density in the area and a hypoechogenic structure that crosses the radial nerve at the supinator entrance. Possibly a ganglion of the radiocapitallar joint. Exam 4-5 months after symptom debut.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a4da77e elementor-aspect-ratio-169 elementor-widget elementor-widget-video\" data-id=\"a4da77e\" data-element_type=\"widget\" data-settings=\"{&quot;aspect_ratio&quot;:&quot;169&quot;}\" data-widget_type=\"video.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-wrapper elementor-fit-aspect-ratio elementor-open-inline\">\n\t\t\t<iframe class=\"elementor-video-iframe\" allowfullscreen title=\"youtube-videospelare\" src=\"https:\/\/www.youtube-nocookie.com\/embed\/uUGvR1yyjEY?feature=oembed&amp;playlist=uUGvR1yyjEY&amp;wmode=opaque&amp;loop=1&amp;controls=1&amp;mute=1&amp;rel=0&amp;modestbranding=1\"><\/iframe>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-756ad0b elementor-widget elementor-widget-text-editor\" data-id=\"756ad0b\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-text-editor elementor-clearfix\"><p>Short to long axis in plane rotation.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-43ed96e elementor-aspect-ratio-169 elementor-widget elementor-widget-video\" data-id=\"43ed96e\" data-element_type=\"widget\" data-settings=\"{&quot;aspect_ratio&quot;:&quot;169&quot;}\" data-widget_type=\"video.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-wrapper elementor-fit-aspect-ratio elementor-open-inline\">\n\t\t\t<iframe class=\"elementor-video-iframe\" allowfullscreen title=\"youtube-videospelare\" src=\"https:\/\/www.youtube-nocookie.com\/embed\/swnspsKM8sE?feature=oembed&amp;playlist=swnspsKM8sE&amp;wmode=opaque&amp;loop=1&amp;controls=1&amp;mute=1&amp;rel=0&amp;modestbranding=1\"><\/iframe>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7e7b435 elementor-widget elementor-widget-text-editor\" data-id=\"7e7b435\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-text-editor elementor-clearfix\"><p>Normal passage through arcade of Frohse, supinator entrance. Same patient, opposite arm. Short axis view.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d75338b elementor-widget elementor-widget-spacer\" data-id=\"d75338b\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>Supinator entrance Patient, woman 40 years old veterinarian, presenting with decreased strength at extension of dig 4+5. Problems controlling finger movement, lifting a cup etc. No sensory symptoms. Some pain in hypothenar region and forearm. Standard electroneurography of median and ulnar nerve shows normal findings and excludes ulnar nerve entrapment. First electromyography shows findings of [&hellip;]<\/p>","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-597","page","type-page","status-publish","hentry","entry"],"_links":{"self":[{"href":"https:\/\/www.neuroecho.se\/sv\/wp-json\/wp\/v2\/pages\/597","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.neuroecho.se\/sv\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.neuroecho.se\/sv\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.neuroecho.se\/sv\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.neuroecho.se\/sv\/wp-json\/wp\/v2\/comments?post=597"}],"version-history":[{"count":57,"href":"https:\/\/www.neuroecho.se\/sv\/wp-json\/wp\/v2\/pages\/597\/revisions"}],"predecessor-version":[{"id":2279,"href":"https:\/\/www.neuroecho.se\/sv\/wp-json\/wp\/v2\/pages\/597\/revisions\/2279"}],"wp:attachment":[{"href":"https:\/\/www.neuroecho.se\/sv\/wp-json\/wp\/v2\/media?parent=597"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}