Proximal radial nerve compression syndrome. Treatment and results
Wilhelm, A.; Suden, R.
Handchirurgie Mikrochirurgie Plastische Chirurgie Organ der Deutschsprachigen Arbeitsgemeinschaft für Handchirurgie Organ der Deutschsprachigen Arbeitsgemeinschaft für Mikrochirurgie der Peripheren Nerven und Gefasse Organ der V. 17(4): 219-224
1985
ISSN/ISBN: 0722-1819 PMID: 4029767 Document Number: 264673
Radical palsy after a single brisk contraction of the triceps muscle was first described by Gowers in 1892. The cause of such paralyses which also can be found after chronic overexposure, in the course of fracture healing and because of inflammation or tumors, has not been explained until 1969. Two mechanisms are of importance for pressure effects on the radial nerve; either the nerve can be compressed in the hiatus nervi radialis due to swellings or a direct lesion occurs. The latter can happen because of a sudden brisk muscle contraction or on account of chronic trauma caused by the lateral head of the triceps. Since 1969, twenty patients with such radial nerve compressions have received surgical treatment and follow-up in our clinic.