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Radial Tunnel Syndrome - Hand - Orthobullets

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(OBQ18.125) A 52-year-old construction worker presents with pain in the right proximal dorsoradial forearm over the last 8 months. He reports that his pain is worsened when using a screwdriver and lifting heavy objects. On exam, there is tenderness over the radial head and mobile wad, and pain with resisted supination and resisted third finger extension. There is no tenderness over the lateral epicondyle. There is no appreciable motor weakness or sensory deficits. Electromyography reveals no abnormalities. His radiographs are shown in Figures A and B. The patient has not sought any treatment up until this point. What is the likely diagnosis and first line treatment? Radial tunnel syndrome; physical therapy and activity modification 71% (1408/1989) Lateral epicondylitis; debridement of the extensor carpi radialis brevis 2% (44/1989) PIN Syndrome; surgical release of the leash of Henry and arcade of Froshe 8% (167/1989) Radial

Updated: Apr 16 2026 Radial Tunnel Syndrome Prepare 0 % 0 0 0 Practice 0 % 0 Assess 0.0 0 Images Summary Radial Tunnel Syndrome is a compressive neuropathy of the posterior interosseous nerve (PIN) at the level of proximal forearm (radial tunnel). Diagnosis is made clinically with pain only (maximal tenderness 3-5 cm distal to lateral epicondyle) without any motor or sensory dysfunction. Treatment is a prolonged course of conservative management with NSAIDs, temporary splinting and CSIs with radial tunnel decompression reserved for refractory cases. Epidemeology Incidence…

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