| Literature DB >> 28642652 |
Marco Aurélio DE Moraes1, Rubens Guilherme Gonçalves1, João Baptista Gomes Dos Santos1, João Carlos Belloti1, Flávio Faloppa1, Vinícius Ynoe DE Moraes1.
Abstract
Compressive syndromes of the radial nerve have different presentations. There is no consensus on diagnostic and therapeutic methods. The aim of this review is to summarize such methods. Eletronic searches related terms, held in databases (1980-2016): Pubmed (via Medline), Lilacs (via Scielo) and Google Scholar. Through pre-defined protocol, we identified relevant studies. We excluded case reports. Aspects of diagnosis and treatment were synthesized for analysis and tables. Quantitative analyzes were followed by their dispersion variables. Fourteen studies were included. All studies were considered as level IV evidence. Most studies consider aspects of clinical history and provocative maneuvers. There is no consensus on the use of electromyography, and methods are heterogeneous. Studies have shown that surgical treatment (muscle release and neurolysis) has variable success rate, ranging from 20 to 96.5%. Some studies applied self reported scores, though the heterogeneity of the population does not allow inferential analyzes on the subject. few complications reported. Most studies consider the diagnosis of compressive radial nerve syndromes essentially clinical. The most common treatment was combined muscle release and neurolysis, with heterogeneous results. There is a need for comparative studies . Level of Evidence III, Systematic Review.Entities:
Keywords: Evidence-based medicine.; Nerve compression syndromes/diagnosis; Nerve compression syndromes/therapy; Radial nerve
Year: 2017 PMID: 28642652 PMCID: PMC5474404 DOI: 10.1590/1413-785220172501164801
Source DB: PubMed Journal: Acta Ortop Bras ISSN: 1413-7852 Impact factor: 0.513