Michal Benes1, David Kachlik2,3, Vladimir Kunc4, Vojtech Kunc1,5. 1. Department of Anatomy, Second Faculty of Medicine, Charles University, Plzeňská 130/221, 150 06, Prague, Czech Republic. 2. Department of Anatomy, Second Faculty of Medicine, Charles University, Plzeňská 130/221, 150 06, Prague, Czech Republic. david.kachlik@lfmotol.cuni.cz. 3. Department of Health Care Studies, College of Polytechnics, Jihlava, Czech Republic. david.kachlik@lfmotol.cuni.cz. 4. Department of Computer Science, Czech Technical University, Prague, Czech Republic. 5. Clinic of Trauma Surgery, Masaryk Hospital, Usti nad Labem, Czech Republic.
Abstract
PURPOSE: The structure of the proximal margin of the superficial layer of the supinator muscle is of high interest to many researches. Its tendinous appearance, called the arcade of Frohse, may be clinically important because of its close relationship to the deep branch of the radial nerve passing beneath it and is considered to be the cause of several syndromes. Given the importance of this structure, we aimed to provide a comprehensive and evidence-based review with meta-analytic techniques. MATERIALS AND METHODS: The meta-analysis was performed in adherence to the PRISMA guidelines. Three medical databases were searched in order to identify all potentially eligible articles. Included studies were assessed for quality and the extracted morphological and morphometric data from the relevant articles was analyzed with the use of random effects meta-analysis. RESULTS: A total of 20 studies were included into this meta-analysis. The pooled prevalence of the arcade of Frohse was calculated to be 66% within the adult population and 0% in the fetuses. Other variations regarding the arcade of Frohse were identified as very rare. Analysis of the morphometric parameters revealed the average proportions to be 23.22 mm for the length, 11.05 mm for the width and the mean thickness is 0.67 mm. CONCLUSIONS: The arcade of Frohse is a commonly found structure in adults and thoughtful knowledge of its texture and morphology is especially useful in neurology, neurosurgery, orthopedics, trauma surgery and hand surgery, because it is considered to be the most common source of compression for the deep branch of the radial nerve.
PURPOSE: The structure of the proximal margin of the superficial layer of the supinator muscle is of high interest to many researches. Its tendinous appearance, called the arcade of Frohse, may be clinically important because of its close relationship to the deep branch of the radial nerve passing beneath it and is considered to be the cause of several syndromes. Given the importance of this structure, we aimed to provide a comprehensive and evidence-based review with meta-analytic techniques. MATERIALS AND METHODS: The meta-analysis was performed in adherence to the PRISMA guidelines. Three medical databases were searched in order to identify all potentially eligible articles. Included studies were assessed for quality and the extracted morphological and morphometric data from the relevant articles was analyzed with the use of random effects meta-analysis. RESULTS: A total of 20 studies were included into this meta-analysis. The pooled prevalence of the arcade of Frohse was calculated to be 66% within the adult population and 0% in the fetuses. Other variations regarding the arcade of Frohse were identified as very rare. Analysis of the morphometric parameters revealed the average proportions to be 23.22 mm for the length, 11.05 mm for the width and the mean thickness is 0.67 mm. CONCLUSIONS: The arcade of Frohse is a commonly found structure in adults and thoughtful knowledge of its texture and morphology is especially useful in neurology, neurosurgery, orthopedics, trauma surgery and hand surgery, because it is considered to be the most common source of compression for the deep branch of the radial nerve.
Entities:
Keywords:
Arcade of Frohse; Deep branch of radial nerve; Epicondylalgia; Posterior interosseous nerve; Supinator arch; Supinator muscle
Authors: Gerd Bodner; Christoph Harpf; Romed Meirer; Alexander Gardetto; Peter Kovacs; Hannes Gruber Journal: J Ultrasound Med Date: 2002-11 Impact factor: 2.153
Authors: L Schneider; M Ehlinger; C Stanchina; M-C Giacomelli; P Gicquel; C Karger; J-M Clavert Journal: Orthop Traumatol Surg Res Date: 2009-04-22 Impact factor: 2.256
Authors: Pedro Belón-Pérez; Laura Calderón-Díez; José Luis Sánchez-Sánchez; Miguel Robles-García; Gustavo Plaza-Manzano; César Fernández-de-Las-Peñas Journal: Int J Environ Res Public Health Date: 2022-02-21 Impact factor: 3.390