Anatomical and clinical study of the supinator syndrome evoked embitterment test / 中华外科杂志

ABSTRACT

<p><b>OBJECTIVE</b>To explore the mechanism and feasibility of the supinator syndrome evoked embitterment test from anatomy and clinic.</p><p><b>METHODS</b>25 cases of The supinator syndrome were reviewed. 18 of them were male and 7 were female. Drop finger deformation were apparent in 25 cases and The supinator syndrome evoked embitterment test was positive for All patients. Operative neurolysis was done in 8 cases, conservation treatment 17 cases; 92 cadaver upper extremities were dissected for a study the relationship between supinator tunnel and posterior interosseous nerve.</p><p><b>RESULTS</b>22 cases had been followed up for an average of 9 months. 16 cases had a full recovery and 6 cases, a partial recovery. the anatomical study shows that The posterior interosseous nerve was compressed by Forhse arcade and the distal border of the supinator muscle during passive pronation forearm.</p><p><b>CONCLUSION</b>The supinator syndrome evoked embitterment test was a new test for the diagnosis of supinator syndrome, it was found to be more sensitive and specific than the others test.</p>