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Pronator Syndrome, Sports Medicine

Kevin E. Burroughs, MD, CAQSM Reviewed 04/2019
 


BASICS

Seyffarth first described compression of the median nerve as it passes through the pronator teres just distal to the elbow in 1951 1,2

DESCRIPTION

  • Classically, entrapment of the median nerve oc...

DIAGNOSIS

HISTORY

  • Typically, patients complain of an aching or fatigue-like pain in proximal forearm. Other symptoms may include occasional hand pain, dysesthesias of the radial 3 1/2 digits, and cramp...

TREATMENT

GENERAL MEASURES

  • Small studies show a wide range of improvement in nonsurgical interventions, but no randomized trials have been performed; up to 3 to 6 mo of conservative treatment recommend...

ONGOING CARE

Postsurgical intervention, active range of motion as early as postoperative day 2, with full return to activity by 6 to 8 wk 1[C

REFERENCES

1
Rodner CM, Tinsley BA, O’Malley MP. Pronator syndrome and anterior interosseous nerve syndrome. J Am Acad Orthop Surg.  2013;21(5):268–275.
2
Strohl AB, Zelouf DS. Ulnar tunnel syndrome...

ADDITIONAL READING

  • Bencardino JT, Rosenberg ZS. Entrapment neuropathies of the shoulder and elbow in the athlete. Clin Sports Med.  2006;25(3):465–487, vi–vii.

  • Tetro AM, Pichora DR. High median ne...

CLINICAL PEARLS

  • Tinel test and other compression tests of the median nerve at the wrist level should be absent.

  • Symptoms of pronator syndrome typically do not occur at night. Also, wrist splints typica...

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