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Pronator teres syndrome. Pronator teres syndrome is a compression neuropathy of the median nerve at the elbow. It is rare compared to compression at the wrist (carpal tunnel syndrome) or isolated injury of the anterior interosseous branch of the median nerve (anterior interosseous syndrome).
The pronator teres is a muscle (located mainly in the forearm) that, along with the Pronator quadratus muscle pronator quadratus, serves to pronate the forearm (turning it so that the palm faces posteriorly when from the anatomical position). It has two origins, at the medial humeral supracondylar ridge and the medial side of the coronoid ...
The bicipital aponeurosis is superficial to the brachial artery and the median nerve, but deep to the median cubital vein. This protection is important during venipuncture (taking blood). It is one structure that has to be incised during fasciotomy in the treatment of acute compartment syndrome of the forearm and elbow region.
The Pronator teres test is an indication of the syndrome—the patient reports pain when attempting to pronate the forearm against resistance while extending the elbow simultaneously. The physician may notice an enlarged pronator teres muscle. Tinel's sign the area around the pronator teres heads should be positive. [clarification needed] The ...
Non-surgical treatment consists of splinting, proximal tissue massage and anti-inflammatory drugs. Surgical treatment consists of releasing the compression on the nerve from surrounding structures. Pronator Syndrome is similar, but involves both the AIN as well as the median nerve proper.
Nerve compression syndrome, or compression neuropathy, or nerve entrapment syndrome, is a medical condition caused by chronic, direct pressure on a peripheral nerve. [1] It is known colloquially as a trapped nerve, though this may also refer to nerve root compression (by a herniated disc, for example). Its symptoms include pain, tingling ...
Extensor indicis muscle is labeled in purple. In human anatomy, the extensor indicis (proprius) is a narrow, elongated skeletal muscle in the deep layer of the dorsal forearm, placed medial to, and parallel with, the extensor pollicis longus. Its tendon goes to the index finger, which it extends.
It arises from the grooved anterior (side of palm) surface of the body of the radius, [3] extending from immediately below the radial tuberosity and oblique line to within a short distance of the pronator quadratus muscle. [4] An occasionally present accessory long head of the flexor pollicis longus muscle is called 'Gantzer's muscle'. [5]