Arthroscopy: The Journal of Arthroscopic and Related Surgery
Volume 25, Issue 11 , Pages 1261-1264 , November 2009

Anatomic Course of the Superficial Branch of the Radial Nerve in the Wrist and Its Location in Relation to Wrist Arthroscopy Portals: A Cadaveric Study

  • Ayhan Kılıç, M.D.

      Affiliations

    • Department of Orthopedics, Taksim Education and Research Hospital, Istanbul, Turkey
  • ,
  • Aysin Kale, M.D.

      Affiliations

    • Department of Anatomy, Medicine Faculty, Istanbul University, Istanbul, Turkey
  • ,
  • Ahmet Usta, M.D.

      Affiliations

    • Department of Anatomy, Medicine Faculty, Istanbul University, Istanbul, Turkey
  • ,
  • Fuat Bilgili, M.D.

      Affiliations

    • Department of Orthopedics, Taksim Education and Research Hospital, Istanbul, Turkey
  • ,
  • Yavuz Kabukçuoğlu, M.D.

      Affiliations

    • Department of Orthopedics, Taksim Education and Research Hospital, Istanbul, Turkey
  • ,
  • Sami Sökücü, M.D.

      Affiliations

    • Department of Orthopedics, Taksim Education and Research Hospital, Istanbul, Turkey
    • Corresponding Author InformationAddress correspondence and reprint requests to Sami Sökücü, M.D., Department of Orthopedics, Taksim Education and Research Hospital, Sıraselviler Street, No. 112, Taksim, Istanbul, Turkey

Received 8 June 2008 ,Accepted 4 February 2009.

References 

  1. Auerbach DM, Collins ED, Kunkle KL, Monsanto EH. The radial sensory nerve (An anatomic study). Clin Orthop Relat Res. 1994;241–249
  2. Klitscher D, Müller LP, Rommens P. Anatomical course of the superficial branch of the radial nerve and clinical significance for surgical approaches in the distal forearm. Eur J Trauma Emerg Surg. 2007;33:69–73
  3. Haisman JMI, Bush M, Wolfe S. Wrist arthroscopy: Standard portals and arthroscopic anatomy. J Am Soc Surg Hand. 2005;5:175–181
  4. Slutsky DJ. The use of a dorsal-distal portal in trapeziometacarpal arthroscopy: Technical note. Arthroscopy. 2007;23:1244.e1–1244.e4www.arthroscopyjournal.org
  5. Mok D, Nikolis A, Harris PG. The cutaneous innervation of the dorsal hand: Detailed anatomy with clinical implications. J Hand Surg [Am]. 2006;31:565–574
  6. Khuroo YS, Babu SR, Bargawa HSM, Anand A, Rajendran M. Anatomical variation of superficial branch of radial nerve—A cadaveric study. JK Pract. 2006;13:169–172
  7. Dellon AL, Mackinnon SE. Susceptibility of the superficial sensory branch of the radial nerve to form painful neuromas. J Hand Surg [Br]. 1984;9:42–45
  8. Grechenig W, Peicha G, Fellinger M, Seibert FJ, Weiglein AH. Anatomical and safety considerations in establishing portals used for wrist arthroscopy. Clin Anat. 1999;12:179–185
  9. Houghes TB, Weiss AP. General anatomy and set up. In:  Geissler WB editors. Wrist Arthroscopy. New York: Springer Science; 2005;p. 1–7
  10. Gupta R, Bozentka DJ, Osterman LA. Wrist arthroscopy: Principles and clinical applications. J Am Acad Orthop Surg. 2001;9:200–209
  11. Lee JH, Taylor NL, Beekman RA, Rosenwasser MP. Arthroscopic anatomy. In:  Geissler WB editors. Wrist Arthroscopy. New York: Springer Science; 2005;p. 7–15
  12. Del Pinal F, Herrero F, Cruz-Camara A, San Jose J. Complete avulsion of the distal posterior interosseous nerve during wrist arthroscopy: A possible cause of persistent pain after arthroscopy. J Hand Surg [Am]. 1999;24:240–242
  13. Monaghan BA. Uses and abuses of wrist arthroscopy. Tech Hand Up Extrem Surg. 2006;10:37–42
  14. Tellioğlu AT, Tekdemir I, Ersoy M, Karabağ O. Dorsal branches of superficial radial nerve: An anatomic study with potential clinical applications. Eur J Plast Surg. 2000;23:419–421
  15. Carro P, Golano P, Farinas O, Cerezal L, Hidalgo C. The radial portal for scaphotrapeziotrapezoid arthroscopy: Technical note. Arthroscopy. 2003;19:547–553
  16. Rodeo SA, Forster RA, Weiland AJ. Neurological complications due to arthroscopy. J Bone Joint Surg Am. 1993;75:917–926
  17. Tindall A, Patel M, Frost A, Parkin I, Shetty A, Compson J. The anatomy of the dorsal cutaneous branch of the ulnar nerve—A safe zone for positioning of the 6R portal in wrist arthroscopy. J Hand Surg [Br]. 2006;31:203–205

 The authors report no conflict of interest.

PII: S0749-8063(09)00506-4

doi: 10.1016/j.arthro.2009.05.015

Arthroscopy: The Journal of Arthroscopic and Related Surgery
Volume 25, Issue 11 , Pages 1261-1264 , November 2009