Arcade of Frohse

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Arcade of Frohse
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Posterior view of the supinator. (Deep branch of radial nerve labeled at upper right and lower right. Posterior interosseous is this nerve after passing the supinator, at lower right.)
Anatomical terms of muscle

Arcade of Frohse, sometimes called the supinator arch, [1] is the most superior part of the superficial layer of the supinator muscle, and is a fibrous arch over the posterior interosseous nerve.

The arcade of Frohse is a site of interosseous posterior nerve entrapment, [2] and is believed to play a role in causing progressive paralysis of the posterior interosseous nerve, both with and without injury.

The arcade of Frohse was named after German anatomist, Fritz Frohse (1871–1916).[ citation needed ]

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Nerve compression syndrome, or compression neuropathy, or nerve entrapment syndrome, is a medical condition caused by chronic, direct pressure on a peripheral nerve. It is known colloquially as a trapped nerve, though this may also refer to nerve root compression. Its symptoms include pain, tingling, numbness and muscle weakness. The symptoms affect just one particular part of the body, depending on which nerve is affected. The diagnosis is largely clinical and can be confirmed with diagnostic nerve blocks. Occasionally imaging and electrophysiology studies aid in the diagnosis. Timely diagnosis is important as untreated chronic nerve compression may cause permanent damage. A surgical nerve decompression can relieve pressure on the nerve but cannot always reverse the physiological changes that occurred before treatment. Nerve injury by a single episode of physical trauma is in one sense an acute compression neuropathy but is not usually included under this heading, as chronic compression takes a unique pathophysiological course.

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Radial nerve dysfunction is a problem associated with the radial nerve resulting from injury consisting of acute trauma to the radial nerve. The damage has sensory consequences, as it interferes with the radial nerve's innervation of the skin of the posterior forearm, lateral three digits, and the dorsal surface of the lateral side of the palm. The damage also has motor consequences, as it interferes with the radial nerve's innervation of the muscles associated with the extension at the elbow, wrist, and fingers, as well the supination of the forearm. This type of injury can be difficult to localize, but relatively common, as many ordinary occurrences can lead to the injury and resulting mononeuropathy. One out of every ten patients with radial nerve dysfunction do so because of a fractured humerus.

References

  1. Fuss FK (1996). "The eponym of the supinator arch". Surg Radiol Anat. 18 (2): 158. doi:10.1007/bf01795243. PMID   8782326.
  2. Malcolm T. F. Read (26 June 2008). Concise Guide to Sports Injuries. Churchill-Livingston. p. 334. ISBN   978-0-443-06873-7 . Retrieved 23 May 2011.