Dr. Kevin Yip

Dr Kevin Yip
Orthopaedic Surgeon
MBBS(UK), FRCS(EDIN), FAM(SING), FHKCOS(ORTHO)

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Radial Tunnel Syndrome

SYMPTOMS

There is gradual onset of exercise induced pain around the elbow.

AETIOLOGY

This is an entrapment of the radial nerve between the supinator muscle bulks, often affecting players in racket sports and spin bowlers.

CLINICAL FINDINGS

There is pain around the elbow on resisted extension of the middle finger. Tinel’s sign is positive.

INVESTIGATIONS

Nerve conduction test is positive.

TREATMENT

Address bowling technique, errors in top spin or throwing, etc. Stretching and a soft neoprene brace may decrease symptoms.

REFERRALS

Refer to Dr Kevin Yip (+65 9724 1219) senior consultant orthopaedic surgeon if this diagnosis is suspected or if the diagnosis is not
clear. If the symptoms are severe, refer to Dr Kevin Yip, orthopaedic surgeon.

EXERCISE PRESCRIPTION

Many sports can be maintained. Running, cycling and swimming are good alternatives to keep up general fitness. Gym training can be maintained.

EVALUATION OF TREATMENT OUTCOMES

Normal clinical symptoms and signs and good elbow function. Compare with other elbow. Resistance test and Tinel’s sign should be negative.

DIFFERENTIAL DIAGNOSES

Loose bodies, OCD, synovitis (MRI can differentiate).

PROGNOSIS

Excellent, if treated appropriately.

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