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Wartenberg's Syndrome Surgical Treatment Surgical treatment is the last resort for this condition as the surgical procedure is not that reliable. Anaesthetic General or regional anaesthetic. Operative technique Incision made over the thumb side of the forearm from the level of the wrist joint up towards the elbow. Sometimes this incision can be curved. The skin is raised. Subcutaneous tissue identified. The nerve identified under a muscle called the brachial radialis, which is the long muscle that goes down the thumb side of the forearm. This is the nerve that is potentially compressed in this condition. The nerve is then traced underneath that muscle and freed up any constructing bands. If it is entrapped by a tendonous band from either of the tendons that come over the nerve, then excision of the tendon margin can be performed. Post-Operatively An inherent dressing is placed on the arm and a bulky bandage then placed over that. The arm is elevated in a sling for two days to keep the arm above the level of the heart and finger movements are started as soon as possible. The bandage should be maintained for two weeks. Return to work It is likely that the patient will require between three and four weeks off work. |
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