Is dry needling of the supinator a safe procedure? A potential treatment for lateral epicondylalgia or radial tunnel syndrome. A cadaveric study
Autor/a
Hidalgo-García, César
Donnelly, Joseph M.
Cedeño-Bermúdez, Simón A.
Pérez Bellmunt, Albert
Fecha de publicación
2021ISSN
1660-4601
Resumen
The supinator muscle is involved in two pain conditions of the forearm and wrist: lateral epicondylalgia and radial tunnel syndrome. Its close anatomical relationship with the radial nerve at the arcade of Frohse encourages research on dry needling approaches. Our aim was to determine if a solid filiform needle safely penetrates the supinator muscle during the clinical application of dry needling. Needle insertion of the supinator muscle was conducted in ten cryopreserved forearm specimens with a 30 × 0.32 mm filiform needle. With the forearm pronated, the needle was inserted perpendicular into the skin at the dorsal aspect of the forearm at a point located 4cm distal to the lateral epicondyle. The needle was advanced to a depth judged to be in the supinator muscle. Safety was assessed by measuring the distance from the needle to the surrounding neurovascular bundles of the radial nerve. Accurate needle penetration of the supinator muscle was observed in 100% of the forearms (needle penetration:16.4 ± 2.7 mm 95% CI 14.5 mm to 18.3 mm). No neurovascular bundle of the radial nerve was pierced in any of the specimen’s forearms. The distances from the tip of the needle were 7.8 ± 2.9 mm (95% CI 5.7 mm to 9.8 mm) to the deep branch of the radial nerve and 8.6 ± 4.3 mm (95% CI 5.5 mm to 11.7 mm) to the superficial branch of the radial nerve. The results from this cadaveric study support the assumption that needling of the supinator muscle can be accurately and safely conducted by an experienced clinician.
Tipo de documento
Artículo
Versión del documento
Versión publicada
Lengua
English
Materias (CDU)
02 - Biblioteconomía. Documentación
Palabras clave
Supinador
Agulla seca
Cadàver
Seguretat
Nervi radial
Frohse arcade
Supinador
Punción seca
Cadáver
Seguridad
Nervio radial
Sala de juegos Frohse
Supinator
Dry needling
Corpse
Safety
Radial nerve
Frohse arcade
Páginas
7
Publicado por
MDPI
Colección
18; 17
Publicado en
International Journal of Environmental Research and Public Health
Citación
Fernández-de-las-Peñas, César; López-de-Celis, Carlos; Rodríguez-Sanz, Jacobo [et al.]. Is dry needling of the supinator a safe procedure? A potential treatment for lateral epicondylalgia or radial tunnel syndrome. A cadaveric study. International Journal of Environmental Research and Public Health, 2021, 18(17), 9162. Disponible en: <https://www.mdpi.com/1660-4601/18/17/9162/htm>. Fecha de acceso: 7 sep. 2021. DOI: 10.3390/ijerph18179162
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Derechos
© 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
Excepto si se señala otra cosa, la licencia del ítem se describe como https://creativecommons.org/licenses/by/4.0/