Is dry needling of the supinator a safe procedure? A potential treatment for lateral epicondylalgia or radial tunnel syndrome. A cadaveric study
Author
Hidalgo-García, César
Donnelly, Joseph M.
Cedeño-Bermúdez, Simón A.
Pérez Bellmunt, Albert
Publication date
2021ISSN
1660-4601
Abstract
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.
Document Type
Article
Document version
Published version
Language
English
Subject (CDU)
02 - Librarianship
Keywords
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
Pages
7
Publisher
MDPI
Collection
18; 17
Is part of
International Journal of Environmental Research and Public Health
Citation
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
This item appears in the following Collection(s)
- Ciències de la Salut [740]
Rights
© 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/).
Except where otherwise noted, this item's license is described as https://creativecommons.org/licenses/by/4.0/