pronator teres syndrome

Epidemiology

• rare

Pathology

• compression neuropathy of the median nerve at the elbow

Clinical manifestations

• weakness of the flexor muscles in the forearm & hand
• parethesias or pain in the skin of the palm, thumb, index finger middle finger & half the ring finger
• tenderness over the proximal median nerve, aggravated by resisted pronation of the forearm

Diagnostic procedures

• nerve conduction study
  • conduction velocity of the median nerve in the proximal forearm may be slow
  • sensory nerve action potential at the wrist is normal

Management

• RICED: rest, ice, compression, elevation, NSAIDs
• physical therapy or massage therapy
• surgical decompression

More general terms

• entrapment neuropathy; nerve entrapment syndrome; pinched nerve

Additional terms

• pronator teres