A TRANSVERSE DECOMPRESSION SKIN INCISION APPROACH FOR OF PRONATOR TERES SYNDROME

Pronator teres syndrome is a compressive neuropathy of the median nerve in the proximal part of the forearm and distal part of the arm. The outcome of surgical decompression is occasionally unsatisfactory because of a poor scar. We present the use of a transverse skin incision that allows adequate exploration and decompression distally and proximally, beneath the subcutaneous tissue beyond the volar elbow crease. Journal of Hand Surgery (British and European Volume, 1994) 19B: 40-42 Pronator teres syndrome is a compressive neuropathy of the median nerve in the proximal part of the forearm and distal part of the arm. In surgically treated patients, the outcome is occasionally unsatisfactory because of a poor scar (Gainor, 1990) or recurrent scarring at the incision site (Johnson et al, 1979). Several incisions have been described for surgical decompression of the nerve in the proximal forearm, including a longitudinal incision, Z-shaped incision, “lazy S ” (Mackinnon and Dellon, 1988), multiple Z or zig-zag incision (Eversmann, 1983; 1992), and two linear incision