Patient is a 51 year old female with complaints of chronic left shoulder and left elbow pain with activities of daily living that involve functional gripping. The patient notes pain can radiate into elbow to her wrist. The patient denies any tingling, burning, numbness and only complains of pain at this time.
Diagnostic musculoskeletal ultrasound reveals an enlarged deep branch of the posterior interosseus nerve as it passes between the 2 heads of the supinator as well as a large partial thickness tear of the common wrist extensor tendon.
Diagnostic musculoskeletal ultrasound in this case is able to diagnose radial tunnel syndrome with an entrapment of the posterior interosseus nerve at the arcade of Frohse as well as a partial thickness tear in the common wrist extensor tendon.