The supinator muscle: Anatomical bases for deep branch of the radial nerve entrapment

Charles Berton, Guillaume Wavreille, Frédéric Lecomte, Bruno Miletic, Hee Jin Kim, Christian Fontaine

Research output: Contribution to journalArticlepeer-review

12 Citations (Scopus)


Purpose: Our goals were to carry out an anatomical description of the internal architecture of the supinator muscle in order to describe potentially compressive structures for the deep branch of the radial nerve (DBRN) and to establish reference landmarks for the surgical treatment of radial tunnel syndrome. Methods: Thirty upper limbs were dissected. The pennation angle of proximal and distal arcades of the supinator to the radial shaft axis was measured. Possible compressive structures of both superficial and deep heads of supinator were recorded. Proximal and distal arcades of the superficial layer of the supinator were classified according to their fiber content as tendinous, musculo-tendinous, muscular or membranous. The distances of superficial layer of the supinator muscle to the humeroradial joint line and lateral epicondyle were measured. Results: Pennation angle was 33.6 (±4.2) for the superficial layer and 50.2 (±6.6) for the deep layer. The difference was statistically significant (p < 0.0001). The proximal arcade was purely tendinous in 20 cases (66.7 %). The distal arcade was mainly tendinous or musculo-tendinous (70 %). The average distance between the lateral epicondyle and the proximal arcade was 41.6 mm. We did not find any other potentially compressive structure within DBRN course between both layers. Conclusion: Our anatomical results about pennation angle could be used as a basis for a thorough functional study about the supinator. Both proximal and distal arcades appeared as the two zones ables to compress the DBRN. Their localization should help the surgeon for the DBRN neurolysis.

Original languageEnglish
Pages (from-to)217-224
Number of pages8
JournalSurgical and Radiologic Anatomy
Issue number3
Publication statusPublished - 2013 Apr

All Science Journal Classification (ASJC) codes

  • Anatomy
  • Surgery
  • Pathology and Forensic Medicine
  • Radiology Nuclear Medicine and imaging


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