Pronator Syndrome

The Musculoskeletal disorders more commonly seen in dental surgeons are Carpal Tunnel Syndrome Ulnar Nerve Entrapment Pronator Syndrome Tendinitis Tenosynovitis Extensor Wad Strain Thoracic Outlet Syndrome Rotator Cuff Tendonitis (Nield-Gehrig, 2008). 

Epicondylitis is a common elbow problem, generally called tennis elbow if the lateral epicondyle is involved and golfer s elbow if the medial epicondyle is involved. This is an overuse syndrome that is associated with any activity that requires repetitive pronation and supination, such as gripping a tennis racquet, golf club, screwdriver, or doorknob. The wrist extensor muscles are involved in lateral epicondylitis. 

This case is a good example of multiple impingement syndromes. Besides the obvious carpal tunnel, A.M. had some additional impingement of the median nerve as it passes by the pronator teres. The tension in the soft tissues at the thoracic inlet impinged the nerves of the brachial plexus as they passed through the costoclavicular space. It is important to remember that when there is a fall on the rigid arm, the force is transmitted all the way to the neck. In A.M. s case,... 

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