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Cubital tunnel

J K F Wong, C C Hsu, C H Lin, S H Lien, Y T Lin
BACKGROUND: Many techniques have been described to relieve the compression and reduce subluxation of the ulnar nerve following surgery. The subfascial anterior transposition of the ulnar nerve (SfATUN) is one described technique, but involves a long scar, risk of injury to the medial antebrachial cutaneous nerve, and possible nerve ischemia from anterior transposition. We assessed a more refined approach of endoscopy-assisted SfATUN for the treatment of cubital tunnel syndrome. METHODS: A consecutive case series of 21 patients (15 males and 6 females) with evidence of nerve subluxation after ulnar nerve decompression were operated using an endoscopy-assisted SfATUN...
September 16, 2016: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
Michael P Gaspar, Hesham M Abdelfattah, Ian W Welch, Michael M Vosbikian, Patrick M Kane, Mark S Rekant
BACKGROUND: Perineural scarring of the ulnar nerve is a predominant cause of symptom recurrence after surgical treatment for primary cubital tunnel syndrome (CuTS). We report our preliminary experience in revision ulnar nerve decompression and nerve wrapping with an amniotic membrane allograft adhesion barrier for treatment of recurrent CuTS. METHODS: We performed a retrospective review with prospective follow-up of patients with recurrent CuTS who were treated with revision neurolysis with amniotic membrane nerve wrapping...
October 14, 2016: Journal of Shoulder and Elbow Surgery
Shepard P Johnson, Kevin C Chung, Lin Zhong, Melissa J Shauver, Michael J Engelsbe, Chad Brummett, Jennifer F Waljee
PURPOSE: To evaluate prolonged opioid use in opioid-naïve patients after common hand surgery procedures in the United States. METHODS: We studied insurance claims from the Truven MarketScan databases to identify opioid-naïve adult patients (no opioid exposure 11 months before the perioperative period) who underwent an elective (carpal tunnel release, carpometacarpal arthroplasty/arthrodesis, cubital tunnel release, or trigger finger release) or trauma-related (closed distal radius fracture fixation, flexor tendon repair, metacarpal fracture fixation, or phalangeal fracture fixation) hand surgery procedure between 2010 and 2012 (N = 77,573 patients)...
September 7, 2016: Journal of Hand Surgery
Yi-Ming Ren, Xian-Hu Zhou, Hu-Yun Qiao, Zhi-Jian Wei, Bao-You Fan, Wei Lin, Shi-Qing Feng
OBJECTIVE: We conducted this systematic review and meta-analysis to compare the clinical efficacy and safety between open and endoscopic in situ decompression surgery methods for cubital tunnel syndrome (CuTS). METHODS: PubMed, Medline, Embase, Cochrane Library and CNKI were searched for eligible studies. The data were extracted by two of the coauthors (WL, BYF) independently and were analyzed using RevMan statistical software, version 5.1. Relative risks (RRs) and 95% confidence intervals (CIs) were calculated...
September 12, 2016: International Journal of Surgery
Lauren E Wessel, Duretti T Fufa, R Bruce Canham, Adam La Bore, Martin I Boyer, Ryan P Calfee
BACKGROUND: Double crush syndrome, the association between proximal and distal nerve lesions, has been established. This investigation compares the outcomes of nerve surgery in patients with isolated peripheral compression versus those with double crush syndrome treated with peripheral nerve and cervical spine surgeries. METHODS: This case controlled study enrolled 80 patients; 40 underwent carpal or cubital tunnel surgery and cervical spine surgery (double crush group) and 40 controls, matched by age and sex, underwent only peripheral nerve decompression (peripheral nerve group)...
September 10, 2016: Plastic and Reconstructive Surgery
Elizabeth M Pinder, Chye Yew Ng
The scratch collapse test (SCT) is a relatively new clinical test in which a positive result implies entrapment neuropathy of the nerve tested. Initially described for carpal and cubital tunnel syndromes, subsequent authors have found it useful for the assessment of median, ulna, radial, axillary, and common peroneal nerves. We report a case illustrating the value of the SCT in the clinical assessment of thoracic nerve entrapment.
August 2016: Journal of Hand and Microsurgery
Ahmed F Sadek, Ezzat H Fouly, Adel A Abdel-Aziz, Mohammed A Sayed, Nehad M El-Mahboub, Mona Hamdy
PURPOSE: The aim of this study was to compare the functional and neurophysiological outcome of in situ decompression versus in situ decompression augmented with autogenous vein wrapping in management of secondary cubital tunnel syndrome at the elbow following fixation of elbow fractures. METHODS: A prospective comparative randomized study was performed on 29 patients who were divided into two groups: group I (in situ decompression) and group II (in situ decompression augmented with autogenous vein wrapping)...
April 2016: Journal of Hand and Microsurgery
Jonathan M Frank, Bryan M Saltzman, Mohamad Hemu, Robert W Wysocki
Primary synovial chondromatosis is a rare, benign, proliferative disease of hyaline cartilaginous bodies within the synovium of joints. We report a rare case of primary synovial chondromatosis diffusely affecting the ulnohumeral joint causing pain and motion limitations with extrusion into the cubital tunnel and compressing the ulnar nerve but without any preoperative signs or symptoms of ulnar nerve compression. The patient was successfully treated with an open synovectomy to limit disease progression and improve motion...
September 2, 2016: Journal of Hand Surgery
Loretta Coady-Fariborzian, Amy McGreane, Christy Anstead, Robert Lawler, Arlette Jones-Lawson, Winston Richards
No abstract text is available yet for this article.
August 31, 2016: JAMA Surgery
Taku Suzuki, Takuji Iwamoto, Kensuke Ochi, Kazuaki Mito, Toshiyasu Nakamura, Katsuji Suzuki, Harumoto Yamada, Kazuki Sato
INTRODUCTION: The aim of this study was to validate the potential association between cigarette smoking and cubital tunnel syndrome (CubTS). METHODS: One hundred patients with CubTS were compared with 100 controls with ulnar abutment syndrome matched for age, gender, and BMI. The smoking status was compared between patients and controls using the sign test and the Wilcoxon signed rank test. Conditional logistic regression was used to calculate the association between CubTS and pack-years smoked...
August 29, 2016: Muscle & Nerve
Veronica Macchi, Andrea Porzionato, Raffaele De Caro
No abstract text is available yet for this article.
September 2016: Radiology
Ian Foran, Kenneth Vaz, Jakub Sikora-Klak, Samuel R Ward, Eric R Hentzen, Sameer B Shah
PURPOSE: Simple decompression and anterior subcutaneous transposition are effective surgical interventions for cubital tunnel syndrome and yield similarly favorable outcomes. However, a substantial proportion of patients demonstrate unsatisfactory outcomes for reasons that remain unclear. We compared effects of decompression and transposition on regional ulnar nerve strain to better understand the biomechanical impacts of each strategy. METHODS: Patients diagnosed with cubital tunnel syndrome and scheduled for anterior subcutaneous transposition surgery were enrolled...
October 2016: Journal of Hand Surgery
Peter Tang, Jason S Hoellwarth, Aakash Chauhan
No abstract text is available yet for this article.
March 8, 2016: JBJS Rev
Salah Aldekhayel, Alexander Govshievich, James Lee, Youssef Tahiri, Mario Luc
BACKGROUND: Several surgical techniques exist for treatment of cubital tunnel syndrome. Endoscopic cubital tunnel release (ECTuR) has been recently reported as a promising minimally invasive technique. This study aims to compare outcomes and complications of open cubital tunnel release (OCTuR) and ECTuR in the treatment of idiopathic cubital tunnel syndrome. METHODS: A systematic review of the literature (1980-2014) identified 118 citations. Studies including adults with idiopathic cubital tunnel treated exclusively by ECTuR or OCTuR were included...
March 2016: Hand: Official Journal of the American Association for Hand Surgery
A Erdem Bagatur, Mehmet Burak Yalcin, Utku Erdem Ozer
Ulnar neuropathy at the elbow is the second most frequent entrapment neuropathy and is considered idiopathic in most patients. However, several anatomic variations, including the anconeus epitrochlearis muscle, have been reported to cause ulnar nerve compression. The anconeus epitrochlearis muscle is a common anatomic variation, with a prevalence of up to 34%, but the clinical diagnosis of ulnar neuropathy of the elbow as a result of this variation is rare, with an unknown prevalence. It is a congenital accessory muscle between the medial humeral epicondyle and the olecranon that covers the posterior aspect of the cubital tunnel and is usually an operative finding, not a preoperative diagnosis...
September 1, 2016: Orthopedics
Peter C Chimenti, Allison W McIntyre, Sean M Childs, Warren C Hammert, John C Elfar
BACKGROUND: Resolution of symptoms including pain, numbness, and tingling outside of the median nerve distribution has been shown to occur following carpal tunnel release. We hypothesized that a similar effect would be found after combined release of the ulnar nerve at the elbow with simultaneous release of the median nerve at the carpal tunnel. METHODS: 20 patients with combined cubital and carpal tunnel syndrome were prospectively enrolled. The upper extremity was divided into six zones and the location of pain, numbness, tingling, or strange sensations was recorded pre-operatively...
2016: Open Orthopaedics Journal
Sangeet Gangadharan, Padma Shetty
INTRODUCTION: Acute traumatic subluxation of the ulnar nerve at the cubital tunnel is rare or under-reported. CASE REPORT: A 31 year old Asian man presented with severe, radiating pain from the elbow to forearm, following a fall on his outstretched hand. He had swelling and severe tenderness at the posteromedial aspect of the elbow. Pain aggravated with elbow flexion beyond 80 degrees. There was no neurological deficit. Dynamic ultrasound demonstrated subluxation of ulnar nerve with elbow flexion...
October 2015: Journal of Orthopaedic Case Reports
Yoshikazu Ido, Shigeharu Uchiyama, Koichi Nakamura, Toshiro Itsubo, Masanori Hayashi, Yukihiko Hata, Toshihiko Imaeda, Hiroyuki Kato
We investigated a recovery pattern in subjective and objective measures among 52 patients with cubital tunnel syndrome after anterior subcutaneous transposition of the ulnar nerve. Disabilities of the Arm, Shoulder and Hand (DASH) score (primary outcome), numbness score, grip and pinch strength, Semmes-Weinstein (SW) score, static 2-point discrimination (2PD) score, and motor conduction velocity (MCV) stage were examined preoperatively and 1, 3, 6, 12, and ≥24 months postoperatively. Statistical analyses were conducted to evaluate how each variable improved after surgery...
2016: Scientific Reports
O Kenechi Nwawka, Theodore T Miller, Shari T Jawetz, Gregory R Saboeiro
PURPOSE: Our current clinical technique for sonographic-guided perineural injection consists of two-sided perineural needle placement to obtain circumferential distribution of the injectate. This study aimed to determine if a single-side needle position will produce circumferential nerve coverage. METHODS: Fresh-frozen cadaveric specimens were used for this study. In six upper extremities, a needle was positioned along the deep surface of median, radial, and ulnar nerves in the carpal tunnel, radial tunnel, and cubital tunnel, respectively, and 2 ml of contrast was injected for each nerve...
October 2016: Journal of Clinical Ultrasound: JCU
Zhu Liu, Zhi-Rong Jia, Ting-Ting Wang, Xin Shi, Wei Liang
BACKGROUND: The appropriate elbow position of short-segment nerve conduction study (SSNCS) to diagnose cubital tunnel syndrome (CubTS) is still controversial. The goal of this study was to determine the effect of different elbow positions at full extension and 70° flexion on SSNCS in CubTS. METHODS: In this cross-sectional study, the clinical data of seventy elbows from 59 CubTS patients between September, 2011 and December, 2014 in the Peking University First Hospital were included as CubTS group...
May 5, 2016: Chinese Medical Journal
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