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https://www.readbyqxmd.com/read/29891267/the-management-of-persistent-and-recurrent-cubital-tunnel-syndrome
#1
REVIEW
Louis C Grandizio, Steven Maschke, Peter J Evans
Cubital tunnel syndrome (CuTS) is the second most common compressive neuropathy in the upper extremity. There are considerable diagnostic and therapeutic challenges associated with treating patients after a failed primary procedure for CuTS. Distinguishing cases of recurrence versus persistence and identifying concomitant pathology can guide treatment. Conditions that mimic CuTS must be carefully ruled out and coexisting dysfunction of the medial antebrachial cutaneous nerve needs to be addressed. Results of revision procedures are not as reliable as primary procedures for CuTS; however, improvements in pain and paresthesias are noted in approximately 75% of patients...
June 8, 2018: Journal of Hand Surgery
https://www.readbyqxmd.com/read/29869109/an-anatomical-study-of-so-called-fibrous-bands-around-the-ulnar-nerve-distal-to-the-cubital-tunnel
#2
José Fernando Guedes-Correa, Rosana Siqueira Brown
BACKGROUND: Fibrous bands (FB) are structures that cross the ulnar nerve (UN), distal to the cubital tunnel (CT). In surgical decompression of the UN in the elbow region, by endoscopy, these FB significantly impact UN visibility. The aim of the current study was to characterize the anatomical characteristics of these FB distal to the CT. METHODOLOGY: Eighteen formalinized upper limbs were dissected, nine right and nine left, within the Department of Anatomy of the Federal University of the State of Rio de Janeiro (UNIRIO)...
June 4, 2018: Acta Neurochirurgica
https://www.readbyqxmd.com/read/29858636/shear-wave-elastography-a-new-potential-method-to-diagnose-ulnar-neuropathy-at-the-elbow
#3
Łukasz Paluch, Bartłomiej Noszczyk, Żaneta Nitek, Jerzy Walecki, Katarzyna Osiak, Piotr Pietruski
OBJECTIVES: The primary aim of this study was to verify if shear-wave elastography (SWE) can be used to diagnose ulnar neuropathy at the elbow (UNE). The secondary objective was to compare the cross-sectional areas (CSA) of the ulnar nerve in the cubital tunnel and to determine a cut-off value for this parameter accurately identifying persons with UNE. METHODS: The study included 34 patients with UNE (mean age, 59.35 years) and 38 healthy controls (mean age, 57...
June 1, 2018: European Radiology
https://www.readbyqxmd.com/read/29796400/patient-related-risk-factors-for-infection-following-ulnar-nerve-release-at-the-cubital-tunnel-an-analysis-of-15-188-cases
#4
Christopher L Camp, Collin C Tebo, Ryan M Degen, Joshua S Dines, David W Altchek, Brian C Werner
Background: Although cubital tunnel release is a commonly performed orthopaedic procedure, the overall incidence of and independent risk factors for infection largely remain undefined in the current literature. Purpose: To establish the rate of postoperative infection after isolated cubital tunnel release and define relevant patient-related risk factors. Study Design: Case-control study; Level 3. Methods: All Medicare-insured patients undergoing ulnar nerve decompression at the cubital tunnel from 2010 through 2012 were identified...
May 2018: Orthopaedic Journal of Sports Medicine
https://www.readbyqxmd.com/read/29785223/complications-of-the-fingers-and-hand-after-arthroscopic-rotator-cuff-repair
#5
Mikio Harada, Nariyuki Mura, Masatoshi Takahara, Michiaki Takagi
Background: Complications of the fingers and hand that occur after Arthroscopic Rotator Cuff Repair (ARCR) have not been examined in detail. Objective: The aim of our study was to evaluate the diagnosis and treatment of complications of the fingers and hand that occur after ARCR and to examine treatment outcomes. Methods: The case records of 40 patients (41 shoulders) who underwent ARCR using suture anchors were retrospectively reviewed to investigate complications of the fingers and hand after ARCR...
2018: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/29754844/quantitative-magnetic-resonance-imaging-analysis-of-the-cross-sectional-areas-of-the-anconeus-epitrochlearis-muscle-cubital-tunnel-and-ulnar-nerve-with-the-elbow-in-extension-in-patients-with-and-without-ulnar-neuropathy
#6
Hing Y Eng, Drew A Gunio, Carlos L Benitez
BACKGROUND: The purpose of this study was to assess the cross-sectional area of the anconeus epitrochlearis muscle (AEM), cubital tunnel, and ulnar nerve with the elbow in extension in patients with and without ulnar neuropathy. METHODS: We performed a retrospective, level IV review of elbow magnetic resonance imaging (MRI) studies. Elbow MRI studies of 32 patients with an AEM (26 men and 6 women, aged 18-60 years), 32 randomly selected patients without an AEM (aged 16-71 years), and 32 patients with clinical ulnar neuritis (22 men and 10 women, aged 24-76 years) were reviewed...
May 10, 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29734908/recurrent-cubital-tunnel-syndrome-caused-by-ganglion-a-report-of-nine-cases
#7
Masatoshi Komatsu, Shigeharu Uchiyama, Takumi Kimura, Naoki Suenaga, Masanori Hayashi, Hiroyuki Kato
BACKGROUND: Cubital tunnel syndrome (CuTS) is generally treated successfully by surgery and recurrent cases are rare. This study retrospectively investigated the clinical characteristics of recurrent CuTS caused by ganglion. METHODS: We evaluated nine patients who were surgically treated for recurrent CuTS caused by ganglion. Age distribution at recurrence ranged from 43 to 79 years. The initial surgery for CuTS had been performed using various methods. The asymptomatic period from initial surgery to recurrence ranged from 22 to 252 months...
June 2018: Journal of Hand Surgery Asian-Pacific Volume
https://www.readbyqxmd.com/read/29734905/simultaneous-compression-of-the-median-and-ulnar-nerve-at-the-elbow-a-retrospective-study
#8
Dimitrios Skouteris, Sofia Thoma, Georgios Andritsos, Nikolaos Tasios, Praxitelis Praxitelous, Vassilios Psychoyios
BACKGROUND: Simultaneous compression of the median and ulnar nerve at the elbow region has not been sufficiently highlighted in the literature. The purposes of the present study are to report our experience regarding this entity, to elucidate the clinical features, and to describe the operative technique and findings as well as the results of simultaneous decompression performed through the same medial incision. METHODS: We performed a retrospective study of thirteen elbows in thirteen patients -nine men and four women- with simultaneous compression of the median and ulnar nerve at the elbow region between 2000 and 2011...
June 2018: Journal of Hand Surgery Asian-Pacific Volume
https://www.readbyqxmd.com/read/29706730/relationship-between-smoking-and-outcomes-after-cubital-tunnel-release
#9
Nicholas E Crosby, Naveed N Nosrati, Greg Merrell, Hill Hasting
Purpose: Several studies have drawn a connection between cigarette smoking and cubital tunnel syndrome. One comparison article demonstrated worse outcomes in smokers treated with transmuscular transposition of the ulnar nerve. However, very little is known about the effect that smoking might have on patients who undergo ulnar nerve decompression at the elbow. The purpose of this study is to evaluate the effect of smoking preoperatively on outcomes in patients treated with ulnar nerve decompression...
April 2018: Journal of Hand and Microsurgery
https://www.readbyqxmd.com/read/29703029/attrition-rupture-of-ulnar-nerve-in-a-patient-with-rheumatoid-elbow-arthritis-a-case-report
#10
Ayaka Kaneko, Yoichi Sugiyama, Nana Nagura, Kenji Goto, Yoshiyuki Iwase, Osamu Obayashi, Kiyohito Naito, Kazuo Kaneko
RATIONALE: Cubital tunnel syndrome has been recognized as a common pathology in rheumatoid arthritis (RA) of the elbow. We encountered a patient with RA of the elbow showing attrition rupture of the ulnar nerve. This pathology is extremely rare, and we discussed preventive measures for similar cases in the future based on our case. PATIENT CONCERNS: A 53-year-old woman, received drug treatment for RA since 30 years earlier, had numbness in the left ulnar nerve territory, dorsal interossei muscle atrophy, and resulting claw hand...
April 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29697615/comparison-of-patient-reported-outcome-measurements-and-objective-measurements-after-cubital-tunnel-decompression
#11
Mateusz Koziej, Marek Trybus, Marta Banach, Marcin Bednarek, Anna Chrapusta, Marek Szuścik, Katarzyna Piątek-Koziej, Krzysztof Tomaszewski
BACKGROUND: The aims of this study were (1) to compare the responsiveness of disease and hand-related issues, including health status-related questions, in patients with cubital tunnel syndrome; and (2) to assess whether these tools and objective hand tests are associated with the results of nerve conduction studies after a simple cubital tunnel syndrome decompression. METHODS: Forty-seven patients with diagnosed condition were enrolled in the study. The following tools were used preoperatively and again at 3 and 6 months: the Patient-Rated Ulnar Nerve Evaluation; the Michigan Hand Outcomes Questionnaire; the Disabilities of the Arm, Shoulder, and Hand; the 12-Item Short-Form Health Survey; the pain visual analogue scale with activity; the grip and key pinch test, two-point discrimination, and the ulnar nerve conduction studies test...
May 2018: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29682985/the-7-structures-distal-to-the-elbow-that-are-critical-to-successful-anterior-transposition-of-the-ulnar-nerve
#12
John M Felder, Susan E Mackinnon, Megan M Patterson
BACKGROUND: Ulnar nerve transposition (UNT) surgery is performed for the treatment of cubital tunnel syndrome. Improperly performed UNT can create iatrogenic pain and neuropathy. The aim of this study is to identify anatomical structures distal to the medial epicondyle that should be recognized by all surgeons performing UNT to prevent postoperative neuropathy. METHODS: Ten cadaveric specimens were dissected with attention to the ulnar nerve. Intramuscular UNT surgery was simulated in each...
April 1, 2018: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/29582694/anconeus-epitrochlearis-muscle-associated-with-cubital-tunnel-syndrome-a-case-series
#13
Nicholas Kim, Ryan Stehr, Hani S Matloub, James R Sanger
BACKGROUND: Cubital tunnel syndrome is a common compressive neuropathy of the upper extremity. The anconeus epitrochlearis muscle is an unusual but occasional contributor. We review our experience with this anomalous muscle in elbows with cubital tunnel syndrome. METHODS: We retrospectively reviewed charts of 13 patients noted to have an anconeus epitrochlearis muscle associated with cubital tunnel syndrome. RESULTS: Ten patients had unilateral ulnar neuropathy supported by nerve conduction studies...
March 1, 2018: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/29560039/ulnar-nerve-palsy-caused-by-synovial-protrusion-in-synovial-chondromatosis-of-the-elbow-a-case-report-and-literature-review
#14
Kiminori Yukata, Masaaki Murase, Takahiro Hashimoto, Yasunori Shimaoka, Toshihiko Taguchi, Junichi Hamawaki
We describe an unusual case of ulnar nerve compression (cubital tunnel syndrome) caused by synovial protrusion in primary synovial chondromatosis of the elbow in a 59-year-old man. Magnetic resonance imaging is a useful tool for diagnosing this rare condition. Surgical excision of the intra-articular multiple loose bodies and ulnar nerve decompression were performed. The clinician should be aware of primary synovial chondromatosis as one of the causative factors of cubital tunnel syndrome.
April 2018: Shoulder & Elbow
https://www.readbyqxmd.com/read/29537995/v-y-lengthening-technique-of-the-flexor-pronator-mass-for-anterior-submuscular-transposition-of-the-ulnar-nerve-in-severe-cubital-tunnel-syndrome-a-long-term-follow-up-study
#15
Sang Ki Lee, Gyu Sang Lee, Won Sik Choy
PURPOSE: This study aimed to retrospectively analyze the clinical results of anterior submuscular transposition of the ulnar nerve using a flexor-pronator V-Y lengthening technique in patients with severe cubital tunnel syndrome (CTS). MATERIALS AND METHODS: From January 2007 to May 2015, 36 patients with grade III CTS based on McGowan's classification were enrolled. All patients were treated with anterior submuscular transposition of the ulnar nerve using a flexor-pronator V-Y lengthening technique...
May 2018: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/29528796/effect-of-dry-needling-on-cubital-tunnel-syndrome-three-case-reports
#16
Sudarshan Anandkumar, Murugavel Manivasagam
This case series describes three patients who presented with right medial elbow pain managed unsuccessfully with conservative treatment that included medication, massage, exercise therapy, ultrasound therapy, neurodynamic mobilization, and taping. Diagnosis of cubital tunnel syndrome was based on palpatory findings, a positive elbow flexion test, and a positive Tinel's sign. Conventionally, the intervention for this entrapment has been surgical decompression, with successful outcomes. This is potentially a first-time description of the successful management of cubital tunnel syndrome with dry needling (DN) using a recently published DN grading system...
March 12, 2018: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/29481399/endoscopic-versus-open-in-situ-cubital-tunnel-release-a-systematic-review-of-the-literature-and-meta-analysis-of-655-patients
#17
Patrick J Buchanan, Lee O Chieng, Zachary S Hubbard, Tsun Y Law, Harvey Chim
BACKGROUND: Cubital tunnel syndrome is the second most common peripheral entrapment syndrome. To date, there is no true consensus on the ideal surgical management. A minimally invasive, endoscopic approach has gained popularity but has not been adequately compared to the more traditional, open approach. METHODS: With compliance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, a systematic review was performed to identify studies published between 1990 and 2016 that compared the efficacy of endoscopic cubital tunnel release to open cubital tunnel release...
March 2018: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29409425/a-median-nerve-anterior-transposition-procedure-for-multi-recurrent-hemodialysis-related-carpal-tunnel-syndrome
#18
Ichiro Okutsu, Ikki Hamanaka, Aya Yoshida
BACKGROUND: Some long-term hemodialysis patients suffer from multi-recurrent carpal tunnel syndrome because amyloid originating from β2 -microglobulin continues to be deposited mainly in the flexor tendons, tendon sheaths and flexor retinaculum during maintenance hemodialysis. These amyloid deposits inside carpal canal (tunnel) tissues increase carpal canal pressure and this leads to compression of the median nerve. When multi-recurrent carpal tunnel syndrome occurs, previous operative scarring of soft tissue may prohibit further enlargement of the carpal canal even if any carpal canal decompression procedure is used...
March 2018: Journal of Hand Surgery Asian-Pacific Volume
https://www.readbyqxmd.com/read/29379297/predictors-of-surgical-outcomes-after-in-situ-ulnar-nerve-decompression-for-cubital-tunnel-syndrome
#19
Lingde Kong, Jiangbo Bai, Kunlun Yu, Bing Zhang, Jichun Zhang, Dehu Tian
Background: In the treatment of cubital tunnel syndrome (CuTS), in situ ulnar nerve decompression is commonly used. This study aims to investigate predictive factors for poor recovery and ulnar nerve instability following this procedure. Methods: We enrolled 235 patients who underwent in situ ulnar nerve decompression for the treatment of CuTS from January 2010 to December 2014. All patients underwent >2 years' follow-up. The primary outcome was postoperative recovery, which was assessed by Messina's criteria, and the secondary outcome was postoperative ulnar nerve instability...
2018: Therapeutics and Clinical Risk Management
https://www.readbyqxmd.com/read/29363642/anterior-subcutaneous-transposition-of-the-ulnar-nerve-affects-elbow-range-of-motion-a-mean-13-5-years-of-follow-up
#20
Xing-Hua Liu, Mao-Qi Gong, Yang Wang, Chang Liu, Shao-Liang Li, Xie-Yuan Jiang
BACKGROUND: Surgical decompression of the ulnar nerve is effective for cubital tunnel syndrome. However, deep approaches may result in iatrogenic elbow stiffness. This long-term study was to evaluate the range of motion (ROM) of the elbow and functional outcomes after anterior subcutaneous transposition. METHODS: A total of 115 patients (78 male and 37 female; mean age: 46.6 years) who underwent anterior subcutaneous transposition of the ulnar nerve between 2001 and 2005 were evaluated retrospectively; mean follow-up was 13...
February 5, 2018: Chinese Medical Journal
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