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Cubital Tunnel Syndrome:

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https://www.readbyqxmd.com/read/30296318/subcutaneous-ulnar-nerve-transposition-using-osborne-s-ligament-as-a-ligamentodermal-or-ligamentofascial-sling
#1
Jeffrey Goldberg, Jeremy M Burnham, Vikas Dhawan
The ulnar nerve is most commonly compressed at the elbow in the cubital tunnel. Conservative and operative treatments have been applied for cubital tunnel syndrome. Surgical management options include decompression, medial epicondylectomy, and various anterior transposition techniques. We describe a novel technique of anterior transposition of the ulnar nerve by using Osborne's ligament as a sling to avoid subluxation. Osborne's ligament is incised posteriorly and medially on the olecranon to create a sling with 2 to 3 cm width...
September 2018: American Journal of Orthopedics
https://www.readbyqxmd.com/read/30282545/fixed-anterior-position-of-ulnar-nerve-around-medial-condyle-of-elbow-with-bony-mass-causing-cubital-tunnel-syndrome
#2
Seung Hoo Lee, Ki Ho Lee, Hye Jin Yoo
A 20-year-old male has presented with mild numbness and tingling sensation at 4, 5th finger of his left hand. Simple radiograph and MRI images revealed bony mass at medial joint space of ulno-humeral joint. After surgical exploration, we found that there were two cause of ulnar nerve irritation symptom. Fixed ulnar nerve position at anterior aspect to medial condyle with deficiency of nerve gliding was one cause, and friction irritation around bony mass was another. It is rarely reported that ulnar nerve always travels to the anterior side of the medial condyle of the elbow, and there are no cases involving skeletal variation...
September 2018: Journal of Hand Surgery Asian-Pacific Volume
https://www.readbyqxmd.com/read/30269264/signs-and-symptoms-of-acromegaly-at-diagnosis-the-physician-s-and-the-patient-s-perspectives-in-the-acro-polis-study
#3
Philippe Caron, Thierry Brue, Gérald Raverot, Antoine Tabarin, Anne Cailleux, Brigitte Delemer, Peggy Pierre Renoult, Aude Houchard, Fatine Elaraki, Philippe Chanson
PURPOSE: Acromegaly is characterized by a broad range of manifestations. Early diagnosis is key to treatment success, but is often delayed as symptomatology overlaps with common disorders. We investigated sign-and-symptom associations, demographics, and clinical characteristics at acromegaly diagnosis. METHODS: Observational, cross-sectional, multicenter non-interventional study conducted at 25 hospital departments in France that treat acromegaly (ClinicalTrials...
September 29, 2018: Endocrine
https://www.readbyqxmd.com/read/30266478/incidence-of-cubital-tunnel-syndrome-in-the-u-s-military-population
#4
John J Pisquiy, Andrew G Chan, Gautham Prabhakar, Nicholas Kusnezov, John C Dunn
PURPOSE: Cubital tunnel syndrome (CuTS) is the second most common peripheral nerve entrapment syndrome. However, existing epidemiological evidence regarding the estimated incidence of the CuTS disease burden in specific populations is sparse, especially among the U.S. military. The purpose of this study was to describe the demographics and determine the incidence of CuTS among active duty U.S. military service members. METHODS: All first-time occurrences for CuTS among military members were identified using International Classification of Diseases, Ninth Revision, clinical modification code 354...
September 25, 2018: Journal of Hand Surgery
https://www.readbyqxmd.com/read/30244710/clinical-features-affecting-the-patient-based-outcome-after-minimal-medial-epicondylectomy-for-cubital-tunnel-syndrome
#5
Young Hak Roh, Sangwoo Kim, Hyun Sik Gong, Goo Hyun Baek
BACKGROUND: Little information is currently available to analyze unsatisfactory surgical outcomes for cubital tunnel syndrome (CuTS). The aim of this study was to analyze the clinical features influencing patient-reported outcomes of minimal medial epicondylectomy for CuTS. METHODS: We evaluated 91 patients who underwent minimal medial epicondylectomy for CuTS using the grip strength; two-point discrimination; Disability of the Arm, Shoulder and Hand (DASH) questionnaire; and a satisfaction with treatment questionnaire for one year, postoperatively...
October 2018: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/30209596/peripheral-nerve-injuries-in-the-pediatric-population-a-review-of-the-literature-part-ii-entrapment-neuropathies
#6
REVIEW
Javier Robla Costales, Mariano Socolovsky, Jaime A Sánchez Lázaro, David Robla Costales
INTRODUCTION: Entrapment neuropathies are infrequent in children, and therefore remain unrecognized. The incidence of radial, median, and cubital mononeuropathies are all similar. Despite the rarity of such cases, extensive, albeit scattered, literature has accumulated concerning entrapment neuropathies in children. OBJECTIVE: To the literature concerning entrapment neuropathies in children. METHODS: A systematic review of the existing literature has been made...
September 12, 2018: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
https://www.readbyqxmd.com/read/30196659/cubital-tunnel-syndrome-caused-by-anconeus-epitrochlearis-muscle
#7
Il-Jung Park, Hyoung-Min Kim, Jae-Young Lee, Changhoon Jeong, Younghoon Kang, Sunwook Hwang, Byung-Yoon Sung, Soo-Hwan Kang
OBJECTIVE: We evaluated the clinical manifestation and surgical results following operative treatment of cubital tunnel syndrome (CuTS) caused by anconeus epitrochlearis (AE) muscle. METHODS: Among 142 patients who underwent surgery for CuTS from November 2007 to October 2015, 12 were assigned to the AE group based on discovery of AE muscle; 130 patients were assigned to the other group. We analyzed retrospectively; age, sex, dominant hand, symptom duration, and weakness in hand...
September 2018: Journal of Korean Neurosurgical Society
https://www.readbyqxmd.com/read/30174812/accuracy-of-preoperative-ultrasonography-for-cubital-tunnel-syndrome-a-comparison-with-intraoperative-findings
#8
Chul-Hyun Cho, Yong-Ho Lee, Kwang-Soon Song, Kyung-Jae Lee, Si-Wook Lee, Sung-Moon Lee
Background: The aim of this study was to assess the consistency between preoperative ultrasonographic and intraoperative measurements of the ulnar nerve in patients with cubital tunnel syndrome. Methods: Twenty-six cases who underwent anterior transposition of the ulnar nerve for cubital tunnel syndrome were enrolled prospectively. On preoperative ultrasonography, largest cross-sectional diameters of the ulnar nerve were measured at the level of medial epicondyle (ME) and 3 cm proximal (PME) and distal (DME) to the ME on the transverse scan by a single experienced radiologist...
September 2018: Clinics in Orthopedic Surgery
https://www.readbyqxmd.com/read/30140129/cubital-tunnel-syndrome-anatomy-clinical-presentation-and-management
#9
REVIEW
Kyle Andrews, Andrea Rowland, Ankur Pranjal, Nabil Ebraheim
Cubital tunnel syndrome is the second most common peripheral nerve compression seen by hand surgeons. A thorough understanding of the ulnar nerve anatomy and common sites of compression are required to determine the cause of the neuropathy and proper treatment. Recognizing the various clinical presentations of ulnar nerve compression can guide the surgeon to choose examination tests that aid in localizing the site of compression. Diagnostic studies such as radiographs and electromyography can aid in diagnosis...
September 2018: Journal of Orthopaedics
https://www.readbyqxmd.com/read/30131934/the-deep-fascia-of-the-forearm-and-the-ulnar-nerve-an-anatomical-study
#10
Paul J Choi, Chidinma Nwaogbe, Joe Iwanaga, Georgi P Georgiev, Rod J Oskouian, R Shane Tubbs
Introduction A reoperation for a cubital tunnel syndrome is not uncommon. Patients often complain of sensorimotor symptoms in the ulnar nerve distribution after their primary surgery. The documented etiologies for such a phenomenon include a "new" kinking of the distal ulnar nerve and a "new" compression of the ulnar nerve by the fascial septum in between or tendinous bands over the muscles of the forearm. The deep fascial plane along which the ulnar nerve travels in the forearm has had scant attention...
June 19, 2018: Curēus
https://www.readbyqxmd.com/read/30112716/comparing-endoscopic-and-open-decompression-of-the-ulnar-nerve-in-cubital-tunnel-syndrome-a-prospective-randomized-study
#11
T Krejčí, Z Večeřa, O Krejčí, D Šalounová, M Houdek, Radim Lipina
BACKGROUND: Prospective randomized data is currently lacking which compares endoscopically assisted surgery with open surgical techniques in the treatment of cubital tunnel syndrome (CUTS). The aim of this study is to compare patient outcome in both techniques. METHOD: This prospective study comprised of 45 patients who, between October 2014 and February 2017, were randomly assigned to undergo either endoscopic or open surgery (22 and 23 patients respectively) for decompression of the ulnar nerve...
October 2018: Acta Neurochirurgica
https://www.readbyqxmd.com/read/30094236/surgical-approaches-and-their-outcomes-in-the-treatment-of-cubital-tunnel-syndrome
#12
REVIEW
Adam Carlton, Syed I Khalid
Purpose: This review was undertaken in order to provide an updated summary of the current literature on outcomes for various surgical treatments for cubital tunnel syndrome. Methods: Studies reporting outcomes for surgical treatment of cubital tunnel syndrome were collected through the PubMed database. Study structure, number of participants/procedures, mean follow-up times, scoring scales, and outcomes were collected according to the type of surgery: open decompression, endoscopic decompression, minimal incision, subcutaneous transposition, intramuscular transposition, and submuscular transposition...
2018: Frontiers in Surgery
https://www.readbyqxmd.com/read/30084270/ulnar-nerve-enlargement-at-the-medial-epicondyle-negatively-correlates-with-nerve-conduction-velocity-in-cubital-tunnel-syndrome
#13
T David Luo, Amy P Trammell, Luke P Hedrick, Ethan R Wiesler, Francis O Walker, Mark J Warburton
BACKGROUND: In cubital tunnel syndrome (CuTS), chronic compression often occurs at the origin of the flexor carpi ulnaris at the medial epicondyle. Motor nerve conduction velocity (NCV) across the elbow is assessed preoperatively to corroborate the clinical impression of CuTS. The purpose of this study was to correlate preoperative NCV to the direct measurements of ulnar nerve size about the elbow at the time of surgery in patients with clinical and/or electrodiagnostic evidence of CuTS...
August 7, 2018: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/30073997/modified-simple-decompression-of-ulnar-nerve-in-the-treatment-of-cubital-tunnel-syndrome-report-of-a-series-of-cases
#14
M Balevi, S Ozturk
Background/Aim: Ulnar compressive neuropathy is the second most common nerve compression in the upper extremity. Although numerous operative procedures have been defined for the treatment of cubital tunnel syndrome (CuTS), the best operative intervention remains controversial. The aim of this study is to discuss the efficacy of a modified simple decompression (MSD) of the ulnar nerve in the treatment of CuTS. Materials and Methods: Each patient was preoperatively examined, and the following data were recorded: initial complaint, duration of symptoms, and presence of Tinel's sign around the elbow, results of provocation by the elbow flexion test, and results of electrodiagnostic studies...
August 2018: Nigerian Journal of Clinical Practice
https://www.readbyqxmd.com/read/30055161/ultrasound-parameters-other-than-the-direct-measurement-of-ulnar-nerve-size-for-diagnosing-cubital-tunnel-syndrome-a-systemic-review-and-meta-analysis
#15
REVIEW
Ing-Jeng Chen, Ke-Vin Chang, Wei-Ting Wu, Levent Özçakar
OBJECTIVE: To investigate the diagnostic performance of available ultrasound (US) parameters, other than the direct measurements of ulnar nerve size, that is, cross-sectional area (CSA) and diameter, for diagnosing cubital tunnel syndrome (CuTS). DATA SOURCES: Databases, including PubMed and Embase, were searched from the earliest record of CuTS US to April 24, 2018. STUDY SELECTION: Published studies (N=13) comparing US parameters of ulnar nerves between patients with CuTS and patients without CuTS were included...
July 25, 2018: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/30048793/a-novel-diagnostic-and-prognostic-tool-for-simple-decompression-of-ulnar-nerve-in-cubital-tunnel-syndrome
#16
Domenico La Torre, Giovanni Raffa, Maria Angela Pino, Vincenzo Fodale, Vincenzo Rizzo, Carmela Visalli, Giusy Guzzi, Attilio Della Torre, Angelo Lavano, Antonino Germanò
BACKGROUND: Surgical decompression of the ulnar nerve (UN) is effective for treating cubital tunnel syndrome (CubTS). Nevertheless, the outcome is not always satisfying. Different surgical, clinical, and imaging findings have been claimed as outcome predictors, but there is no consensus in the literature. We analyzed the outcome-predicting role of ultrasonography (US) of the UN in patients with CubTS and its possible role for diagnosis and follow-up. METHODS: Patients with CubTS treated by simple UN decompression underwent US and electrodiagnotic (ED) studies of the UN at the elbow before and after surgery...
October 2018: World Neurosurgery
https://www.readbyqxmd.com/read/30027762/prevalence-and-clinical-manifestations-of-the-anconeus-epitrochlearis-and-cubital-tunnel-syndrome
#17
Jed I Maslow, Daniel J Johnson, John J Block, Donald H Lee, Mihir J Desai
BACKGROUND: The true prevalence of the anconeus epitrochlearis (AE) and the natural history of cubital tunnel syndrome associated with this anomalous muscle are unknown. The purpose of this study was to evaluate the prevalence of AE and to characterize the preoperative and postoperative features of cubital tunnel syndrome caused by compression from an AE. METHODS: All elbow magnetic resonance imaging (MRI) scans and all patients undergoing cubital tunnel surgery during a 20-year period were identified and retrospectively reviewed for the presence of an AE...
July 1, 2018: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/29891267/the-management-of-persistent-and-recurrent-cubital-tunnel-syndrome
#18
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...
October 2018: Journal of Hand Surgery
https://www.readbyqxmd.com/read/29858636/shear-wave-elastography-a-new-potential-method-to-diagnose-ulnar-neuropathy-at-the-elbow
#19
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/29785223/complications-of-the-fingers-and-hand-after-arthroscopic-rotator-cuff-repair
#20
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
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