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Cubital Tunnel Syndrome:

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
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
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
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 i.e. 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 ultrasound to April 24th, 2018. STUDY SELECTION: Thirteen published studies comparing US parameters of ulnar nerves between patients with CuTS and healthy controls were included...
July 25, 2018: Archives of Physical Medicine and Rehabilitation
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, 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: CubTS patients treated by simple UN decompression underwent US and electrodiagnotic (ED) studies of the UN at the elbow before and after surgery...
July 23, 2018: World Neurosurgery
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
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
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
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
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
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
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
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)
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
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
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
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
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
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
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
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