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Cubital tunnel syndrome

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https://www.readbyqxmd.com/read/28424917/cubital-tunnel-syndrome-caused-by-ganglion-cysts-a-review-of-59-cases
#1
Jinsong Tong, Bin Xu, Zhen Dong, Jingbo Liu, Chenggang Zhang, Yudong Gu
BACKGROUND: Cubital tunnel syndrome caused by ganglion cysts is rare and reports are few. This study aimed to review a patient cohort with ganglion cysts in the cubital tunnel and identify prognostic factors. METHODS: Fifty-seven patients (59 extremities; McGowan grade I, 4; IIa, 4; IIb, 3; III, 48) were evaluated retrospectively with a minimum follow-up of 2 years. Extraneural cysts were excised completely, while intraneural cysts were incised and drained. All cases underwent subcutaneous transposition...
April 19, 2017: Acta Neurochirurgica
https://www.readbyqxmd.com/read/28362959/cubital-tunnel-syndrome-incidence-and-demographics-in-a-national-administrative-database
#2
Daniel A Osei, Andrew P Groves, Kerry Bommarito, Wilson Z Ray
BACKGROUND: Compressive neuropathy of the ulnar nerve at the elbow, or cubital tunnel syndrome (CuTS), is the second most common entrapment neuropathy of the upper extremity after carpal tunnel syndrome. While several studies have reported risk factors and outcomes for select populations (mostly surgical), it is difficult to interpret these data without an accurate measure of CuTS disease burden in the general population. OBJECTIVE: To estimate the incidence of CuTS among US health plan enrollees, using a large administrative health care claims database comprised of individuals from all 50 states...
March 1, 2017: Neurosurgery
https://www.readbyqxmd.com/read/28304005/cubital-tunnel-syndrome-secondary-to-gouty-tophi-a-case-report
#3
Hatice Resorlu, Coskun Zateri, Ayla Akbal, Ferhat Gokmen, Gurhan Adam, Serhad Bilim, Emre Bozkurt
Gout is a chronic rheumatic disease resulting from accumulation of monosodium urate crystals in tissues. The most important risk factor for the disease is hyperuricaemia. Precipitation of uric acid in the joint in the form of monosodium urate crystals is the main factor responsible for triggering attacks of arthritis. Tophi occur as a result of urate crystals that precipitate into joints and surrounding tissues. Tophi can erode the bone where they are located and cause compression in soft tissue due to a mass effect...
March 2017: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/28299393/-posttraumatic-nerve-entrapment-syndromes-in-the-upper-extremities
#4
A Wichelhaus, J Emmerich, T Mittlmeier
Nerve entrapment syndromes in the upper extremities are common clinical disease patterns, less often as direct results of accidents. The most frequent compression syndrome is the carpal tunnel syndrome followed by the cubital tunnel syndrome. If the cause of the compression cannot be eliminated by conservative treatment options, an operative therapy is necessary. As the prognosis becomes worse with the duration of the nerve compression, it is important to initiate therapy at an early stage.
March 15, 2017: Der Unfallchirurg
https://www.readbyqxmd.com/read/28276992/a-minimally-invasive-approach-for-cubital-tunnel-release-and-ulnar-nerve-transposition
#5
Xu Zhang, Vikas Dhawan, Yadong Yu, Guisheng Zhang, Xinzhong Shao
OBJECTIVES: The aim of the study is to introduce a new minimally invasive technique for ulnar nerve release and transposition. METHODS: From January 2010 to May 2011, 51 patients with cubital tunnel syndrome were treated through a 1.5 to 2 cm incision. Limb functional recovery, scar esthetics, sensitivity of scar, numbness of the operating area, and patient satisfaction were assessed. RESULTS: No wound hematoma nor infection was observed in the group...
May 2017: Physician and Sportsmedicine
https://www.readbyqxmd.com/read/28262309/results-of-endoscopically-assisted-cubital-tunnel-release-without-using-any-specific-instrument
#6
Çağatay Zengin, Mesut Tahta, Özgür Güntürk, Cihan Aslan, Ufuk Şener, Muhittin Şener
BACKGROUND: We aimed to report the clinical and electrophysiological results of patients who were treated with an endoscopically assisted in situ release technique for cubital tunnel syndrome and to show safety and efficacy of this procedure. MATERIALS AND METHODS: Twenty nine patients were included into the study. 13 patients (44.8%) were female, 16 patients (55.2%) were male. The mean age was 44.4 years (range; 22-66 years). Mean follow up period was 16.0 months (range; 7-42 months)...
March 2, 2017: Acta Orthopaedica et Traumatologica Turcica
https://www.readbyqxmd.com/read/28244912/the-prevalence-of-cubital-tunnel-syndrome-a-cross-sectional-study-in-a-u-s-metropolitan-cohort
#7
COMPARATIVE STUDY
Tonya W An, Bradley A Evanoff, Martin I Boyer, Daniel A Osei
BACKGROUND: Although cubital tunnel syndrome is the second most common peripheral mononeuropathy (after carpal tunnel syndrome) encountered in clinical practice, its prevalence in the population is unknown. The objective of this study was to evaluate the prevalence of cubital tunnel syndrome in the general population. METHODS: We surveyed a cohort of adult residents of the St. Louis metropolitan area to assess for the severity and localization of hand symptoms using the Boston Carpal Tunnel Questionnaire Symptom Severity Scale (BCTQ-SSS) and the Katz hand diagram...
March 1, 2017: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/28243171/is-rdw-a-predictive-parameter-for-cubital-tunnel-syndrome-patients-requiring-surgery
#8
Hakan Sarman, Cengiz Isik, Mehmet Boz, Ismail Boyraz, Bunyamin Koc, Sule Aydin Turkoglu
OBJECTIVE: The aim of this study was to investigate whether haemogram parameters are predictive factors for both the severity of the disease and a decision in favor of surgical treatment in patients with an established diagnosis of cubital tunnel syndrome (CuTS) . METHODS: The medical files of patients with a diagnosis of CuTS who were followed-up conservatively (n=92) or surgically treated (n=92) were retrospectively screened and the haemogram parameters were recorded ...
July 2016: Acta Ortopedica Brasileira
https://www.readbyqxmd.com/read/28243170/elbow-ulnar-neuropathy-treatment-by-anterior-transposition-of-the-ulnar-nerve
#9
Antonio Tufi Neder, Regina de Azevedo Alves, Arlindo Gomes Pardini, Marcelo Riberto, Milton Mazer
OBJECTIVES: Retrospective clinical evaluation of 31 patients who underwent ulnar nerve decompression at the elbow and subcutaneous anterior transposition. METHODS: From January 2000 to December 2013, 71 patients underwent subcutaneous anterior transposition of the ulnar nerve. Thirty-one patients returned for evaluation. The mean follow-up period was 60 months. Patients were evaluated for the degree of satisfaction after surgery, paresthesia, pain, Tinel sign, Froment test and sensitivity test by esthesiometer, muscle strength of the intrinsic muscles and deep flexor of the fifth digit, visual analogic pain scale (VAS) and were subjected to the QuickDash questionnaire...
July 2016: Acta Ortopedica Brasileira
https://www.readbyqxmd.com/read/28197789/surgical-outcome-for-severe-cubital-tunnel-syndrome-in-patients-aged-70%C3%A2-years-a-mean-follow-up-of-4-5%C3%A2-years
#10
Jinsong Tong, Bin Xu, Zhen Dong, Chenggang Zhang, Yudong Gu
BACKGROUND: Surgical outcomes for cubital tunnel syndrome have been reported to be satisfactory, but could be compromised by advanced age and severe nerve compression. We aim to evaluate the prognosis of severe cubital tunnel syndrome in patients aged >70 years. METHODS: This retrospective study included 25 patients (26 extremities, all McGowan grade III, age >70 years); 21 underwent subcutaneous transposition and 5 in situ decompression. Postoperative follow-up lasted >2 years...
May 2017: Acta Neurochirurgica
https://www.readbyqxmd.com/read/28162878/endoscopic-neurolysis-of-the-ulnar-nerve-retrospective-evaluation-of-the-first-60-cases
#11
Etienne Sautier, Thomas Neri, Giorgio Gresta, Remi Philippot, Frederic Farizon
BACKGROUND: The aim of this study was to determine the clinical efficacy of minimally invasive endoscopic ulnar nerve release at midterm follow-up. METHODS: This was a retrospective, consecutive, single-center study. The inclusion criterion was presentation of the patient with isolated and stable cubital tunnel syndrome. The surgical technique described by Hoffmann and Siemionow in 2006 was used for all patients. The cubital tunnel syndrome was graded by Dellon's classification and scored as described by MacDermid and Grewal in 2013...
February 2, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28153376/predictors-of-postoperative-outcomes-of-cubital-tunnel-syndrome-treatments-using-multiple-logistic-regression-analysis
#12
Taku Suzuki, Takuji Iwamoto, Kanae Shizu, Katsuji Suzuki, Harumoto Yamada, Kazuki Sato
BACKGROUND: This retrospective study was designed to investigate prognostic factors for postoperative outcomes for cubital tunnel syndrome (CubTS) using multiple logistic regression analysis with a large number of patients. METHODS: Eighty-three patients with CubTS who underwent surgeries were enrolled. The following potential prognostic factors for disease severity were selected according to previous reports: sex, age, type of surgery, disease duration, body mass index, cervical lesion, presence of diabetes mellitus, Workers' Compensation status, preoperative severity, and preoperative electrodiagnostic testing...
January 30, 2017: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
https://www.readbyqxmd.com/read/28120084/use-of-high-resolution-ultrasonography-in-anterior-subcutaneous-transposition-of-the-ulnar-nerve-for-cubital-tunnel-syndrome
#13
Min Yang, Jichao Wang, Xiaosheng Yang, Wenxiang Zhong, Qiufeng Ma, Shiting Li, Wenchuan Zhang
OBJECTIVES: Cubital tunnel syndrome (CTS) is the most common form of ulnar nerve entrapment. In this study, ultrasonography (US) was used not only for diagnosis but also for operation. US findings could be used to establish the diagnosis of CTS and could demonstrate the pathological anatomy in the cubital tunnel region to guide anterior subcutaneous transposition of the ulnar nerve. METHODS: Sixty-two patients with clinical and electrophysiological evidence of ulnar nerve entrapment were included...
2017: Acta Neurochirurgica. Supplement
https://www.readbyqxmd.com/read/28110402/muscular-atrophy-in-severe-cases-of-cubital-tunnel-syndrome-prognostic-factors-and-outcome-after-surgical-treatment
#14
Markus Bruder, Stephan Dützmann, Nourdin Rekkab, Johanna Quick, Volker Seifert, Gerhard Marquardt
BACKGROUND: Cubital tunnel syndrome (CuTS) is a frequent neuropathy, leading to sensor-motoric dysfunction. Many patients even present with muscular atrophy as a sign for severe and long-lasting nerve impairment, usually suggesting unfavourable outcome. We analysed if those patients benefit from surgical treatment on a long-term basis. METHODS: Between January 2010 and March 2015, 42 consecutive cases of CuTS with atrophy of the intrinsic hand muscles were surgically treated in our department...
March 2017: Acta Neurochirurgica
https://www.readbyqxmd.com/read/28002867/update-on-ultrasound-guided-interventional-procedures-on-peripheral-nerves
#15
Alberto Tagliafico, Bianca Bignotti, Carlo Martinoli
This article is a practical review update on ultrasound (US)-guided interventional procedures on peripheral nerves. Technical considerations, biopsy techniques, and some examples of injections are described. US is considered a safe imaging guidance for interventional procedures, due to its high spatial resolution and the possibility to image the needle and inject drugs in real time. US-guided injections could be considered a diagnostic and therapeutic option in the most common neuropathy, before or as an alternative to surgery...
November 2016: Seminars in Musculoskeletal Radiology
https://www.readbyqxmd.com/read/27902538/ulnar-tunnel-syndrome-radial-tunnel-syndrome-anterior-interosseous-nerve-syndrome-and-pronator-syndrome
#16
Adam B Strohl, David S Zelouf
In addition to the more common carpal tunnel and cubital tunnel syndromes, orthopaedic surgeons must recognize and manage other potential sites of peripheral nerve compression. The distal ulnar nerve may become compressed as it travels through the wrist, which is known as ulnar tunnel or Guyon canal syndrome. The posterior interosseous nerve may become entrapped in the proximal forearm as it travels through the radial tunnel, which results in a pain syndrome without motor weakness. The median nerve may become entrapped in the proximal forearm, which can result in a variety of symptoms...
January 2017: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/27854094/cubital-tunnel-syndrome-caused-by-ulnar-nerve-schwannoma-in-a-patient-with-diabetic-sensorimotor-polyneuropathy
#17
Meng-Ta Liu, Jiunn-Tay Lee, Chih-Hsin Wang, Yu-Chieh Lin, Chung-Hsing Chou
PURPOSE: An uncommon ulnar nerve schwannoma should not be neglected in a diabetic patient with cubital tunnel syndrome, the second most common cause of entrapment neuropathy. CASE REPORT: A 61-year-old woman with a past history of type 2 diabetes mellitus complicated with sensorimotor polyneuropathy presented with progressive numbness and weakness of the left ring and little fingers for one year. A provisional diagnosis of cubital tunnel syndrome was made according to physical examination and electrophysiological studies...
June 15, 2016: Acta Neurologica Taiwanica
https://www.readbyqxmd.com/read/27815973/validation-of-preoperative-nerve-conduction-studies-by-intraoperative-studies-in-patients-with-ulnar-neuropathy-at-the-elbow
#18
Gregor Omejec, Krešimir Božikov, Simon Podnar
OBJECTIVE: To validate the findings of preoperative motor short-segment nerve conduction studies (SSNCSs) by intraoperative SSNCSs in patients with cubital tunnel syndrome. METHODS: We prospectively recruited patients with ulnar neuropathy at the elbow (UNE) localized distal to the medial epicondyle (ME). Preoperatively, motor SSNCSs and ultrasonography (US) were performed. Immediately after surgical dissection of the humeroulnar aponeurotic arcade (HUA), intraoperative near-nerve motor SSNCSs were performed, and compared to preoperative findings...
December 2016: Clinical Neurophysiology: Official Journal of the International Federation of Clinical Neurophysiology
https://www.readbyqxmd.com/read/27751831/endoscopy-assisted-subfascial-anterior-transposition-of-the-ulnar-nerve-for-the-treatment-of-cubital-tunnel-syndrome
#19
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...
December 2016: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/27751716/recurrent-cubital-tunnel-syndrome-treated-with-revision-neurolysis-and-amniotic-membrane-nerve-wrapping
#20
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...
December 2016: Journal of Shoulder and Elbow Surgery
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