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Cubital tunnel syndrome

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https://www.readbyqxmd.com/read/29682985/the-7-structures-distal-to-the-elbow-that-are-critical-to-successful-anterior-transposition-of-the-ulnar-nerve
#1
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
#2
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
#3
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
#4
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
#5
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
#6
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
#7
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
#8
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
#9
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
https://www.readbyqxmd.com/read/29354456/endoscopic-anterior-subcutaneous-transposition-of-the-ulnar-nerve
#10
Tun Hing Lui
Cubital tunnel syndrome refers to ulnar nerve compressive neuropathy and most commonly occurs at the level of the elbow. Surgical options include in situ decompression, decompression with anterior transposition of the ulnar nerve, and medial epicondylectomy with or without decompression. With the advancement of endoscopic surgery, techniques of endoscopic in situ decompression of the ulnar nerve, endoscopy-assisted anterior transposition, and endoscopic anterior transposition of the ulnar nerve have been reported with the advantage of minimally invasive surgery...
August 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/29335850/functional-outcome-after-endoscopic-assisted-release-of-the-ulnar-nerve-for-cubital-tunnel-syndrome-mid-to-long-term-results
#11
Christian K Spies, Melanie Schäfer, Martin F Langer, Thomas Bruckner, Lars P Müller, Frank Unglaub
AIM OF THE STUDY: The aim of the study was to investigate functional and patient-rated outcome parameters after endoscopic assisted release of the ulnar nerve for cubital tunnel syndrome. METHODS: One hundred of 204 consecutive patients between 2006 and 2011 met the inclusion/exclusion criteria. Fifty-one of these patients were recruited and evaluated clinically and by questionnaire testing retrospectively after a mean follow-up of 82 months (range: 60-116). RESULTS: Neurological parameters (two-point-discrimination, application of Semmes-Weinstein monofilaments, Tinel's test), grip, and three-point pinch strength were not significantly different from the contralateral extremity at the time of examination, whereas key pinch strength was significantly weaker...
January 16, 2018: International Orthopaedics
https://www.readbyqxmd.com/read/29223632/comparative-morbidity-of-cubital-tunnel-surgeries-a-prospective-cohort-study
#12
Robert Staples, Daniel A London, Agnes Z Dardas, Charles A Goldfarb, Ryan P Calfee
PURPOSE: Randomized controlled trials have not identified a superior surgical approach to cubital tunnel syndrome surgery. This study evaluates the early morbidity of open in situ decompression and transposition. METHODS: This prospective cohort study enrolled 125 adult patients indicated for cubital tunnel surgery at a tertiary institution. Exclusion criteria included preoperative use of narcotics and concurrent elbow procedures. In situ decompressions (n = 47) and ulnar nerve transpositions (n = 78) were performed...
March 2018: Journal of Hand Surgery
https://www.readbyqxmd.com/read/29214401/predictors-of-surgical-outcomes-for-severe-cubital-tunnel-syndrome-a-review-of-146-patients
#13
Jinsong Tong, Zhen Dong, Bin Xu, Chenggang Zhang, Yudong Gu
BACKGROUND: Full recovery is unlikely for severe cubital tunnel syndrome, and prognostic factors remain uncertain. We aimed to identify predictors of surgical outcome for these patients. METHODS: One hundred forty-six patients with McGowan grade III cubital tunnel syndrome were evaluated retrospectively with a minimum follow-up of 2 years. All patients underwent either in situ decompression or subcutaneous transposition. The primary outcome measure was postoperative McGowan grade...
March 2018: Acta Neurochirurgica
https://www.readbyqxmd.com/read/29182019/pain-and-function-following-revision-cubital-tunnel-surgery
#14
Kristen M Davidge, Gregory C Ebersole, Susan E Mackinnon
BACKGROUND: The purpose of this study was to determine pain and functional outcomes following revision cubital tunnel surgery and to identify predictors of poor postoperative outcome. METHODS: A retrospective cohort study was conducted of all patients undergoing revision cubital tunnel surgery over a 5-year period at a high-volume peripheral nerve center. Intraoperative findings, demographic and injury factors, and outcomes were reviewed. Average pain, worst pain, and impact of pain on self-perceived quality of life were each measured using a 10-cm visual analog scale (VAS)...
November 1, 2017: Hand: Official Journal of the American Association for Hand Surgery
https://www.readbyqxmd.com/read/29075520/the-feasibility-of-using-high-resolution-ultrasonography-to-assess-ulnar-nerve-in-patients-with-diabetes-mellitus
#15
Jun Chen, Chun-Lei Wang, Shan Wu, Shan He, Jun Ren
OBJECTIVE: The aim of this study was to investigate the usefulness of high-resolution ultrasonography for the diagnosis of polyneuropathy in diabetes mellitus patients by the examination of the ulnar nerves. METHOD: We recruited 100 healthy age-matched volunteers (50 women and 50 men) with 200 arms without diabetes or cubital tunnel syndrome as the control group. We assessed the upper limbs of 100 diabetes mellitus patients (45 women and 55 men), 40 of whom had electrophysiologically confirmed diabetic peripheral neuropathy and 60 had no diabetic peripheral neuropathy in the upper limbs...
September 2017: Journal of Ultrasonography
https://www.readbyqxmd.com/read/29036022/important-details-in-performing-and-interpreting-the-scratch-collapse-test
#16
Lorna C Kahn, Andrew Yee, Susan E Mackinnon
The utility of the scratch collapse test has been demonstrated in examination of patients with carpal and cubital tunnel syndromes and long thoracic and peroneal nerve compressions. In the authors' clinic, this lesser known test plays a key role in peripheral nerve examination where localization of the nerve irritation or injury is not fully understood. Test utility and accuracy in patients with more challenging presentations likely correlate with tester understanding and experience. This article offers a clear outline of all stages of the test to improve interrater reliability...
February 2018: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29022782/intramuscular-compared-with-subcutaneous-transposition-for-surgery-in-cubital-tunnel-syndrome
#17
M R Emamhadi, A R Emamhadi, S Andalib
Background There is no consensus on the most effective surgical technique in the treatment of cubital tunnel syndrome. Anterior subcutaneous transposition (AST) and anterior intramuscular transposition (AIT) are common surgical treatments in this regard. The aim of this study was to compare the clinical outcomes of these two surgeries for cubital tunnel syndrome. Methods In a retrospective study, we compared surgical outcomes (pain, sensation, motor recovery, atrophy, and total satisfaction) in 40 patients undergoing AIT and 43 undergoing AST of the ulnar nerve...
November 2017: Annals of the Royal College of Surgeons of England
https://www.readbyqxmd.com/read/29020815/-bony-cubital-tunnel-syndrome-caused-by-heterotopic-ossification
#18
Yuxuan Wu, Meng Liu, Wei Qu
We reported a rare case of cubital tunnel syndrome caused by heterotopic ossification after burns. The ulnar nerve was encircled by bony tunnel structure which cause nerve compression, resulting in ulnar nerve lesion. Our case sheds light on possible etiological association which may help clinical management.
October 11, 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/28953087/cubital-tunnel-syndrome-current-concepts
#19
Jonathan Robert Staples, Ryan Calfee
Cubital tunnel syndrome is the second most common upper extremity compressive neuropathy. In recent years, rates of surgical treatment have increased, and the popularity of in situ decompression has grown. Nonsurgical treatment, aiming to decrease both compression and traction on the ulnar nerve about the elbow, is successful in most patients with mild nerve dysfunction. Recent randomized controlled trials assessing rates of symptom resolution and ultimate success have failed to identify a preferred surgical procedure...
October 2017: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/28947332/polish-version-of-the-patient-rated-ulnar-nerve-evaluation-in-preoperative-patients-translation-and-psychometric-testing
#20
Mateusz Koziej, Marek Trybus, Anna Mydłowska, Katarzyna Piątek, Marta Banach, Mateusz Hołda
STUDY DESIGN: Cross-sectional design. INTRODUCTION: This study examined the translated English to Polish version of the Patient-Rated Ulnar Nerve Evaluation (PRUNE) for its internal consistency, test-retest reliability, and construct validity. METHODS: During the first assessment validity testing, a total of 39 consecutive patients with cubital tunnel syndrome completed the PRUNE, Michigan Hand Outcome Questionnaire, Disabilities of the Arm, Shoulder, and Hand questionnaire, and Patient Evaluation Measure in conjunction with the grip and key pinch tests and pain score (by Visual Analogue Scale)...
September 22, 2017: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
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