290 Surgical Procedures for Ulnar Nerve Entrapment at the Elbow: Physiopathology, Clinical Experience and Results

Artico, Marco; Pastore, Francesco Saverio; Nucci, Francesco; Giuffrè, R

doi:10.1007/s007010050039

Cited by 27 publications

(15 citation statements)

References 55 publications

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“…This is in accordance with Artico et al . [26] and Tada et al . [27] who also reported less postoperative pain with earlier mobilization in subcutaneous ulnar nerve transposition.…”

Section: Discussionmentioning

confidence: 99%

Subcutaneous vs Submuscular Ulnar Nerve Transposition in Moderate Cubital Tunnel Syndrome

Jaddue¹,

Saloo²,

Sayed-Noor³

2009

TOORTHJ

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Background:The surgical treatment of Cubital tunnel syndrome (CubTS) is still a matter of debate. No consensus exists about the necessity of anterior transposition of the ulnar nerve after decompression. However, this technique is fairly common in clinical practice. Material and Methodology:In the present study we compared the operative technique (incision length, operative time), postoperative care (postoperative pain and complications) and the outcome between subcutaneous transposition and submuscular transposition of the ulnar nerve as two surgical modalities in treating moderate CubTS.Between March 2004 and March 2007, twenty six patients with moderate CubTS (according to Dellon’s grading system) were stratified according to age and gender into these two surgical techniques. The two groups were prospectively followed up 2 weeks, 6 months and 12 months postoperatively by the same observer and the operation outcome was assessed using the Bishop rating system.Results:We found that the subcutaneous transposition of the ulnar nerve was associated with shorter incision, shorter operative time, less postoperative pain, less postoperative complication and better outcome compared with the submuscular transposition.Conclusion:The authors recommend the subcutaneous technique when considering anterior transposition of the ulnar nerve in treating moderate CubTS.

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“…This is in accordance with Artico et al . [26] and Tada et al . [27] who also reported less postoperative pain with earlier mobilization in subcutaneous ulnar nerve transposition.…”

Section: Discussionmentioning

confidence: 99%

Subcutaneous vs Submuscular Ulnar Nerve Transposition in Moderate Cubital Tunnel Syndrome

Jaddue¹,

Saloo²,

Sayed-Noor³

2009

TOORTHJ

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“…The first is that the nerve removed from an unsuitable bed and repositioned to one that is less scarred. [3][4][5] This is necessary for many types of lesions, that are proximal to or within the epicondylar groove. 1,18,19,21) The second advantage is that by transposing the nerve into a new pathway volar to the axis of elbow motion, the nerve is effectively lengthened, which decreases tension with elbow flexion.…”

Section: Discussionmentioning

confidence: 99%

“…3,38) Subcutaneous transposition is an effective procedure, particularly in the elderly and patients who have a thick layer of adipose tissue. The disadvantages of subcutaneous transposition are risk of failure to decompress the nerve at the most distal site (cubital tunnel of the flexor carpi ulnaris muscle), and the nerve remains vulnerable to repeated trauma, particularly in thin, active individuals.…”

Section: Discussionmentioning

confidence: 99%

“…Motor and sensory conduction velocities were determined in a standardized fashion, evaluating the ulnar nerve across the elbow Surgical Treatment for UNE and from below the elbow to wrist. 3,5,8,21,25,35) III. Indication for surgical intervention In our hospital, the decision for surgical treatment is made by a neurosurgeon in cooperation with a neurologist.…”

Section: Diagnosismentioning

confidence: 99%

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Surgical Treatment for Ulnar Nerve Entrapment at the Elbow

Asamoto

Böker

Jödicke

2005

Neurol. Med. Chir.(Tokyo)

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The outcomes of 81 operations were assessed for the treatment of ulnar nerve entrapment at the elbow performed on 55 males (bilateral operations in one) and 25 females during the period from January 1995 to December 2000. Before operation, neurophysiological examination was performed in all patients. Simple ulnar nerve decompression or anterior transposition of the ulnar nerve (subcutaneous or intramuscular) was performed with or without the operating microscope. Nine patients were lost to follow up. The outcome was excellent or good in 63 of 72 cases, no change in eight cases, and poor in one case. The outcomes of procedures performed with the operating microscope tended to be superior.

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“…Compression of the ulnar nerve in the region of the cubital tunnel can produce sensory disturbances, muscle weakness, and discomfort in the hand, forearm, or elbow region, and it is thought to be related to idiopathic onset, overuse, or trauma. [1][2][3][4][5] Compression, traction, and subluxation/dislocation of the nerve at the cubital tunnel during flexion of the elbow have all been associated with the pathomechanics of cubital tunnel syndrome. 1,6 -11 Structures distal or proximal to the cubital tunnel can also compress the ulnar nerve, producing symptoms related to cubital tunnel syndrome.…”

mentioning

confidence: 99%