A New Operative Technique: Cubital Tunnel Decompression With Endoscopic Assistance

Tsai, Tsu‐Min; Bonczar, M; Tsuruta, Toshiyuki; Syed, Shamsuddin A.

doi:10.1016/s0749-0712(21)00028-7

Cited by 78 publications

(26 citation statements)

References 34 publications

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“…Endoscopic surgery of closed spaces was started by introducing the transparent tube (the USE system) in patients with carpal tunnel syndrome (Okutsu et al, 1987). Tsai et al (1995) reported the release of the ulnar nerve with endoscopic assistance using a custom-made glass tube. Yoshida et al (2009) reported their technique with the USE system in patients with a cubital tunnel syndrome.…”

Section: Discussionmentioning

confidence: 99%

“…There are several reports of cubital tunnel release with endoscopic assistance (Hoffmann and Siemionow, 2006; Tsai et al, 1995; Yoshida et al, 2009) which seek to decompress the ulnar nerve by dividing the fascia at entrapment points. This alone may not help patients with severe osteoarthritis of the elbow, cubitus valgus, or in the presence of a mass within the cubital tunnel.…”

Section: Introductionmentioning

confidence: 99%

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Anterior transposition of the ulnar nerve with endoscopic assistance

Konishiike

Nishida

Ozawa

et al. 2010

J Hand Surg Eur Vol

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We treated 20 patients with cubital tunnel syndrome by anterior transposition of the ulnar nerve with endoscopic assistance. Five elbows were classified preoperatively as McGowan's stage 1, 11 as stage 2 and four as stage 3. Excellent outcomes were obtained in nine and good in eight patients. Three patients had fair results. Improvement of symptoms occurred in all patients. There were no serious complications. All ulnar nerves remained anteriorly transposed.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Anterior transposition of the ulnar nerve with endoscopic assistance

Konishiike

Nishida

Ozawa

et al. 2010

J Hand Surg Eur Vol

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“…An endoscopic approach to the cubital tunnel, first introduced in 1992, has the aim of minimizing postoperative morbidity and scarring whilst reducing the risk of injury to the medial antebrachial cutaneous nerve (MABCN) which is vulnerable during open procedures. 41 MABCN injury was noted in 82% of patients treated for failure of primary cubital tunnel surgery. 42 A small open incision risks an incomplete release of all potential compression sites; however, the superior visualization offered by the endoscope may reduce this risk.…”

Section: Managementmentioning

confidence: 99%

Cubital tunnel syndrome

et al. 2021

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Cubital tunnel syndrome (CuTS) is the second most common compression neuropathy of the upper limb, presenting with disturbance of ulnar nerve sensory and motor function. The ulnar nerve may be dynamically compressed during movement, statically compressed due to reduction in tunnel volume or compliance, and tension forces may cause ischaemia or render the nerve susceptible to subluxation, further causing local swelling, compression inflammation and fibrosis. Superiority of one surgical technique for the management of CuTS has not been demonstrated. Different techniques are selected for different clinical situations with simple decompression being the most common procedure due to its efficacy and low complication rate. Adjunctive distal nerve transfer for denervated muscles using an expendable motor nerve to restore the axon population in the distal nerve is in its infancy but may provide a solution for severe intrinsic weakness or paralysis. Cite this article: EFORT Open Rev 2021;6:743-750. DOI: 10.1302/2058-5241.6.200129

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“…15 16 Endoscopic cubital tunnel decompression was first described by Tsai et al in 1995. 17 Under endoscopic guidance, ulnar nerve can be released from the Arcade of Struthers proximally to the heads of FCU muscles distally. With early results showing satisfactory outcomes, minimal complications and small incision (ie, smaller than open decompression in situ [18][19][20][21][22][23][24][25] ), endoscopic cubital tunnel has gained popularity in recent years.…”

Section: State Of the Art Reviewmentioning

confidence: 99%

“…It can be classified into two types: the use of task-specific equipment: Storz instruments (Karl Storz, Tuttlingen, Germany) 21 26 and Agee device (3M, Orthopedic Products, St Paul, Minnesota, USA) 20 27 and the use of cannula (Integra LifeSciences, Plainsboro, New Jersey, USA) 28 29 (Ace Glass, Louisville, Kentucky, USA). 17 Each surgical technique including its tips and tricks will be discussed.…”

Section: State Of the Art Reviewmentioning

confidence: 99%