A Review of Compressive Ulnar Neuropathy at the Elbow

Robertson, Chad; Saratsiotis, John

doi:10.1016/j.jmpt.2005.04.005

Cited by 114 publications

(138 citation statements)

References 69 publications

(92 reference statements)

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“…The initial symptoms of cubital tunnel syndrome include pain, weakness, and paresthesias in the little finger and ring finger, as these are the digits that are innervated by the ulnar nerve. If left untreated, the myelin sheath will likely suffer an increasing amount of damage, which can again reduce activity at the neuromuscular junction and cause atrophy of the innervated muscles as well as "clawing of the fourth and fifth digits" (Robertson 2005) …”

Section: Physiology Of Cubital Tunnel Syndromementioning

confidence: 99%

An Investigation of the Prevalence of Upper Limb Neuropathies in Different Types of College Musicians by Use of Neurometrix Device

Jones¹,

Hernandez²

2010

IJB

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In general, people who perform repetitive motions are often vulnerable to repetitive strain injuries. Because musicians must execute the same motion over and over again while practicing and performing their music, they are an example of a group that often develops these repetitive strain injuries. More specifically, musicians are known for developing neuropathies in their upper limbs, with carpal tunnel syndrome and cubital tunnel syndrome being most common. However, because of varying playing postures, all musicians may not be at equal risk for developing these two neuropathies, so the purpose of this study was to identify which musician group has the highest risk of developing median and ulnar neuropathies. Results of this study show that the prevalence of carpal tunnel syndrome and cubital tunnel syndrome is fairly low, and that tingling is one of the first signs of these diseases. Also, brass players may have the highest risk of developing carpal tunnel syndrome, as only this musician group had a significant p-value when its incidence rate of carpal tunnel syndrome was compared to the incidence rate found in the general population. Finally, the results suggest that there may be a negative correlation between performing a warm-up routine and experiencing tingling. Therefore, music schools should teach all students, and especially brass players, to be aware of tingling and to take appropriate preventative measure such as warming-up in order to keep the incidence rates of carpal tunnel syndrome and cubital tunnel syndrome as low as possible.

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Section: Physiology Of Cubital Tunnel Syndromementioning

confidence: 99%

An Investigation of the Prevalence of Upper Limb Neuropathies in Different Types of College Musicians by Use of Neurometrix Device

Jones¹,

Hernandez²

2010

IJB

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“…The resulting neuropathy, known as the cubital tunnel syndrome (CuTS),, is the second most frequent upper limb neuropathy after carpal tunnel syndrome [1]. Several predisposing factors can cause CuTS such as repetitive elbow flexion and extension, habitual leaning on the elbow, as a sequel of elbow trauma, osteoarthritis, and chronic valgus stress.…”

Section: Introductionmentioning

confidence: 99%

Comparative Study of Outcome of Simple Decompression Versus Anterior Transposition of Ulnar Nerve in the Treatment of Cubital Tunnel Syndrome

Tawfik¹,

Khedr²,

Sakr³

2017

Natl. j. health sci.

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Background: Cubital tunnel syndrome (CuTS) is the second most common entrapment neuropathy in the upper limb, after the entrapment of the median nerve in the carpal tunnel. Different techniques of nerve decompression have been described, however, the idyllic surgical treatment and technique for CuTS remain controversial.Objective: Our aim is to compare the outcome of simple decompression with anterior subcutaneous transposition of ulnar nerve in the treatment of CuTS. Methods:The study included 20 patients that were surgically treated in the Neurosurgery department at Gamal Abdel Nasser Hospital -General Authority for Health Insurance between August 2014 and February 2015. These patients were randomly distributed into two equal groups, each consisting of 10 cases. In the first group, only simple decompression was performed while in the second group, anterior subcutaneous transposition was supplemented. All cases were followed for at least 6 months.Results: Seventy percent of the patients were females and the mean age was 45.35 ± 14.62. The duration of symptoms before surgery varied from 4 months to 2 years. Occupational repetitive elbow flexion and extension was the most common contributing factor. Seven out of ten patients, in the simple decompression group, showed clinical and electrophysiological improvement at 6 months interval. While in the second group, only six patients showed improvement 6 months after surgery. The difference was found to be statistically insignificant. There was no significant effect of the duration of symptoms or co-morbidities on the outcome. Conclusion:Long term follow up revealed no significant difference between simple decompression and anterior subcutaneous transposition. Simple decompression of the ulnar nerve, in our experience, is an effective and less invasive technique for patients with cubital tunnel syndrome.

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“…Physical therapy has been discussed as an option in avoiding surgery in mild cases of ulnar compression neuropathy [9]. But there is no literature that discusses physical therapy options for treating an unsuccessful postsurgical outcome following ulnar nerve decompression surgery.…”

Section: Introductionmentioning

confidence: 99%

Frequency specific microcurrent resolves chronic pain and adhesions after ulnar transposition surgery

Adams¹

2017

J Nov Physiother Rehabil

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SummaryFrequency specifi c microcurrent (FSM) has been used to treat myofascial pain syndrome [1,2] fi bromyalgia associated with spine trauma [3], delayed onset muscle soreness [4], acute and chronic neuropathic pain [5] and chronic scarring in burn patients [6]. In this case, its use was modifi ed to include not only the treatment of neuropathic pain but the treatment of neural adhesions in a patient with a ten year history of pain at rest and painful restricted range of motion following an ulnar nerve anterior transposition surgery in 2001. Eleven standard physical therapy sessions including augmented soft tissue mobilization using plastic tools, and muscle strengthening exercises and stretching failed to resolve symptoms. Three sessions of frequency specifi c microcurrent produced complete resolution of pain and symptoms. Patient remained symptoms free at one-year follow up.

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A Review of Compressive Ulnar Neuropathy at the Elbow

Cited by 114 publications

References 69 publications

An Investigation of the Prevalence of Upper Limb Neuropathies in Different Types of College Musicians by Use of Neurometrix Device

An Investigation of the Prevalence of Upper Limb Neuropathies in Different Types of College Musicians by Use of Neurometrix Device

Comparative Study of Outcome of Simple Decompression Versus Anterior Transposition of Ulnar Nerve in the Treatment of Cubital Tunnel Syndrome

Frequency specific microcurrent resolves chronic pain and adhesions after ulnar transposition surgery

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