Accuracy of Preoperative Ultrasonography for Cubital Tunnel Syndrome: A Comparison with Intraoperative Findings

Cho, Chul-Hyun; Lee, Yong-Ho; Song, Kyung‐Bin; Lee, Kyung-Jae; Lee, Si-Wook; Lee, Sung-Moon

doi:10.4055/cios.2018.10.3.352

Cited by 7 publications

(9 citation statements)

References 18 publications

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“…In this study, all patients but two with ulnar nerve subluxation underwent in situ decompression. Diagnostic methods are also becoming more diverse, intraoperative examination using high-resolution ultrasonography being introduced in addition to the conventional methods (history-taking, physical examination, electrodiagnostic study, and magnetic resonance imaging) 12…”

Section: Discussionmentioning

confidence: 99%

<p>Open cubital and carpal tunnel release using wide-awake technique: reduction of postoperative pain</p>

Kang¹,

Park²,

Park³

et al. 2019

JPR

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PurposeThis study aimed to compare the efficacy of and patient satisfaction with the wide-awake local anesthesia with no tourniquet (WALANT) technique in open cubital and carpal tunnel release surgery.MethodsFrom January 2016 to February 2017, 20 cubital tunnel syndrome (CuTS) patients were in a wide-awake (WA) group and 22 in a general (GA) anesthesia group in . Also, 20 carpal tunnel syndrome (CTS) patients were in a WA group, 22 in a local anesthesia (LA) group, and 20 in a GA group. Injection pain, perioperative pain, and postoperative pain were assessed using a 10-point pain VAS. In CuTS, functional outcome on the “quick” Disabilities of the Arm, Shoulder, and Hand questionnaire were evaluated. In CTS, subjective outcomes were assessed using the Korean version of the Michigan Hand Outcomes Questionnaire.ResultsBoth CuTS and CTS showed significant postoperative pain reduction in group WA. In CuTS, group WA had less pain than group GA up to 48 hours after surgery (P<0.05). Supplemental opioid injections were used on hospitalization day by 12% of group WA and 35% of group GA. In CTS, the postoperative VAS scores in group WA were lower during the first 24 hours than groups LA and GA (P<0.05). Opioid injections were used on hospitalization day by 5% of WA, 18% of LA, and 32% of group GA. There was no difference in postoperative functional outcomes according to anesthesia method in CuTS or CTS.ConclusionCubital and carpal tunnel surgery using the WALANT technique was comparable in function to other anesthesia methods and superior for pain. Immediate postoperative pain was much lower than other groups, which could reduce the use of opioids during hospitalization.

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Section: Discussionmentioning

confidence: 99%

<p>Open cubital and carpal tunnel release using wide-awake technique: reduction of postoperative pain</p>

Kang¹,

Park²,

Park³

et al. 2019

JPR

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“…For example, if the patient has a weakness in shoulder abduction and external rotation, it is important to determine whether the neurologic deficit is caused by an isolated axillary nerve injury, an axillary nerve combined with a suprascapular nerve injury, or an upper trunk injury of the brachial plexus and to judge whether the nerve injury is incomplete or complete. The decision of the electrodiagnostic specialist would guide future examinations and the necessity of subsequent surgical treatment, such as explorative neurolysis, nerve resection and grafting, or tendon transfer [12]. As patients with shoulder trauma tend to be immobilized as an acute phase treatment, it is difficult to accurately evaluate muscle weakness around the shoulder.…”

Section: Discussionmentioning

confidence: 99%

Distribution of Peripheral Nerve Injuries in Patients with a History of Shoulder Trauma Referred to a Tertiary Care Electrodiagnostic Laboratory

Cho

Kim

2020

Diagnostics

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Peripheral nerve injury after shoulder trauma is an underestimated complication. The distribution of the affected nerves has been reported to be heterogeneous in previous studies. This study aimed to describe the distribution of peripheral nerve injuries in patients with a history of shoulder trauma who were referred to a tertiary care electrodiagnostic laboratory. A retrospective chart review was performed for all cases referred to a tertiary care electrodiagnostic laboratory between March 2012 and February 2020. The inclusion criteria were a history of shoulder trauma and electrodiagnostic evidence of nerve injury. Data on patient demographics, mechanism of injury, degree of weakness, clinical outcomes at the final follow-up, and electrodiagnostic results were retrieved from medical records. Fifty-six patients had peripheral nerve injuries after shoulder trauma. Overall, isolated axillary nerve injury was the most common. A brachial plexus lesion affecting the supraclavicular branches (pan-brachial plexus and upper trunk brachial plexus lesions) was the second most common injury. In cases of shoulder dislocation and proximal humerus fracture, isolated axillary nerve injury was the most common. Among acromioclavicular joint injuries and clavicular fractures, lower trunk brachial plexus injuries and ulnar neuropathy were more common than axillary nerve or upper trunk brachial plexus injuries. Patients with isolated axillary nerve lesions showed a relatively good recovery; those with pan-brachial plexus injuries showed a poor recovery. Our study demonstrated the distribution of peripheral nerve injuries remote from displaced bony structures. Mechanisms other than direct compression by displaced bony structures might be involved in nerve injuries associated with shoulder trauma. Electrodiagnostic tests are useful for determining the extent of nerve damage after shoulder trauma.

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“…In CuTS group, the length and width of MEO ligament were 13.55 AE 5. 24 (p = 0.002), D 0 mm (p < 0.001), D 5 mm (p < 0.001), and D 10 mm (p = 0.010) at elbow extension. However, there was no significant difference between P 5 mm and P 0 mm (p = 1.000) or D 15 mm (p = 0.100), and among other points.…”

Section: Length and Width Of Meo Ligamentmentioning

confidence: 94%

Morphological Changes of Medial Epicondyle‐Olecranon Ligament and Ulnar Nerve in the Cubital Tunnel Syndrome: An Ultrasonic Study

Duan

Bin

et al. 2022

Orthopaedic Surgery

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Objective: Few studies have performed detailed ultrasound measurements of medial epicondyle-olecranon (MEO) ligament that cause the entrapment of ulnar nerve. This study aims to comprehensively evaluate dynamic ultrasonographic characteristics of MEO ligament and ulnar nerve for clinical diagnosis and accurate treatment of cubital tunnel syndrome (CuTS).Methods: Thirty CuTS patients (CuTS group) and sixteen healthy volunteers (control group) who underwent ultrasound scanning from October 2016 to October 2020 were retrospectively collected, with 30 elbows in each group. Primary outcomes were thickness at six points, length and width of MEO ligament. Secondary outcomes were thickness of ulnar nerve under MEO ligament at seven parts and the cross-sectional area (CSA) of ulnar nerve at proximal end of MEO ligament (P 0 mm ). The thickness of MEO ligament and ulnar nerve in different points of each group was compared by one-way ANOVA analysis with Bonferroni post hoc test, other outcomes were compared between two elbow positions or two groups using independent-samples t test.Results: Thickness of MEO ligament in CuTS group at epicondyle end, midpoint in transverse view, olecranon end, proximal end, midpoint in axial view, and distal end was 0.

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Accuracy of Preoperative Ultrasonography for Cubital Tunnel Syndrome: A Comparison with Intraoperative Findings

Cited by 7 publications

References 18 publications

<p>Open cubital and carpal tunnel release using wide-awake technique: reduction of postoperative pain</p>

<p>Open cubital and carpal tunnel release using wide-awake technique: reduction of postoperative pain</p>

Distribution of Peripheral Nerve Injuries in Patients with a History of Shoulder Trauma Referred to a Tertiary Care Electrodiagnostic Laboratory

Morphological Changes of Medial Epicondyle‐Olecranon Ligament and Ulnar Nerve in the Cubital Tunnel Syndrome: An Ultrasonic Study

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