Cubital Tunnel Syndrome: Review of Diagnosis and Management

Ferguson, Devin Patrick; Grewal, Ruby

doi:10.1055/a-1808-6973

Cited by 2 publications

(1 citation statement)

References 62 publications

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“…In ours and others’ opinions, a simple decompression is the best technique and has a low risk of complications. Direct comparison of various techniques and studies may be problematic since different outcome measurements for evaluation of the surgical procedure have been used [ 2 , 125 , 126 , 127 , 128 ]. Suspected sites of compression are decompressed under loop magnification ( Figure 5 ).…”

Section: Treatmentmentioning

confidence: 99%

The Unpredictable Ulnar Nerve—Ulnar Nerve Entrapment from Anatomical, Pathophysiological, and Biopsychosocial Aspects

Nyman,

Dahlin

2024

Diagnostics

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Peripheral nerves consist of delicate structures, including a rich microvascular system, that protect and nourish axons and associated Schwann cells. Nerves are sensitive to internal and external trauma, such as compression and stretching. Ulnar nerve entrapment, the second most prevalent nerve entrapment disorder after carpal tunnel syndrome, appears frequently at the elbow. Although often idiopathic, known risk factors, including obesity, smoking, diabetes, and vibration exposure, occur. It exists in all adult ages (mean age 40–50 years), but seldom affects individuals in their adolescence or younger. The patient population is heterogeneous with great co-morbidity, including other nerve entrapment disorders. Typical early symptoms are paresthesia and numbness in the ulnar fingers, followed by decreased sensory function and muscle weakness. Pre- and postoperative neuropathic pain is relatively common, independent of other symptom severity, with a risk for serious consequences. A multimodal treatment strategy is necessary. Mild to moderate symptoms are usually treated conservatively, while surgery is an option when conservative treatment fails or in severe cases. The decision to perform surgery might be difficult, and the outcome is unpredictable with the risk of complications. There is no consensus on the choice of surgical method, but simple decompression is relatively effective with a lower complication rate than transposition.

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Section: Treatmentmentioning

confidence: 99%

The Unpredictable Ulnar Nerve—Ulnar Nerve Entrapment from Anatomical, Pathophysiological, and Biopsychosocial Aspects

Nyman,

Dahlin

2024

Diagnostics

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Experience of living with chronic pain in conjunction with surgery for ulnar nerve entrapment at the elbow—A qualitative study

Giöstad,

Carlsson,

Dahlin

et al. 2024

PLoS ONE

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Purpose Pain in conjunction with surgery for ulnar nerve entrapment at the elbow is seldom highlighted in the literature. This study aimed to explore patients’ experiences of living with chronic pain (≥3 months duration) in conjunction with surgery for ulnar nerve entrapment at the elbow, the consequences and the coping strategies applied. Material and methods In-depth interviews were conducted with 10 participants aged 18–60 years. The narratives were analyzed using an inductive approach and content-analysis. Results The analysis revealed seven main categories: “Physical symptoms/impairments” and “Mood and emotions”comprise symptoms caused by ulnar nerve entrapment at the elbow and chronic pain; “Consequences in daily life” includes challenges and obstacles in every-day life, impact on leisure activities and social life; “Struggling with self-image” embraces experiences closely related to identity; “Coping strategies” covers adaptive resources; “Experience of relief “describes perceived improvements; “Key message for future care” comprises important aspects for healthcare providers to consider. Conclusions The results clarify the need for healthcare personnel to adopt a biopsychosocial approach when treating patients with ulnar nerve entrapment at the elbow. Emotional symptoms and sleep disturbances should be identified and treated properly since they contribute to the heavy burden experienced by the individual.

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Cubital Tunnel Syndrome: Review of Diagnosis and Management

Cited by 2 publications

References 62 publications

The Unpredictable Ulnar Nerve—Ulnar Nerve Entrapment from Anatomical, Pathophysiological, and Biopsychosocial Aspects

The Unpredictable Ulnar Nerve—Ulnar Nerve Entrapment from Anatomical, Pathophysiological, and Biopsychosocial Aspects

Experience of living with chronic pain in conjunction with surgery for ulnar nerve entrapment at the elbow—A qualitative study

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