Neurosurgery of the Peripheral Nervous System:

Faut-il couper le ligament épitrochléo-olécranien lors d'une épicondylectomie médiale et neurolyse du nerf ulnaire au coude ?

“…Pour lui, 16 % (12 % de subluxation et 4 % de luxation) de la population générale aurait une luxation du nerf sur l'épicondyle médial, lors de la flexion du coude. Pour Fernandez et al [10] il est déconseillé d'effectuer une épicondylectomie médiale chez les patients dont l'activité professionnelle requiert des mouvements répétés de flexionextension du coude, car l'épicondylectomie médiale permet la migration antérieure du nerf cubital lors de la flexion du coude. Bartels et al [3] plaident pour la transposition anté-rieure si en peropératoire lors d'une neurolyse simple on observe une subluxation du nerf ulnaire.…”

Surgical and Nonsurgical Treatment of Cubital Tunnel Syndrome in Pediatric and Adolescent Patients

“…C UBITAL TUNNEL SYNDROME is the second most common upper extremity compressive neuropathy, 1 and numerous studies have assessed surgical and nonsurgical outcomes. However, few studies have investigated the presence or treatment of cubital tunnel syndrome in pediatric or adolescent patients.…”

Simple Decompression of the Ulnar Nerve for Cubital Tunnel Syndrome

“…

Cubital tunnel syndrome is the second most common peripheral compression neuropathy in the upper extremity after carpal tunnel syndrome 8,9) . Numerous etiologies include external trauma, pressure, bony impingement, irregularities in muscles, subluxation of the ulnar nerve over the medial epicondyle, ganglia, and congenital abnormalities such as cubitus valgus 11,30) .Treatment modalities include nonoperative management and operative procedures.

…”

“…Operative treatment is indicated for failed cases of nonoperative treatment and for neurological deficits 17,20) . Surgical options available for cubital tunnel syndrome have evolved through many years 5,9,15,18,20,22,25,30) . These fall into 2 categories.…”

“…The first category includes in situ (or simple) decompression with or without epicondylectomy 14,15,18,25,26,31) . The second category includes the anterior transposition procedures (subcutaneous, intramuscular, and submuscular) 9,12,17,20,22) . However, the choice of surgical treatment still remains controversial and all procedures show similar success rates 2,6,13,24) .…”