Subcutaneous vs Submuscular Ulnar Nerve Transposition in Moderate Cubital Tunnel Syndrome

Jaddue, Dhia A.K; Saloo, Salwan A; Sayed-Noor, Arkan S.

doi:10.2174/1874325000903010078

Cited by 29 publications

(39 citation statements)

References 24 publications

(24 reference statements)

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“…Our study findings are in line with the published literature [2,[5][6][7][8][9][10][11]. In most of our patients with cubital tunnel syndrome, symptoms improved within the first year post-operatively, and returning to full activity was fast and was in about 12 days, which could be due to early initiation of ROM after operation with this surgical techniques; these results are also in consistent with previous studies [6].…”

Section: Discussionsupporting

confidence: 93%

“…Earlier reports have demonstrated that anterior subcutaneous transposition of ulnar nerve had good and excellent results ranging from 65% to 90% [2,[5][6][7][8][9][10][11]. Although results of this procedure has been published, but results are variable between articles [2,[5][6][7][8][9][10][11], additional studies that use reproducible preoperative and postoperative objective measures have been reported to be necessary to make a reliable decision on different surgical techniques [12].…”

Section: Introductionmentioning

confidence: 99%

“…Although results of this procedure has been published, but results are variable between articles [2,[5][6][7][8][9][10][11], additional studies that use reproducible preoperative and postoperative objective measures have been reported to be necessary to make a reliable decision on different surgical techniques [12].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Anterior subcutaneous transposition of ulnar nerve with fascial flap and complete excision of medial intermuscular septum in cubital tunnel syndrome: A prospective patient cohort

Aslani

Abrishami

Mohammadreza

et al. 2011

Clinical Neurology and Neurosurgery

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a b s t r a c tObjective: Regarding the frequency of cubital tunnel syndrome, varieties of treatment modalities, and ambiguity of anterior subcutaneous transposition of ulnar nerve method, we aimed to evaluate the efficacy of this procedure in patients with cubital tunnel syndrome referred to Taleghani hospital between 2006 and 2009. Methods: This study was a case series including all referred patients with definite diagnosis of cubital tunnel syndrome, treated by anterior subcutaneous transposition. Treatment results were measured according to modified Bishop rating system, and were ranked into excellent, good, fair, and poor. Variables such as gender, age (less/more than 45 years), causation, and initial severity, determined by Dellon criteria preoperatively, were analyzed by Fisher's exact test. Results: This study was performed on 26 eligible cases including 29 elbows, 38% males and 62.1% females, with mean age of 44.5 years (ranging 23-72 years). In a 12 months follow-up post-operatively, 62% showed excellent, 20.7% good, and 17.3% fair, with no poor result. In a 1-12 months follow-up post-operatively, results showed improvement, and initial severity and old age were demonstrated to significantly affect treatment results (P < 0.07). Conclusion: Though considered standard of care, the present study suggests that criteria for surgical techniques of ulnar nerve decompression, e.g. simple decompression vs. more extensive repair as in the present cohort, should be revised by controlled prospective studies.

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Section: Discussionsupporting

confidence: 93%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Anterior subcutaneous transposition of ulnar nerve with fascial flap and complete excision of medial intermuscular septum in cubital tunnel syndrome: A prospective patient cohort

Aslani

Abrishami

Mohammadreza

et al. 2011

Clinical Neurology and Neurosurgery

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“…Although these techniques place the nerve in a protected position, the necessity of long term immobilization and the potential complications such as excessive scarring especially in intramuscular transpositions and flexion contractures in submuscular anterior transpositions are disadvantages of these procedures (2,12,13). Subcutaneous transposition is an easier surgical technique with less operative time and postoperative pain, earlier postoperative mobilization and better postoperative outcome as compared to the submuscular approach (11). Local tenderness especially in thin patients with deficient subcutaneous tissue and falling of the nerve backward are the undesired outcomes of this technique (2).…”

Section: A B C D E F Uscetin I Et Al: Ulnar Nerve Compression At Thementioning

confidence: 99%

Ulnar nerve compression at the elbow caused by the epitrochleoanconeus muscle : a case report and surgical approach

Üsçetin¹,

Bingöl²,

Özkaya³

et al. 2012

Turkish Neurosurgery

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Cubital tunnel syndrome is the second most common peripheral nerve compression syndrome. It is the most common peripheral neuropathy of the ulnar nerve. The surgical treatment of the cubital tunnel syndrome is widely described in the literature, however the variations of the standard muscular anatomy in the medial humeral epicondyle region may create technical difficulties during surgical management. The epitrochleoanconeus muscle, which is an aberrant muscle of this region, is a rare cause of cubital tunnel syndrome. A case with ulnar nerve compression at the elbow caused by an uncommon etiological factor, hypertrophic epitrochleoanconeus muscle, and its surgical management is reported.

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“…10 The ulnar nerve was then transposed underneath the pronator teres muscle. After that, the muscle was lengthened and sutured.…”

Section: Surgical Techniquesmentioning

confidence: 99%

Comparative Study of Different Surgical Transposition Methods for Ulnar Nerve Entrapment at the Elbow

et al. 2011

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This study compared the therapeutic effects of two techniques for surgical decompression treatment for ulnar nerve entrapment at the elbow: subcutaneous transposition and modified submuscular transposition with Z-lengthening of the pronator teres origin. A total of 278 patients with ulnar nerve entrapment (McGowan grades I -III) were randomly assigned to undergo one of these techniques. All patients were followed-up for 2 years. The effects were assessed by preoperative and postoperative cross-sectional area, motor conduction velocity, sensory conduction velocity and nerve action potential. All of these parameters improved after surgery in both groups. For patients with grade I disease, there were no significant differences between the two techniques. For patients with grade II and III disease, modified submuscular transposition was associated with significantly greater improvements compared with subcutaneous transposition. In conclusion, subcutaneous ulnar nerve transposition is recommended for grade I patients and modified submuscular ulnar nerve transposition for grade II and III patients.

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Subcutaneous vs Submuscular Ulnar Nerve Transposition in Moderate Cubital Tunnel Syndrome

Cited by 29 publications

References 24 publications

Anterior subcutaneous transposition of ulnar nerve with fascial flap and complete excision of medial intermuscular septum in cubital tunnel syndrome: A prospective patient cohort

Anterior subcutaneous transposition of ulnar nerve with fascial flap and complete excision of medial intermuscular septum in cubital tunnel syndrome: A prospective patient cohort

Ulnar nerve compression at the elbow caused by the epitrochleoanconeus muscle : a case report and surgical approach

Comparative Study of Different Surgical Transposition Methods for Ulnar Nerve Entrapment at the Elbow

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