Surgical treatment of common entrapment neuropathies in the upper limbs

Arle, Jeffrey E.; Zager, Eric L.

doi:10.1002/1097-4598(200008)23:8<1160::aid-mus2>3.0.co;2-4

Cited by 68 publications

(32 citation statements)

References 159 publications

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“…6,7,13,17) Deciding on the most effective procedure can be difficult, given the excellent results claimed. 1,2,14,18) Despite the high frequency of UNE, there is no clear consensus on the indications for surgery or the most appropriate surgical technique. [14][15][16]19,20,[23][24][25]30,41) Operative management includes simple decompression (or``decompression in situ''); medial epicondylectomy, either alone or in combination with simple decompression; and anterior transposition.…”

Section: Introductionmentioning

confidence: 99%

Surgical Treatment for Ulnar Nerve Entrapment at the Elbow

Asamoto

Böker

Jödicke

2005

Neurol. Med. Chir.(Tokyo)

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The outcomes of 81 operations were assessed for the treatment of ulnar nerve entrapment at the elbow performed on 55 males (bilateral operations in one) and 25 females during the period from January 1995 to December 2000. Before operation, neurophysiological examination was performed in all patients. Simple ulnar nerve decompression or anterior transposition of the ulnar nerve (subcutaneous or intramuscular) was performed with or without the operating microscope. Nine patients were lost to follow up. The outcome was excellent or good in 63 of 72 cases, no change in eight cases, and poor in one case. The outcomes of procedures performed with the operating microscope tended to be superior.

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Section: Introductionmentioning

confidence: 99%

Surgical Treatment for Ulnar Nerve Entrapment at the Elbow

Asamoto

Böker

Jödicke

2005

Neurol. Med. Chir.(Tokyo)

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“…The belly of the supinator muscle is traversed by the posterior interosseous nerve (Fig. 2), a branch of the radial nerve which perforates it proximally, travels through the fibrous arcade of Frohse to emerge in the deep layers and reach the posterior part of the elbow [6,7,9].…”

Section: Deep Musclesmentioning

confidence: 99%

Dorsal forearm muscles: US anatomy Pictorial Essay

Precerutti¹,

Garioni²,

Ferrozzi³

2010

Journal of Ultrasound

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The dorsal compartment of the forearm contains nine muscles: four belong to the superficial group (extensor digitorum communis, extensor digiti minimi, extensor carpi ulnaris and anconeus) and five to the deep group (supinator, abductor longus, extensor pollicis brevis, extensor pollicis longus, and extensor indices). Of these nine muscles the following details are considered: origin, course, distal insertion and their anatomical connection with those structures which are most often affected by pathologies. The radiologist must have a thorough knowledge of this complex topographic anatomy in order to perform ultrasound (US) and magnetic resonance imaging (MRI) examinations and correctly interpret the images.Sommario A livello della parte dorsale dell'avambraccio sono presenti nove muscoli, quattro superficiali (estensore comune delle dita, estensore proprio del mignolo, estensore ulnare del carpo e anconeo) e cinque profondi (supinatore, abduttore lungo ed estensore breve del pollice, estensore lungo del pollice, estensore proprio dell'indice).Dei nove muscoli vengono considerati: origine, decorso, inserzione distale e rispettivi rapporti anatomici con le strutture maggiormente interessate da patologia.Si tratta di un'anatomia topografica complessa la cui conoscenza è però necessaria per la corretta esecuzione ed interpretazione di esami di imaging quali l'ecografia e la risonanza magnetica. ª

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“…1 Clinically, most patients may effectively be managed with conservative measures. 2 Therefore, it is important to be able to identify, clinically diagnose, and treat these compression syndrome as early as possible.…”

Section: Introductionmentioning

confidence: 99%

Chiropractic management of a patient with ulnar nerve compression symptoms: a case report

Illes

Johnson

2013

Journal of Chiropractic Medicine

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Objective: The purpose of this case report is to describe chiropractic management of a patient with arm and hand numbness and who was suspected to have ulnar nerve compression. Clinical Features: A 41-year-old woman presented with hand weakness and numbness along the medial aspect of her right forearm and the 3 most medial fingers. The onset of symptoms presented suddenly, 3 weeks prior, when she woke up in the morning and assumed she had "slept wrong." The patient's posture showed protracted shoulders and moderate forward head carriage. Orthopedic assessment revealed symptomatic right elevated arm stress test, grip strength asymmetry, and a Tinel sign at the right cubital tunnel. Intervention and Outcome: The patient was treated using chiropractic care, which consisted of manipulative therapy, myofascial therapy, and elastic therapeutic taping. Active home care included performing postural exercises and education about workstation ergonomics. She demonstrated immediate subjective improvement of her numbness and weakness after the first treatment. Over a series of 11 treatments, her symptoms resolved completely; and she was able to perform work tasks without dysfunction. Conclusion: Chiropractic treatment consisting of manipulation, soft tissue mobilizations, exercise, and education of workstation ergonomics appeared to reduce the symptoms of ulnar nerve compression symptoms for this patient.

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Surgical treatment of common entrapment neuropathies in the upper limbs

Cited by 68 publications

References 159 publications

Surgical Treatment for Ulnar Nerve Entrapment at the Elbow

Surgical Treatment for Ulnar Nerve Entrapment at the Elbow

Dorsal forearm muscles: US anatomy Pictorial Essay

Chiropractic management of a patient with ulnar nerve compression symptoms: a case report

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