The V-sling: a modified medial intermuscular septal sling for anterior transposition of the ulnar nerve

Tan, Virak; Pope, Jeff; Daluiski, Aaron; Capo, John T.; Weiland, Andrew J.

doi:10.1016/j.jhsa.2003.11.011

Cited by 16 publications

(9 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Many techniques have been described, including epineurial suture, fasciodermal sling, and using the medial intermuscular septum as a sling for the ulnar nerve. 9,10,14,15 Eaton and colleagues 14 described the creation of a 1 cm × 1 cm flap based on antebrachial fascial connected to the medial epicondyle. This flap is reflected medially and acts as a fasciodermal sling posterior to the transposed nerve at the medial epicondyle.…”

Section: Discussionmentioning

confidence: 99%

“…14 Pribyl and Robinson,9 in 1998, described a procedure where a portion of the intermuscular septum is divided from a distance of 3 to 4 cm proximal to its insertion on the medial epicondyle; the portion is used as a sling and sutured to the fascia of the flexor/pronator mass or alternatively to the subcutaneous tissues. Tan and colleagues 15 modified Pribyl and Robinson's technique by creating a "V" sling with the intermuscular septum; this technique led to complete resolution of symptoms in 17 of 20 patients and improved the symptoms in the 3 remaining patients. Richmond and Southmayd 10 reported excellent results in 83% of patients who had epineurium sutured to the fascia during subcutaneous transposition.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Subcutaneous Ulnar Nerve Transposition Using Osborne’s Ligament as a Ligamentodermal or Ligamentofascial Sling

Goldberg¹,

Burnham

Dhawan³

2018

Am J Orthop

View full text Add to dashboard Cite

Optimal management of cubital tunnel syndrome is controversial. There are many different techniques for ulnar nerve transposition, each with their own set of pitfalls. Goal of any surgery for ulnar nerve compression is to eliminate all sites of compression and create a tension-free nerve that glides freely. Osborne's ligament is a transverse fibrous band as the fascial connection between the 2 heads of the flexor carpi ulnaris that forms the roof of the cubital tunnel. Osborne's ligament can be used in ulnar nerve transposition to create a broad based, smooth-gliding sling for tension-free excursion of the ulnar nerve.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Subcutaneous Ulnar Nerve Transposition Using Osborne’s Ligament as a Ligamentodermal or Ligamentofascial Sling

Goldberg¹,

Burnham

Dhawan³

2018

Am J Orthop

View full text Add to dashboard Cite

show abstract

“…6 ambos codos del paciente que presentamos fueron operados mediante una transposición cubital transmuscular con liberación de la musculatura flexo-pronadora con dos colgajos de fascia de músculos epitrocleares unidos entre sí. 11,12 Teniendo en cuenta la cantidad de técnicas y procedimientos diferentes que se han descrito para estabilizar el nervio transpuesto, [13][14][15][16][17] se optó por esta técnica de estabilización, porque es la que utilizamos con regularidad en nuestro Servicio. Se tuvo en cuenta la preservación de la vascularización del nervio en el momento de liberarlo del túnel cubital.…”

Section: Discussionunclassified

Luxación Bilateral del Vientre Medial del Tríceps "Snapping Tríceps" Asociado a Luxación del Nervio Cubital. Presentación de un Caso

Mangione¹,

Vidal²

2017

Rev Asoc Arg Ortop Traumatol (Supl)

View full text Add to dashboard Cite

ResumenSnapping triceps es la luxación del vientre medial del tríceps por encima de la epitróclea, asociada o no a la luxación del nervio cubital. En algunos casos publicados, los pacientes eran intervenidos por luxación del nervio cubital y, durante la cirugía, se diagnosticaba la luxación del vientre medial del tríceps, incluso algunos pacientes eran operados en varias oportunidades. Presentamos un paciente de 16 años que refiere un resalto en la región medial de ambos codos. En el examen físico, es evidente un doble resalto tanto del nervio cubital, como del vientre medial del tríceps. Estos hallazgos se confirman por ecografía comparativa bilateral. El tratamiento quirúrgico consistió en la transposición cubital transmuscular y la resección del vientre medial del tríceps que se luxaba anterior a la epitróclea. Los dos codos fueron operados con diferencia de un mes. El paciente tuvo una excelente evolución sin complicaciones a los dos meses de las operaciones. Esta patología poco frecuente debe ser considerada con atención, ya que puede llevar a errores de diagnóstico y de tratamiento. Palabras clave:Snapping; tríceps; epicóndilo medial. Nivel de Evidencia: IV Bilateral dislocation of the medial fold of the triceps tendon (snapping triceps) with ulnar nerve dislocation. A case report AbstractSnapping triceps is the dislocation of the medial triceps belly above the medial epicondyle, with or without the ulnar nerve. In some cases described in the literature, patients were operated on by ulnar nerve dislocation and dislocation of the medial triceps belly was diagnosed during surgery; some patients were even operated on several occasions. We report the case of a 16-year-old patient with a snap in the medial region of both elbows. Physical examination reveals a clear double click of the ulnar nerve and the medial triceps belly. These findings are confirmed by bilateral comparative ultrasound. Surgical treatment consisted of transmuscular ulnar transposition and resection of dislocated medial triceps belly. Both elbows were operated on one month apart. Two months after surgeries, the patient achieved an excellent outcome without complications. This rare condition must be carefully considered since it may lead to diagnostic and therapeutic errors.

show abstract

“…29,30 Several authors have augmented subcutaneous transposition with methods to stabilize the ulnar nerve in the anterior position. [31][32][33][34] Furthermore, Stuffer et al reported better clinical and electroneurologic results with subcutaneous in comparison to submuscular transposition. 35 Intramuscular and submuscular transpositions are more complicated procedures.…”

Section: Discussionmentioning

confidence: 99%

Submuscular Versus Subcutaneous Anterior Ulnar Nerve Transposition: A Rat Histologic Study

Lee¹,

Sharma²,

Silver³

et al. 2009

The Journal of Hand Surgery

View full text Add to dashboard Cite

The V-sling: a modified medial intermuscular septal sling for anterior transposition of the ulnar nerve

Cited by 16 publications

References 12 publications

Subcutaneous Ulnar Nerve Transposition Using Osborne’s Ligament as a Ligamentodermal or Ligamentofascial Sling

Subcutaneous Ulnar Nerve Transposition Using Osborne’s Ligament as a Ligamentodermal or Ligamentofascial Sling

Luxación Bilateral del Vientre Medial del Tríceps "Snapping Tríceps" Asociado a Luxación del Nervio Cubital. Presentación de un Caso

Submuscular Versus Subcutaneous Anterior Ulnar Nerve Transposition: A Rat Histologic Study

Contact Info

Product

Resources

About