A simple, safe and reliable surgical landmark for medial epicondylectomy

Smith, Greg T.; McCann, Philip S; Clark, Damian; Amirfeyz, Rouin

doi:10.1177/1758573214526363

Cited by 1 publication

(2 citation statements)

References 23 publications

(48 reference statements)

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“…Cubital tunnel syndrome is the second most common entrapment neuropathy [ 22 ]. The ulnar nerve entrapment is relieved by in situ decompression and medial epicondylectomy.…”

Section: Discussionmentioning

confidence: 99%

“…The ulnar nerve entrapment is relieved by in situ decompression and medial epicondylectomy. About 8 mm of the medial epicondyle of the humerus is resected and an anterior transposition of the ulnar nerve is performed to release the nerve from entrapment [ 22 ]. This kind of procedures can affect individuals with variations in the origin of pronator teres and with median nerve and ulnar artery coursing close to the shaft of lower humerus.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Bilateral Median Nerve and Brachial Artery Variations in the Arm: A Case Report

Rajaram-Gilkes,

Burwell,

Barr

et al. 2023

Cureus

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During clinical practice, it is essential for physicians to have a sound knowledge of vascular and nerve variations. Patients who present with various clinical signs and symptoms need to be thoroughly investigated with anatomic variations in mind to prevent misdiagnosis. Most nerve variations are related to their formation or their course and are frequently associated with variability of structures that surround them. These structures most commonly include blood vessels, ligaments, and muscles. Such variations should be foremost in a physician’s mind when analyzing clinical symptoms. This will aid in accurate diagnosis, and if surgical intervention is warranted, such awareness would minimize intraoperative errors. In this case study, the striking absence of median nerve and brachial artery within the cubital fossa bilaterally led to the discovery of pronator teres originating from the distal third of the humerus, associated with the bifurcation of the brachial artery at the middle third of the humerus into the ulnar and radial arteries. The median nerve ran beneath the pronator teres along with the ulnar artery and was thereby absent at the cubital fossa. Such variations observed bilaterally have not yet been reported in the literature. Knowledge of such variations can be very profound as this region involves surgical significance for several conditions, such as creation of arteriovenous fistulas (AVFs) for hemodialysis, treatment of supracondylar and radial head fractures, and cubital tunnel syndrome.

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“…Cubital tunnel syndrome is the second most common entrapment neuropathy [ 22 ]. The ulnar nerve entrapment is relieved by in situ decompression and medial epicondylectomy.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%