Clinical efficacy of simple decompression versus anterior transposition of the ulnar nerve for the treatment of cubital tunnel syndrome: A meta-analysis

Chen, Hongwei; Ou, Shan; Liu, Guodong; Fei, Jun; Zhao, Gang-Sheng; Wu, Lijun

doi:10.1016/j.clineuro.2014.08.005

Cited by 39 publications

(36 citation statements)

References 32 publications

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“…[15,16] However, it is well-documented that the medial epicondyle plays an important role in pathophysiology of CuTS by causing traction and stretching of the nerve. [4,10,17] Satisfactory clinical results have been reported in the literature for simple in situ decompression of the ulnar nerve for CuTS. [16,18,19] The main clinical problem of this technique seems to be the recurrence of the symptoms and limited improvement in Wilson-Krout scores especially in grade IIB and III patients.…”

Section: Discussionmentioning

confidence: 82%

Comparison of two medial epicondylectomy techniques in cubital tunnel syndrome

Çirpar

Ozuak

Oktaş

et al. 2017

Eklem Hastalik Cerrahisi

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Section: Discussionmentioning

confidence: 82%

Comparison of two medial epicondylectomy techniques in cubital tunnel syndrome

Çirpar

Ozuak

Oktaş

et al. 2017

Eklem Hastalik Cerrahisi

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“…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)

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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.

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“…There are a lot of surgical methods. We can divide them into two gropus: in situ release and decompression with anterior transposition [1,3,8]. This anterior transposition can be subcutaneous, submuscular or intramuscular.…”

Section: Introductionmentioning

confidence: 99%

Anterior subcutaneous transposition and simple decompression of the ulnar nerve at the elbow – the postoperative improvement in DASH score, VAS score and sonographic findings

Adamski¹

2018

Chir. Narzadow Ruchu Ortop. Pol.

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Introduction. Although a lot of studies have described long-term outcomes after surgical treatment of cubital tunnel syndrome, and the usefulness of sonography in diagnosing of this disorder, few studies have evaluated patients self-reporting outcomes or sonographic findings after surgery. Aim. We assessed patients self-reporting instruments and sonographic findings in patients with the cubital tunnel syndrome before and after a surgery. Materials and methods. Forty patients with moderate cubital tunnel syndrome admitted to an orthopedic department were included. Patients underwent an ultrasound examination, filled a DASH questionnaire before, three months and six months after the operation. They had also their symptoms rated with the VAS scale before and six months postoperatively. Patients with clinical signs of subluxation of the nerve during the operation were allocated to a "transposition" group. Patients without these signs had an in situ release. The statistical analyses were made using a nonparametric Friedman ANOVA test for DASH score and Wilcoxon matched-pairs signed-ranks test for VAS scale. Results. After the in situ release, there was a higher difference in the cross-sectional area of the nerve three months after operations than in the cases with a subcutaneous transposition, respectively 10.9 mm 2 and 12 mm 2. Patients satisfaction measured with the DASH questionnaire and the VAS scale showed that there was a statistically significant improvement after both operations. Conclusions. According to our results, both methods help patients to relieve their symptoms, but after a simple decompression, recovery, measured with patients' self-reporting instruments and with ultrasound examination, is faster.

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Clinical efficacy of simple decompression versus anterior transposition of the ulnar nerve for the treatment of cubital tunnel syndrome: A meta-analysis

Cited by 39 publications

References 32 publications

Comparison of two medial epicondylectomy techniques in cubital tunnel syndrome

Comparison of two medial epicondylectomy techniques in cubital tunnel syndrome

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

Anterior subcutaneous transposition and simple decompression of the ulnar nerve at the elbow – the postoperative improvement in DASH score, VAS score and sonographic findings

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