Cubital Tunnel Syndrome: Incidence and Demographics in a National Administrative Database

Osei, Daniel A.; Groves, Andrew; Bommarito, Kerry M.; Ray, Wilson Z.

doi:10.1093/neuros/nyw061

Cited by 93 publications

(53 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Ulnar neuropathy at the elbow (UNE) is the second most common focal entrapment neuropathy after carpal tunnel syndrome (Osei et al, 2017; Staples & Calfee, 2017). During elbow flexion, the cubital tunnel ligament is tightened and has the potential to compress the ulnar nerve beneath the humeroulnar aponeurosis.…”

Section: Introductionmentioning

confidence: 99%

Retrospective study on the impact of ulnar nerve dislocation on the pathophysiology of ulnar neuropathy at the elbow

Kang¹,

Yoon²,

Yang³

et al. 2019

PeerJ

View full text Add to dashboard Cite

Introduction High resolution ultrasonography (US) has been used for diagnosis and evaluation of entrapment peripheral neuropathy. Ulnar neuropathy at the elbow (UNE) is the second most common focal entrapment neuropathy. The ulnar nerve tends to move to the anteromedial side and sometimes subluxates or dislocates over the medial epicondyle as the elbow is flexed. Dislocation of the ulnar nerve during elbow flexion may contribute to friction injury. We aimed to investigate the effects which the dislocation of ulnar nerve at the elbow could have on the electrophysiologic pathology of UNE. Materials We retrospectively reviewed 71 arms of UNE. The demographic data, electrodiagnosis findings and US findings of ulnar nerve were analyzed. We classified the electrodiagnosis findings of UNE into three pathologic types; demyelinating, sensory axonal loss, and mixed sensorimotor axonal loss. The arms were grouped into non-dislocation, partial dislocation, and complete dislocation groups according to the findings of nerve dislocation in US examination. We compared the electrodiagnosis findings, ulnar nerve cross sectional areas in US and electrodiagnosis pathology types among the groups. Results A total of 18 (25.3%) arms showed partial dislocation, and 15 (21.1%) arms showed complete dislocation of ulnar nerve in US. In the comparison of electrodiagnosis findings, the partial and complete dislocation groups showed significantly slower conduction velocities and lower amplitudes than non-dislocation group in motor conduction study. In the sensory conduction study, the conduction velocity was significantly slower in partial dislocation group and the amplitude was significantly lower in complete dislocation group than non-dislocation group. In the comparison of US findings, patients in partial and complete dislocation groups showed significantly larger cross sectional areas of the ulnar nerve. The comparison of electrodiagnosis pathologic types among the groups revealed that there were significantly larger proportions of the axonal loss (sensory axonal loss or mixed sensorimotor axonal loss) in partial and complete dislocation groups than non-dislocation group. Conclusion The ulnar nerve dislocation could influence on the more severe damage of the ulnar nerve in patients with UNE. It might be important to evaluate the dislocation of the ulnar nerve using US in diagnosing ulnar neuropathy for predicting the prognosis and determining the treatment direction of UNE.

show abstract

Section: Introductionmentioning

confidence: 99%

Retrospective study on the impact of ulnar nerve dislocation on the pathophysiology of ulnar neuropathy at the elbow

Kang¹,

Yoon²,

Yang³

et al. 2019

PeerJ

View full text Add to dashboard Cite

show abstract

“…Cubital tunnel syndrome (CuTS) is a condition caused by compression of the ulnar nerve within the cubital tunnel at the elbow [1]. The incidence rate of CuTS is 30.0 per 100 000 person-years [14]. The prevalence of anxiety and depression is increasing gradually these years.…”

Section: Discussionmentioning

confidence: 99%

Relative prevalence of anxiety and depression in cubital tunnel syndrome patients and associated factors

Jia

Shi

Liu

et al. 2020

Preprint

View full text Add to dashboard Cite

Purpose: Cubital tunnel syndrome (CuTS) is the second most common peripheral entrapment neuropathy. This study aimed to assess the prevalence of anxiety and depressive symptoms and explore associated factors among CuTS patients.Methods: This is a cross-controlled study. We used the Hospital Anxiety and Depression Scale to assess the prevalence of depression and anxiety. We calculated the proportion of depression and anxiety symptoms and compared characteristics between groups. Univariate analysis and multivariate regression were carried out to identify variables that were independently associated with anxiety and depression.Results: A total of 246 individuals diagnosed with CuTS were included. The results of the HADS demonstrated that 17.8% (n = 44) of the patients presented possible/probable depression, and 14.2% (n = 35) presented possible/probable anxiety. Logistic regression analysis revealed that diabetes Mellitus was independently associated with depression. And modified McGowan grade was independently associated with anxiety.Conclusions: Patients with cubital tunnel syndrome were at an increased risk of anxiety and depression. Abnormal mental states may have a negative impact in the course and outcome of the disease. Early screening for anxiety and depression in CuTS patients should be recommended.

show abstract

“…Guyon canal and cubital tunnel entrapment neuropathies can cause neuropathic pain, as well, [8] but neuropathic pain is seen only in the ulnar nerve tract. In nerve conduction studies, distal latency and velocity are affected in the ulnar nerve.…”

Section: Discussionmentioning

confidence: 99%

Working hand syndrome

Özdemir

2017

Medicine

View full text Add to dashboard Cite

The aim of this paper was to define an unexplained non-classified polyneuropathy condition as a new neurological disease. This new diagnosis of occupation related polyneuropathy has been named as “WORKING HAND SYNDROME (WHS).”This study collected and compared clinic and electrophysiological analyze data from healthy controls, WHS patients, carpal tunnel syndrome (CTS) patients and polyneuropathy patients. The WHS patients presented to the clinic with pain, numbness, tingling, and burning sensations in their hands that increased significantly during rest and nighttime. However, there was no weakness in the muscles, and the deep tendon reflexes were normal in this disease. The patients had all been working in physically demanding jobs requiring the use of their hands/arms for at least 1 year, but no vibrating tools were used by the patients. All of the cases were men. I supposed that overload caused by an action repeated chronically by the hand/arm may impair the sensory nerves in mentioned hand/arm. In patients with these complaints, for a definitive diagnosis, similar diseases must be excluded. Nonetheless, the specific electrophysiological finding that the sural nerves are normal on the lower sides, as well as the occurrence of sensory axonal polyneuropathy in the sensory nerves without a significant effect on velocity and latency in the work-ups of the upper extremity are enough to make a diagnosis.In conclusion, WHS has been defined as a polyneuropathy and occupational disease. Patients with WHS present with pain, numbness, tingling, and burning sensations in their hands that increases significantly during rest and nighttime. They also use their arms/hands for jobs that require heavy labor. The neurological examinations of patients with WHS are normal. Only the sensory nerves in the upper extremities are affected. This article is suggested to serve as a resource for patients, health care professionals, and members of the neurology community at large.

show abstract

Cubital Tunnel Syndrome: Incidence and Demographics in a National Administrative Database

Cited by 93 publications

References 12 publications

Retrospective study on the impact of ulnar nerve dislocation on the pathophysiology of ulnar neuropathy at the elbow

Retrospective study on the impact of ulnar nerve dislocation on the pathophysiology of ulnar neuropathy at the elbow

Relative prevalence of anxiety and depression in cubital tunnel syndrome patients and associated factors

Working hand syndrome

Contact Info

Product

Resources

About