Factors related to the outcome of surgically managed compressive ulnar neuropathy at the elbow level

Foster, Robert J.; Edshage, S

doi:10.1016/s0363-5023(81)80173-6

Cited by 141 publications

(53 citation statements)

References 11 publications

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“…Our study population provides insight into the presentation of cubital tunnel syndrome in a younger group, which may be different from prior studies with average age greater than 45 years. 2,3,4,12 Mallet et al 12 demonstrated that age was significantly predictive of atrophy while gender was not, in a study group with average age of 54 years and 59% men. Naran et al 10 also found that age was a significant predictor of atrophy at presentation within a group of average age of 55 years with 77% women.…”

Section: Discussionmentioning

confidence: 95%

“…Prior studies have suggested that muscle atrophy at presentation of cubital tunnel syndrome is 4 times more common than in carpal tunnel syndrome 7 and that in the setting of positive electrodiagnostic studies, weakness is found 82% of the time. 1 Patients who develop intrinsic muscle atrophy are thought to have a worse prognosis, 3,9 and surgical treatment is recommended before the onset of muscle atrophy. 8,12 In the current study, we seek to determine the presenting features and characteristics of patients with cubital tunnel syndrome and determine any correlations with atrophy at initial presentation.…”

Section: Introductionmentioning

confidence: 99%

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Muscle Atrophy at Presentation of Cubital Tunnel Syndrome

Drake

Hensley

Chen

et al. 2016

Hand (New York, N,Y.)

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Background: The purpose of this study is to describe the demographics and duration of symptoms of patients with cubital tunnel syndrome who present with muscle atrophy. Methods: We identified 146 patients who presented to the hand surgery clinic at a single institution over a 5-year period with an initial diagnosis of cubital tunnel syndrome based on history and physical examination. Medical records were retrospectively reviewed to determine if there was a difference in demographic data, physical examination findings, and duration of symptoms in patients who presented with muscle atrophy from those with sensory complaints alone. Results: A total of 17/146 (11.6%) of patients presented with muscle atrophy, all of which were men. In all, 17.2% of men presented with atrophy. Age by itself was not a predictor of presentation with atrophy; however, younger patients with atrophy presented with significantly shorter duration of symptoms. Patients under the age of 29 years presenting with muscle atrophy on average had symptoms for 2.4 months compared with 16.2 months of symptoms for those over 55 years of age. Conclusions: Men with cubital tunnel syndrome are more likely to present with muscle atrophy than women. Age is not necessarily a predictor of presentation with atrophy. There is a subset population of younger patients who presents with extremely short duration of symptoms that rapidly develops muscle atrophy.

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Section: Discussionmentioning

confidence: 95%

Section: Introductionmentioning

confidence: 99%

Muscle Atrophy at Presentation of Cubital Tunnel Syndrome

Drake

Hensley

Chen

et al. 2016

Hand (New York, N,Y.)

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“…O tratamento não cirúrgico consiste em fisioterapia, antiinflamatórios não hormonais, mudança das atividades e imobilização noturna com o cotovelo em flexão de 45º (11) . As opções de tratamento cirúrgico são diversas, iniciando pela neurólise do nervo ulnar (12) , transposição subcutânea (13)(14) , transposição submuscular (15)(16) , transposição intramuscular (8) e a epicondilectomia parcial medial (17)(18)(19)(20) . Uma das principais vantagens da neurólise do ulnar fundamenta-se na facilidade técnica do procedimento; todavia, é comum não obtermos sua plena liberação.…”

Section: Discussionunclassified

Tratamento da síndrome do túnel ulnar pela técnica da epicondilectomia parcial medial do cotovelo

Viveiros¹,

Matsumoto²,

Bastos³

et al. 2008

Rev. bras. ortop.

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“…Actually method was only used in the presence of tuberculous form of leprosy [54]. By numerous authors submuseular transposition is advocated as the method of choice [10,11,15,25].…”

Section: Discussionmentioning

confidence: 99%

Entrapment neuropathy at the cubital tunnel: Simple decompression is the method of choice

1996

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We present a retrospective study of 41 patients treated by simple decompression for ulnar neuropathy. Pre- and postoperatively, patients were evaluated clinically and electrophysiologically. The median follow-up was 2 years (minimum: 0.5 years, maximum: 5.1 years). The leading pre-operative sign was motor loss in the ulnar distribution (36 patients = 89%) with consecutive atrophy of ulnar innervated muscles (30 patients = 75%). The secondary complaint was sensory impairment in 59% of all cases, less frequently patients presented with pain or paraesthesia. In the majority of cases the aetiology remained unknown (27 patients = 65%). When aetiology was known, previous trauma to the elbow was reported most frequently (9 patients = 22%). Motor nerve conduction velocity (mNCV), compared to the contralateral, non-involved arm, was lower at least for 10 m/s. In cases with atrophy of the ulnar innervated muscles the difference was greater than 15 m/s. In 89%, postoperative results were good or even very good. In 8% (3 patients) no improvement was observed. Worsening due to surgery did not occur. We could demonstrate a significant increase in postoperative mNCV of 7.95 m/s in all patients (p < 0.05). There is still disagreement as to the correct surgical treatment of this disorder. We favour simple decompression (SD) as the appropriate operative technique for cubital tunnel syndrome.

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Factors related to the outcome of surgically managed compressive ulnar neuropathy at the elbow level

Cited by 141 publications

References 11 publications

Muscle Atrophy at Presentation of Cubital Tunnel Syndrome

Muscle Atrophy at Presentation of Cubital Tunnel Syndrome

Tratamento da síndrome do túnel ulnar pela técnica da epicondilectomia parcial medial do cotovelo

Entrapment neuropathy at the cubital tunnel: Simple decompression is the method of choice

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