Intraoperative Measurement of Pressure Adjacent to the Ulnar Nerve in Patients With Cubital Tunnel Syndrome

Iba, Kousuke; Wada, Takuro; Aoki, Mitsuhiro; Tsuji, Hideki; Oda, Takashi; Yamashita, Toshihiko

doi:10.1016/j.jhsa.2006.01.009

Cited by 51 publications

(41 citation statements)

References 12 publications

(17 reference statements)

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“…Proponents of simple decompression in the absence of an anatomical lesion argue that transposition of ulnar nerve involves an unnecessary risk of nerve injury or devascularization, and extensive dissection. In turn, proponents of anterior transposition argue that dynamic compression of the nerve with elbow flexion can only be properly resolved by this technique [14,15,23,24].…”

Section: Resultsmentioning

confidence: 99%

Comparative Study of Outcome of Simple Decompression Versus Anterior Transposition of Ulnar Nerve in the Treatment of Cubital Tunnel Syndrome

Tawfik¹,

Khedr²,

Sakr³

2017

Natl. j. health sci.

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Background: Cubital tunnel syndrome (CuTS) is the second most common entrapment neuropathy in the upper limb, after the entrapment of the median nerve in the carpal tunnel. Different techniques of nerve decompression have been described, however, the idyllic surgical treatment and technique for CuTS remain controversial.Objective: Our aim is to compare the outcome of simple decompression with anterior subcutaneous transposition of ulnar nerve in the treatment of CuTS. Methods:The study included 20 patients that were surgically treated in the Neurosurgery department at Gamal Abdel Nasser Hospital -General Authority for Health Insurance between August 2014 and February 2015. These patients were randomly distributed into two equal groups, each consisting of 10 cases. In the first group, only simple decompression was performed while in the second group, anterior subcutaneous transposition was supplemented. All cases were followed for at least 6 months.Results: Seventy percent of the patients were females and the mean age was 45.35 ± 14.62. The duration of symptoms before surgery varied from 4 months to 2 years. Occupational repetitive elbow flexion and extension was the most common contributing factor. Seven out of ten patients, in the simple decompression group, showed clinical and electrophysiological improvement at 6 months interval. While in the second group, only six patients showed improvement 6 months after surgery. The difference was found to be statistically insignificant. There was no significant effect of the duration of symptoms or co-morbidities on the outcome. Conclusion:Long term follow up revealed no significant difference between simple decompression and anterior subcutaneous transposition. Simple decompression of the ulnar nerve, in our experience, is an effective and less invasive technique for patients with cubital tunnel syndrome.

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Section: Resultsmentioning

confidence: 99%

Comparative Study of Outcome of Simple Decompression Versus Anterior Transposition of Ulnar Nerve in the Treatment of Cubital Tunnel Syndrome

Tawfik¹,

Khedr²,

Sakr³

2017

Natl. j. health sci.

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“…Several studies have shown the influence of factors such as the duration and severity of preoperative symptoms in the sensory and motor recovery of these patients (18,23,24,28,29) . Advanced age has also been suggested by some authors as a predictor (18,29) .…”

Section: Discussionmentioning

confidence: 99%

Tratamento da síndrome do túnel cubital pela técnica de transposição anterior subcutânea: será este método seguro e eficaz?

Lima¹,

Correia²,

Martins³

et al. 2012

Rev. bras. ortop.

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after surgery. According to the modified Bishop score, 21 patients (58.3%) had excellent results, seven (19.4%) good, six (16.7%) satisfactory and two (5.55%) poor. The satisfaction rate was 86% and 72% of the patients recovered their daily activities without limitations. Conclusion: The severity of neuropathy and preoperative duration of symptoms, but not age, had a negative influence on the outcome. The subcutaneous anterior transposition of the cubital nerve is safe and effective for treating CTS of different degrees of severity. Given the major prognostic factors identified, surgical treatment should be advised as soon as axonal loss has become clinically evident.

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“…A pressure-sensitive diaphragm caused the mirror distance from the fiber tip to vary, changing the intensity of the reflected light. As will be seen, identical designs were also applied to measure intramuscular, 89 intraarticular, [132][133][134][135] and intracranial pressures. 136 These transducers are interrogated by the intensity-modulation technique with dual-beam referencing, recommended for single use, and should not be resterilized or reused.…”

Section: Intravascular and Intracardiac Pressurementioning

confidence: 99%

“…Similar sensors were used to measure IAP in cadaveric glenohumeral joints 133 and during in vivo studies of the elbow joint in patients suffering from cubital tunnel syndrome. 134,135 The potentialities of FBG for joint pressure mapping were explored by Mohanty et al 27,171 A FBG array was developed to map stresses across the tibio-femoral interface during total knee arthroplasty. The array was embedded into a stack of unidirectional fiber-reinforced composite (PMMA) and molded to adapt to the femur condyles surface.…”

Section: Intra-articular Pressurementioning

confidence: 99%

Review of fiber-optic pressure sensors for biomedical and biomechanical applications

Roriz

Frazão

Ribeiro³

et al. 2013

J. Biomed. Opt

192

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Abstract. As optical fibers revolutionize the way data is carried in telecommunications, the same is happening in the world of sensing. Fiber-optic sensors (FOS) rely on the principle of changing the properties of light that propagate in the fiber due to the effect of a specific physical or chemical parameter. We demonstrate the potentialities of this sensing concept to assess pressure in biomedical and biomechanical applications. FOSs are introduced after an overview of conventional sensors that are being used in the field. Pointing out their limitations, particularly as minimally invasive sensors, is also the starting point to argue FOSs are an alternative or a substitution technology. Even so, this technology will be more or less effective depending on the efforts to present more affordable turnkey solutions and peer-reviewed papers reporting in vivo experiments and clinical trials. © The Authors. Published by SPIE under a Creative Commons Attribution 3.0 Unported License. Distribution or reproduction of this work in whole or in part requires full attribution of the original publication, including its DOI.

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Intraoperative Measurement of Pressure Adjacent to the Ulnar Nerve in Patients With Cubital Tunnel Syndrome

Cited by 51 publications

References 12 publications

Comparative Study of Outcome of Simple Decompression Versus Anterior Transposition of Ulnar Nerve in the Treatment of Cubital Tunnel Syndrome

Comparative Study of Outcome of Simple Decompression Versus Anterior Transposition of Ulnar Nerve in the Treatment of Cubital Tunnel Syndrome

Tratamento da síndrome do túnel cubital pela técnica de transposição anterior subcutânea: será este método seguro e eficaz?

Review of fiber-optic pressure sensors for biomedical and biomechanical applications

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