Modern Treatment of Cubital Tunnel Syndrome: Evidence and Controversy

Graf, Adam; Ahmed, Adil S.; Roundy, R. C.; Gottschalk, Michael B.

doi:10.1016/j.jhsg.2022.07.008

Cited by 6 publications

(2 citation statements)

References 122 publications

(185 reference statements)

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“…Though most commonly used and effective procedure is anterior transposition; because it relieves stress on the ulnar nerve while performing elbow flexion. 9,[11][12][13][14][15] The dissection of the ulnar nerve deems compulsory to transpose, this would compromise the vascular supply of the nerve and sometimes inadvertent damage of medial antebrachial cutaneous nerve. 3,7,16 While compared with anterior transposition, in-situ decompression takes the lead in effectively treating the CuTS.…”

Section: Discussionmentioning

confidence: 99%

Surgery for Cubital Tunnel Syndrome: A Comparative Study of Small Incision with Classic Anterior Nerve Transposition

Naseer Hassan,

Raza Hassan,

Muhammad Usman

et al. 2023

Pak J Neurol Surg

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Objective: To evaluate the clinical outcomes of ulnar neuropathy, and cubital tunnel syndrome (CuTS) surgery via a small incision with that of anterior transposition of the ulnar nerve. Materials & Methods: In this comparative cross-sectional study, 108 patients were recruited from the Neurosurgery Department of Qazi Hussain Ahmad Medical Complex, Nowshera. Two Groups were made. Group A patients undergo either ulnar nerve anterior transposition or simple decompression via a small skin incision, while Group B patients undergo ulnar nerve subcutaneous anterior transposition through a classic skin incision. Results: Totally 108 patients were enrolled. Males were 67 and females were 41 with a mean age of 45.6 ± 12.97 years. During follow-up visits, an increase in clinical outcome measures was noted, but no statistically significant difference was seen in both groups. Nevertheless, in comparison to the two groups, complications were more in group B, in terms of superficial infection, numbness of skin at the medial elbow, revision surgery, and painful scar. Conclusion: It is concluded that keeping in view the stability/anatomical position of the ulnar nerve to undergo either simple decompression or anterior transposition through small skin incision is effective and an excellent procedure as compared to classic incision procedure in treating patients suffering from cubital tunnel syndrome.

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Section: Discussionmentioning

confidence: 99%

Surgery for Cubital Tunnel Syndrome: A Comparative Study of Small Incision with Classic Anterior Nerve Transposition

Naseer Hassan,

Raza Hassan,

Muhammad Usman

et al. 2023

Pak J Neurol Surg

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“…One may argue against such criteria since it involves several criteria related to severity and does not include more sensitive tests for sensation, such as the Semmes-Weinstein monofilament test. In the discussion about diagnostic criteria, many authors highlight the lack of a standard algorithm for diagnosis as well as for treatment [ 53 ], where other evaluation methods also should be considered or recommended (see below Complementary investigations in ulnar nerve entrapment ). The balance between using the patient’s history, the clinical findings, and results from any additional diagnostic procedures to set the diagnosis of ulnar nerve entrapment may vary between geographical areas from an international perspective.…”

Section: Ulnar Nerve Entrapmentmentioning

confidence: 99%

The Unpredictable Ulnar Nerve—Ulnar Nerve Entrapment from Anatomical, Pathophysiological, and Biopsychosocial Aspects

Nyman,

Dahlin

2024

Diagnostics

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Peripheral nerves consist of delicate structures, including a rich microvascular system, that protect and nourish axons and associated Schwann cells. Nerves are sensitive to internal and external trauma, such as compression and stretching. Ulnar nerve entrapment, the second most prevalent nerve entrapment disorder after carpal tunnel syndrome, appears frequently at the elbow. Although often idiopathic, known risk factors, including obesity, smoking, diabetes, and vibration exposure, occur. It exists in all adult ages (mean age 40–50 years), but seldom affects individuals in their adolescence or younger. The patient population is heterogeneous with great co-morbidity, including other nerve entrapment disorders. Typical early symptoms are paresthesia and numbness in the ulnar fingers, followed by decreased sensory function and muscle weakness. Pre- and postoperative neuropathic pain is relatively common, independent of other symptom severity, with a risk for serious consequences. A multimodal treatment strategy is necessary. Mild to moderate symptoms are usually treated conservatively, while surgery is an option when conservative treatment fails or in severe cases. The decision to perform surgery might be difficult, and the outcome is unpredictable with the risk of complications. There is no consensus on the choice of surgical method, but simple decompression is relatively effective with a lower complication rate than transposition.

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Exploring Outcomes and Mediating Factors Following Supercharged End-to-Side Anterior Interosseous Nerve to Ulnar Nerve Transfer: A Scoping Review With Expert Insight

Jiravichitchai,

Farzad,

MacDermid

et al. 2024

Journal of Hand Surgery Global Online

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Modern Treatment of Cubital Tunnel Syndrome: Evidence and Controversy

Cited by 6 publications

References 122 publications

Surgery for Cubital Tunnel Syndrome: A Comparative Study of Small Incision with Classic Anterior Nerve Transposition

Surgery for Cubital Tunnel Syndrome: A Comparative Study of Small Incision with Classic Anterior Nerve Transposition

The Unpredictable Ulnar Nerve—Ulnar Nerve Entrapment from Anatomical, Pathophysiological, and Biopsychosocial Aspects

Exploring Outcomes and Mediating Factors Following Supercharged End-to-Side Anterior Interosseous Nerve to Ulnar Nerve Transfer: A Scoping Review With Expert Insight

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