The Association Between Concomitant Ulnar Nerve Compression at the Elbow and Carpal Tunnel Syndrome

Shulman, Brandon S.; Bekisz, Jonathan M.; Lopez, Christopher D.; Maliha, Samantha G.; Mahure, Siddharth A.; Hacquebord, Jacques

doi:10.1177/1558944718813669

Cited by 8 publications

(3 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Failure to diagnose and treat concomitant carpal tunnel syndrome in the setting of CuTS may result in an incomplete relief of preoperative symptoms warranting reevaluation. 23 Other diagnoses such as brachial plexopathy, peripheral polyneuropathy, peripheral nerve tumor, multiple sclerosis, or mechanical symptoms such as snapping triceps should also be considered.…”

Section: Etiologymentioning

confidence: 99%

Management of Recalcitrant Cubital Tunnel Syndrome

Lauder

Chen

Bolson

et al. 2021

J Am Acad Orthop Surg

View full text Add to dashboard Cite

Cubital tunnel syndrome is a common upper extremity compressive neuropathy. Recalcitrant cubital tunnel syndrome poses diagnostic and treatment challenges. Potential etiologies of persistent or recurrent symptoms after surgical treatment include an inaccurate preoperative diagnosis, incomplete nerve decompression, iatrogenic injury, postsurgical perineural adhesions, irreversible nerve pathology, or conditions associated with secondary nerve compression. Confirmation of recalcitrant ulnar nerve pathology relies on a thorough history to consider symptoms and chronology, careful examination to quantify nerve function and to assess for focal nerve provocation, and objective testing to highlight a possible nerve lesion such as ultrasonography and electrodiagnostic testing. Conservative treatment may provide symptomatic relief; however, surgical management such as revision neuroplasty, neurolysis, nerve reconstruction, and/or anterior transposition may be indicated. Optimizing the biology of the local nerve environment is critical. No surgical treatment procedure has shown superiority over another; however, individualized treatment is emphasized to improve symptoms and maximize nerve recovery potential.

show abstract

Section: Etiologymentioning

confidence: 99%

Management of Recalcitrant Cubital Tunnel Syndrome

Lauder

Chen

Bolson

et al. 2021

J Am Acad Orthop Surg

View full text Add to dashboard Cite

show abstract

“…An important clinical aspect of ulnar neuropathies at the elbow concerns cases with concurrent median nerve disorder. Shulman et al (2020) report that 23% of patients with CTS undergo a secondary operation on carpal tunnel release. Since the prevalence of the carpal tunnel in the general population ranges from 2.7% to 6.8%, these pathologies could possibly be related.…”

Section: Elbowmentioning

confidence: 99%

Possible points of compression of the ulnar nerve: Tricks and traps that await clinicians from an anatomical point of view

et al. 2021

View full text Add to dashboard Cite

The ulnar nerve can be subject to numerous types of compression. The most common are cubital tunnel and ulnar tunnel syndromes, but there are many others with more uncommon etiologies. The existence of additional communicating branches, median nerve involvement, various types of injuries, and unusual anatomical variations can be a challenge for both diagnosis and treatment. This review presents a comprehensive depiction of ulnar nerve entrapment syndromes with particular reference to their anatomical background, risk factors, and clinical evaluation. Even common disorders can result from atypical morphological changes. It is important to be familiar with them as it is a key ability in daily medical practice.

show abstract

“…In carpal tunnel surgery, there is a 0.49% incidence of iatrogenic nerve injury, which is de ned as structural damage to nerves, tendons, or arteries as a result of the procedure [9]. Many other surgical procedures may also result in iatrogenic nerve injury, including ulnar nerve decompression, which has similar surgical steps and risk factors [10].…”

Section: Introductionmentioning

confidence: 99%

Comparing Scissors and Scalpels to a Novel Surgical Instrument: A Biomechanical Sectioning Study

Spears,

Paras,

Fitzsimmons

et al. 2024

Preprint

View full text Add to dashboard Cite

Background Precision instruments and safe techniques are essential for successful surgical procedures. Despite technological advances, iatrogenic injuries to vital structures continue to occur, adding physical, emotional, and financial costs to patients and surgeons. This study, which was conducted by a collaborative team from the Department of Orthopedics and Rehabilitation and the Department of Biomedical Engineering at the University of Wisconsin-Madison, introduces a novel surgical instrument. The device was designed to mitigate surgical risks by combining the utility of scissors with the reliability of a scalpel and by adding enhanced safety features without compromising functionality. Methods The process used to develop a novel instrument included computer-aided design (CAD) modeling, 3D printing for prototyping, and the fabrication of an aluminum prototype. Biomechanical testing of this prototype was then performed against traditional surgical tools. Results Compared to conventional bandage and iris scissors, the novel surgical instrument required significantly less force to cut through an Ace™ bandage, stockinette, and gauze (p < 0.01). The number of cuts required to transect those same materials with the novel device was comparable to that of the scalpel and bandage scissors. Additionally, while there were no differences between the novel device and the other devices for an Ace™ bandage and stockinette, the novel device tended to cut a greater percentage of gauze in one pass than did the iris scissors. Conclusion The novel surgical instrument designed in this study required less force compared to conventional scissors, demonstrated cutting efficiency similar to that of a scalpel blade, and had more safety features than either instrument. This study highlights the value of collaboration between biomedical engineering and orthopedic surgery departments on innovation in medical technology, through which new technologies with improved design and functionality demonstrate the potential to reduce iatrogenic injuries.

show abstract

The Association Between Concomitant Ulnar Nerve Compression at the Elbow and Carpal Tunnel Syndrome

Cited by 8 publications

References 12 publications

Management of Recalcitrant Cubital Tunnel Syndrome

Management of Recalcitrant Cubital Tunnel Syndrome

Possible points of compression of the ulnar nerve: Tricks and traps that await clinicians from an anatomical point of view

Comparing Scissors and Scalpels to a Novel Surgical Instrument: A Biomechanical Sectioning Study

Contact Info

Product

Resources

About