Ulnar Nerve Compression at the Elbow: Results of Surgery in 85 Cases

Hagström, Per

doi:10.3109/02844317709025497

Cited by 29 publications

(8 citation statements)

References 2 publications

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“…A similar overrepresentation of symptoms from the dominant hand side and also frequent bilateral symptoms are reported in the carpal tunnel syndrome (Phalen 1966, Hybbinette and Mannerfelt 1975. In the cubital tunnel syndrome there is a less pronounced overrepresentation of symptoms from the dominant side and the condition is only occasionally bilateral (Hagstrom 1977, Thomsen 1977.…”

Section: Bilateralitysupporting

confidence: 64%

“…Like the series of Roles and Maudsley (1972) and Hagert et cl , (1977) there was a slight overrepresentation of females. In comparison,the carpal tunnel syndrome is far more common in females (Phalen 1966, Hybbinette and Mannerfelt 1975 and in the cubital tunnel syndrome there is an overrepresentation of males (Hagstrom 1977, Lugnegard et cl , 1977, Thomsen 1977).…”

Section: Patients Opinion Ofmentioning

confidence: 99%

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Lateral Elbow Pain and Posterior Interosseous Nerve Entrapment

Werner

1979

Acta Orthopaedica Scandinavica

149

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Dynamic compression and appearance of the nerve at intersection with the supinator edge related to the final results. Comparison of the extensor carpi radialis brevis muscle, the superficial supinator muscle and the nerve in the entrapment and autopsy series., Comparison of pain characteristics and previous therapy in the entrapment and lateral epicondyl itis series. Comparison with published series. Age and sex distribution in the entrapment series. Selection of the lateral epicondylitis series. Schematic drawing of the operative field and method of decompression. Entrapment site and line of incision. Subcutaneous fat placed over the decompressed nerve to prevent scar formation. Relation between the extensor carpi radialis brevis muscle and the nerve. Relation between the superficial supinator muscle and the nerve. Dynamic compression of the nerve by the supinator edge. Indentation of the nerve under the divided supinator edge. Indentation of the nerve under the divided supinator edge. Clinical signs before and after decompression of the posterior interosseous nerve. Results of decompression in relation to clinical signs. Effect of decompression-on grip strength. Effect of decompression on grip strength in patients operated on the dominant side only. Results of decompression in relation to clinical signs and anatomy. Nerve al teration of the posterior interosseous nerve observed at autopsy. Microscopic appearance of the nerve alteration from figure 16. Enlargement of the upper right section of figure 17. Comparison of work in the entrapment and lateral epicondylitis series. (All figures have been arranged to show the same orientation, i.e. some have been reversed).

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Section: Bilateralitysupporting

confidence: 64%

Section: Patients Opinion Ofmentioning

confidence: 99%

Lateral Elbow Pain and Posterior Interosseous Nerve Entrapment

Werner

1979

Acta Orthopaedica Scandinavica

149

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“…The five-point scale for the assessment of operative outcome was simplified in the course of the analysis to a two-point scale. This simplification proved to be useful, and resembles the outcome scale in the work of Hagstr/Sm (1977). A more elaborate postoperative assessment, as preferred by some, makes analysis more difficult (Paine 1970, Lugnegard et aI.…”

Section: Discussionmentioning

confidence: 99%

Ulnar nerve pathology at the elbow: the place of anterior transposition today

Mooij¹

1982

Acta neurochir

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A retrospective study is presented of 39 patients with ulnar nerve pathology at the elbow. All patients were treated by anterior transposition. Improvement to at least good functional recovery occurred in 46% of the patients. In the other 54% there was only slight or no improvement, or even deterioration. A further analysis of the results showed that in patients with objective signs of ulnar pathology, but without muscular atrophy, the results were good: 64% of these patients showed a good operative result. The most important factors in postoperative prognosis in the patients studied are the existence of muscular atrophy, age, and, in the moderately severe group, the length of history before operation. The aetiology was not important with respect to the outcome. On the basis of the recent literature and the results of this study suggestions are presented for a rational choice between the different possibilities of treatment for ulnar nerve pathology at the elbow.

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“…The differential diagnosis includes cervical spondylosis (Leffert 1982), thoracic outlet syndrome (Leffert 1982;Weingarden and Weingarden 1984), and entrapment of the ulnar nerve at a number of levels from the middle of the arm to the palm (Freundlich and Spinner 1968;Holtzman et al 1984;Kleinert and Hayes 1971;Sharara and Nairn 1983;Vanderpool et al 1968). Specific Nonsurgical (Dimond and Lister 1985;Eisen and Danon 1974;Wadsworth 1977) Cubital tunnel release (Chart et al 1980;Fannin 1978;Hagstrrm 1977;Laha and Panchal 1979;Lugneg~d et al 1982;Macnicol 1979;Thomsen 1977;Wilson and Krout 1973) Medial epicondylectomy (Caffini~re and Bex 1983;Froimson and Zahrawi 1980;Jones and Gaunt t 1979;King and Morgan 1959;Neblett and Ehni 1970) Subcutaneous transfer (Adelaar et al 1984;Chan et al 1980;Eaton et al 1980;Foster and Edshage 1981;Hagstrrm 1977;Harrison and Nurick 1970;Laha and Panchal 1979;Levy and Apfelberg 1972;Lugneg~rd et al 1977;Macnicol 1979;McGowan 1950;Mooij 1982;Payan 1970) Intramuscular transfer (Gay and Love 1947;Platt 1926) Submuscular transfer (Leffert 1982;…”

Section: Bases Anatomiques D'une Technique De Transposition Du Nerf Cmentioning

confidence: 99%

Anatomical basis for a technique of ulnar nerve transposition

Amadio

1986

Surg Radiol Anat

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There are five major anatomical locations where the ulnar nerve may be compressed near the elbow. Multiple sites of compression are often noted clinically; in other cases, the site of compression is difficult to identify. Clinical experience and results of a series of 20 anatomical dissections suggest that local decompression or subcutaneous transfer may be performed without necessarily exposing all five locations, posing a risk of incomplete decompression. Submuscular transfer of the ulnar nerve decompresses all five locations simultaneously and thus theoretically may be more reliable. The potentially superior results predicted by this anatomical investigation have been confirmed in a clinical case review. Submuscular transposition of the ulnar nerve is reliable and safe, not only in the primary treatment of ulnar neuropathy at the elbow but also in revision of previous operations.

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Ulnar Nerve Compression at the Elbow: Results of Surgery in 85 Cases

Cited by 29 publications

References 2 publications

Lateral Elbow Pain and Posterior Interosseous Nerve Entrapment

Lateral Elbow Pain and Posterior Interosseous Nerve Entrapment

Ulnar nerve pathology at the elbow: the place of anterior transposition today

Anatomical basis for a technique of ulnar nerve transposition

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