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Cubital Tunnel Syndrome:

Lisa M Frantz, Jessica M Adams, G Stephen Granberry, Sarah M Johnson, Bernard F Hearon
BACKGROUND: We investigated the experience of a single surgeon with ulnar nerve anterior transmuscular transposition with the patient in the lateral decubitus position for cubital tunnel syndrome. METHODS: The medical records of all patients who underwent primary or revision ulnar nerve anterior transmuscular transposition were screened to define a cohort of 156 patients (162 limbs) for further study of demographic and disease-specific data and retrospective assessment of short-term outcomes...
February 13, 2019: Journal of Shoulder and Elbow Surgery
Ignazio G Vetrano, Vincenzo Levi, Bianca Pollo, Luisa Chiapparini, Giuseppe Messina, Vittoria Nazzi
BACKGROUND: Neurothekeomas are slow-growing, well-circumscribed benign neoplasms. They usually involve cutaneous or subcutaneous tissues. Although originally described as myxomas deriving from nerve sheath cells, their exact histological classification is still uncertain. Peripheral nerve localization is rarely reported. Here, we describe a unique case of sleeve-shaped neurothekeoma of the ulnar nerve, which was incidentally discovered during a cubital tunnel release surgery. METHODS: A 57-year-old man was admitted at our institution with clinical, ultrasonographic, and electromyographic findings highly suggestive of cubital tunnel syndrome...
February 14, 2019: Hand: Official Journal of the American Association for Hand Surgery
Maggie So, Randall S Edson
No abstract text is available yet for this article.
February 12, 2019: Journal of General Internal Medicine
Geoff Jarvie, Mathilde Hupin-Debeurme, Zafeiria Glaris, Parham Daneshvar
Introduction: The supercharged end-to-side (SETS) anterior interosseous nerve (AIN) to ulnar nerve transfer has been recently described for severe cubital tunnel syndrome. Previous studies have suggested that this technique augments or "babysits" the motor end plates until reinnervation occurs; however, it has more recently been suggested that reinnervation occurs by the donor nerve as evidenced in animal research. Case Report: We present two cases of rapidly progressive ulnar neuropathy who underwent a SETS AIN to ulnar nerve transfer who demonstrated improvement in their electrodiagnostic studies in addition to improvement in their clinical and patient-reported outcome's scores postoperatively...
September 2018: Journal of Orthopaedic Case Reports
Nikolas H Kazmers, Evangelia L Lazaris, Chelsea M Allen, Angela P Presson, Andrew R Tyser
BACKGROUND: In situ decompression, subcutaneous transposition, and submuscular transposition for cubital tunnel syndrome have historically yielded similar outcomes. The authors' null hypothesis is that no differences exist in surgical encounter total direct costs for in situ decompression, subcutaneous transposition, and submuscular transposition. METHODS: Adult patients treated surgically for cubital tunnel syndrome by four fellowship-trained hand surgeons between August of 2011 and December of 2016 were identified by CPT code (64718) at their tertiary academic institution...
February 2019: Plastic and Reconstructive Surgery
Joseph Said, Jack Abboudi, Gregory Gallant, Christopher Jones, William Kirkpatrick, Frederic Liss, Michael Rivlin, R Robert Takei, Mark Wang, Matthew Silverman, Carol Foltz, Asif M Ilyas
BACKGROUND: Compromised sleep is a known phenomenon with compressive neuropathies such as carpal tunnel syndrome. However, the prevalence of sleep disturbance with cubital tunnel syndrome (CuTS) and the effect on sleep after ulnar nerve decompression are not well understood. We hypothesized that CuTS results in sleep disturbances and that decompression surgery would result in improvement in overall sleep quality. METHODS: Consecutive patients with electrodiagnostic-proven CuTS indicated for decompression were prospectively enrolled...
January 23, 2019: Journal of Shoulder and Elbow Surgery
John R Fowler, Kevin Byrne, Tiffany Pan, Robert J Goitz
PURPOSE: The purpose of the study was to determine the rate of false positives for nerve conduction studies (NCSs) and ultrasound (US) in a population without signs and symptoms of carpal tunnel syndrome (CTS) using a CTS-6 score of 0 as the reference standard. METHODS: Patients were included in this study if they were referred for NCSs for a reason other than CTS (cubital tunnel syndrome and/or cervical radiculopathy) and they had a CTS-6 score of 0. An US measurement of the cross-sectional area (CSA) of the median nerve at the level of the carpal tunnel inlet was performed by a certified ultrasound technician...
January 8, 2019: Journal of Hand Surgery
Pengfei Li, Danfeng Lou, Hui Lu
BACKGROUND: Cubital tunnel syndrome is common nerve compression syndrome among peripheral nerve compression diseases. However, the syndrome caused by intraneural ganglion cysts has been rarely reported. Medical approaches, like ultrasound-guided aspiration and open surgical treatment remain to be discussed. CASE PRESENTATION: A 57-year-old woman presented with occasional pain, numbness and paralysis in her left hand and a palpable, painless mass in the ulnar side of her left elbow...
December 22, 2018: BMC Neurology
Carla G Barberio, Tahseen Chaudhry, Dominic M Power, Simon Tan, Bernard M Lawless, Daniel M Espino, Joanne C Wilton
Cubital tunnel syndrome is the most prevalent neuropathy of the ulnar nerve and its aetiology is controversial. Potential replacement materials should display similar viscoelastic properties. The purpose of this study was to assess the feasibility and merit of quantifying the frequency-dependent viscoelastic properties of proximal and distal sections of the human ulnar nerve. Four ulnar nerves (n = 4) were dissected from the elbows of human cadavers and sectioned at the level of the cubital tunnel into proximal and distal sections...
December 13, 2018: Medical Engineering & Physics
Jin-Song Tong, Zhen Dong, Bin Xu, Cheng-Gang Zhang, Yu-Dong Gu
For severe cubital tunnel syndrome, patients with absent sensory nerve action potential tend to have more severe nerve damage than those without. Thus, it is speculated that such patients generally have a poor prognosis. How absent sensory nerve action potential affects surgical outcomes remains uncertain owing to a scarcity of reports and conflicting results. This retrospective study recruited one hundred and fourteen cases (88 patients with absent sensory nerve action potential and 26 patients with present sensory nerve action potential) undergoing either subcutaneous transposition or in situ decompression...
March 2019: Neural Regeneration Research
Michael Rutter, Louis C Grandizio, W James Malone, Joel C Klena
PURPOSE: To assess the use of preoperative, dynamic ultrasound to predict ulnar nerve instability following in situ decompression for cubital tunnel syndrome. METHODS: Prior to undergoing in situ decompression, 43 consecutive patients underwent dynamic ultrasound to assess the stability of the ulnar nerve during elbow flexion. The dynamic ultrasound findings were compared with the intraoperative assessment of nerve stability following in situ decompression. RESULTS: The preoperative dynamic ultrasound agreed with intraoperative findings in 38 of 43 patients (88%)...
November 27, 2018: Journal of Hand Surgery
Chrissie Massrey, Joe Iwanaga, Basem Ishak, Rod J Oskouian, Marios Loukas, R Shane Tubbs
The anconeus epitrochlearis is a muscle variant sometimes present at the elbow. It is present in up to 34% of individuals and has been implicated in some cases of cubital tunnel syndrome. We report an unusual variant of this muscle with additional proximal attachments in the arm. We will review and discuss the background and the clinical relevance of such a muscle.
August 24, 2018: Curēus
J A Bertelli, K E Tavares
We aimed to evaluate the abduction and adduction of the little finger based on a new clinical test in the context of ulnar nerve lesions. We tested little finger abduction and adduction in 34 patients with an isolated ulnar nerve injury and 20 patients with cubital tunnel syndrome. With their forearms supinated, patients were asked to fully abduct their little finger. Then, the examiner held the patients' index, middle, and ring fingers in extension and maximal radial deviation, and then asked the patients to touch their little finger to their radially deviated ring finger...
October 22, 2018: Hand Surgery and Rehabilitation
Takayuki Ishii, Masayoshi Ikeda, Ikuo Saito, Ayuko Shimizu, Daisuke Nakajima, Takehiko Takagi, Yuka Kobayashi, Masahiko Watanabe
No abstract text is available yet for this article.
November 2018: Journal of Shoulder and Elbow Surgery
Jeffrey Goldberg, Jeremy M Burnham, Vikas Dhawan
The ulnar nerve is most commonly compressed at the elbow in the cubital tunnel. Conservative and operative treatments have been applied for cubital tunnel syndrome. Surgical management options include decompression, medial epicondylectomy, and various anterior transposition techniques. We describe a novel technique of anterior transposition of the ulnar nerve by using Osborne's ligament as a sling to avoid subluxation. Osborne's ligament is incised posteriorly and medially on the olecranon to create a sling with 2 to 3 cm width...
September 2018: American Journal of Orthopedics
Seung Hoo Lee, Ki Ho Lee, Hye Jin Yoo
A 20-year-old male has presented with mild numbness and tingling sensation at 4, 5th finger of his left hand. Simple radiograph and MRI images revealed bony mass at medial joint space of ulno-humeral joint. After surgical exploration, we found that there were two cause of ulnar nerve irritation symptom. Fixed ulnar nerve position at anterior aspect to medial condyle with deficiency of nerve gliding was one cause, and friction irritation around bony mass was another. It is rarely reported that ulnar nerve always travels to the anterior side of the medial condyle of the elbow, and there are no cases involving skeletal variation...
September 2018: Journal of Hand Surgery Asian-Pacific Volume
Philippe Caron, Thierry Brue, Gérald Raverot, Antoine Tabarin, Anne Cailleux, Brigitte Delemer, Peggy Pierre Renoult, Aude Houchard, Fatine Elaraki, Philippe Chanson
PURPOSE: Acromegaly is characterized by a broad range of manifestations. Early diagnosis is key to treatment success, but is often delayed as symptomatology overlaps with common disorders. We investigated sign-and-symptom associations, demographics, and clinical characteristics at acromegaly diagnosis. METHODS: Observational, cross-sectional, multicenter non-interventional study conducted at 25 hospital departments in France that treat acromegaly (ClinicalTrials...
September 29, 2018: Endocrine
John J Pisquiy, Andrew G Chan, Gautham Prabhakar, Nicholas Kusnezov, John C Dunn
PURPOSE: Cubital tunnel syndrome (CuTS) is the second most common peripheral nerve entrapment syndrome. However, existing epidemiological evidence regarding the estimated incidence of the CuTS disease burden in specific populations is sparse, especially among the U.S. military. The purpose of this study was to describe the demographics and determine the incidence of CuTS among active duty U.S. military service members. METHODS: All first-time occurrences for CuTS among military members were identified using International Classification of Diseases, Ninth Revision, clinical modification code 354...
September 25, 2018: Journal of Hand Surgery
Young Hak Roh, Sangwoo Kim, Hyun Sik Gong, Goo Hyun Baek
BACKGROUND: Little information is currently available to analyze unsatisfactory surgical outcomes for cubital tunnel syndrome (CuTS). The aim of this study was to analyze the clinical features influencing patient-reported outcomes of minimal medial epicondylectomy for CuTS. METHODS: We evaluated 91 patients who underwent minimal medial epicondylectomy for CuTS using the grip strength; two-point discrimination; Disability of the Arm, Shoulder and Hand (DASH) questionnaire; and a satisfaction with treatment questionnaire for one year, postoperatively...
October 2018: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
Javier Robla Costales, Mariano Socolovsky, Jaime A Sánchez Lázaro, David Robla Costales
INTRODUCTION: Entrapment neuropathies are infrequent in children, and therefore remain unrecognized. The incidence of radial, median, and cubital mononeuropathies are all similar. Despite the rarity of such cases, extensive, albeit scattered, literature has accumulated concerning entrapment neuropathies in children. OBJECTIVE: To the literature concerning entrapment neuropathies in children. METHODS: A systematic review of the existing literature has been made...
September 12, 2018: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
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