Document Detail


Cubital tunnel syndrome.
MedLine Citation:
PMID:  20117320     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Cubital tunnel syndrome is the second most common compression neuropathy in the upper extremity. Patients complain of numbness in the ring and small fingers, as well as hand weakness. Advanced disease is complicated by irreversible muscle atrophy and hand contractures. Ulnar nerve decompression can help to alleviate symptoms and prevent more advanced stages of dysfunction. Many surgical treatments exist for the treatment of cubital tunnel syndrome. In situ decompression, transposition of the ulnar nerve into the subcutaneous, intramuscular, or submuscular plane, or medial epicondylectomy have all been shown to be affective in the treatment of this disease process. Comparative studies have shown some short-term advantages to one or another technique, but overall results between the treatments have essentially been equivocal. The choice of surgical treatment is based on multiple factors, and a single surgical approach cannot be applied to all clinical situations. Through careful consideration of the potential sites of nerve compression and the etiologies for these local irritations, the appropriate surgical technique can be selected and a good outcome anticipated in most patients.
Authors:
Bradley A Palmer; Thomas B Hughes
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  The Journal of hand surgery     Volume:  35     ISSN:  1531-6564     ISO Abbreviation:  J Hand Surg Am     Publication Date:  2010 Jan 
Date Detail:
Created Date:  2010-02-01     Completed Date:  2010-05-04     Revised Date:  2010-09-08    
Medline Journal Info:
Nlm Unique ID:  7609631     Medline TA:  J Hand Surg Am     Country:  United States    
Other Details:
Languages:  eng     Pagination:  153-63     Citation Subset:  IM    
Copyright Information:
Copyright 2010. Published by Elsevier Inc.
Affiliation:
Drexel University College of Medicine, Philadelphia, PA, USA.
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MeSH Terms
Descriptor/Qualifier:
Algorithms
Cubital Tunnel Syndrome / diagnosis,  surgery*,  therapy
Decompression, Surgical
Elbow / anatomy & histology*,  innervation
Endoscopy
Humans
Nerve Transfer / methods
Postoperative Complications
Comments/Corrections
Comment In:
J Hand Surg Am. 2010 Sep;35(9):1556; author reply 1556-7   [PMID:  20807635 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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