Double Fascial Flap Stabilization for Ulnar Nerve Instability After In Situ Decompression

2019 ◽  
Vol 1 (4) ◽  
pp. 218-221
Author(s):  
Shiro Yoshida ◽  
Brent Trull ◽  
Tsu-Min Tsai
Keyword(s):  
Ulnar Nerve ◽  
Fascial Flap ◽  
Ulnar Nerve Instability

Ulnar Nerve Instability

1977 ◽  
Vol 70 (1) ◽  
pp. 36-40 ◽  
Author(s):  
L. LAZARO III
Keyword(s):  
Ulnar Nerve ◽  
Ulnar Nerve Instability

The effect of in-situ decompression on ulnar nerve stability: a cadaveric study

2017 ◽  
Vol 42 (7) ◽  
pp. 715-719 ◽  
Author(s):  
B. Butler ◽  
J. Peelman ◽  
L.-Q. Zhang ◽  
M. Kwasny ◽  
D. Nagle
Keyword(s):  
Ulnar Nerve ◽  
Medial Epicondyle ◽  
Cadaveric Study ◽  
Flexion Angle ◽  
Anterior Translation ◽  
Nerve Decompression ◽  
Flexor Carpi Ulnaris ◽  
Before And After ◽  
Fresh Frozen

Ten fresh frozen right cadaver arms were placed in a motorized jig and an in-situ ulnar nerve decompression was performed in 5 mm increments distally to the flexor carpi ulnaris (FCU) aponeurosis then proximally to the intermuscular septum. The elbows were ranged 0–135° after each incremental decompression and the ulnar nerve to medial epicodyle distance was measured to assess for nerve translation/subluxation compared with baseline (prerelease) values. None of the specimens had ulnar nerve subluxation (defined as anterior translation past the medial epicondyle) even after full decompression. Furthermore, there were no statistically significant ulnar nerve translations (defined as any difference in distance from ulnar nerve to medial epicondyle before and after each decompression) for any flexion angle or extent of decompression. This study provides biomechanical evidence that in situ ulnar nerve decompression from the FCU aponeurosis to the intermuscular septum does not result in significant ulnar nerve translation or subluxation.

Severe ulnar nerve entrapment at the elbow: functional outcome after minimally invasive in situ decompression

2012 ◽  
Vol 37 (2) ◽  
pp. 115-122 ◽  
Author(s):  
K. Karthik ◽  
R. Nanda ◽  
S. Storey ◽  
J. Stothard
Keyword(s):  
Minimally Invasive ◽  
Grip Strength ◽  
Ulnar Nerve ◽  
Nerve Compression ◽  
Ulnar Nerve Compression ◽  
Pinch Grip ◽  
Simple Decompression

The role of in situ decompression in patients with severe ulnar nerve compression is still controversial. Thirty patients with severe ulnar nerve compression confirmed clinically and electrophysiologically underwent simple decompression. The mean age of the patients was 58 (range 26–87) years. Through incisions ≤4 cm the nerves were fully visualized and decompressed. Outcome was measured prospectively using Modified Bishop’s score (BS), grip and pinch strengths and two-point discrimination (2PD). Significant improvement in power (p = 0.01) and pinch grip (p = 0.001) was noted at 1 year. The grip strength continued to improve up to 1 year. According to the BS, 24 patients (80%) had good to excellent results at 1 year. Minimally invasive in situ decompression is technically simple, safe and gives good results in patients with severe nerve compression. The BS and 2PD were more reliable than grip strength in assessing these patients at follow-up.

scholarly journals Predicting Revision Following In Situ Ulnar Nerve Decompression for Patients With Idiopathic Cubital Tunnel Syndrome

2016 ◽  
Vol 41 (3) ◽  
pp. 427-435 ◽  
Author(s):  
Michael P. Gaspar ◽  
Patrick M. Kane ◽  
Dechporn Putthiwara ◽  
Sidney M. Jacoby ◽  
A. Lee Osterman
Keyword(s):  
Ulnar Nerve ◽  
Cubital Tunnel Syndrome ◽  
Cubital Tunnel ◽  
Nerve Decompression ◽  
Tunnel Syndrome

Ulnar Nerve Instability in Children

1996 ◽  
pp. 567-569 ◽  
Author(s):  
I. Zaltz ◽  
P. M. Waters ◽  
J. R. Kasser
Keyword(s):  
Ulnar Nerve ◽  
Ulnar Nerve Instability
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