Ulnar neuritis after open elbow arthrolysis combined with ulnar nerve subcutaneous transposition for post-traumatic elbow stiffness: outcome and risk factors

Anatomical variations of the ulnar nerve have been described at the level of the elbow and in Guyon's canal, while the path in the forearm has always been assumed to be constant. We present a case of compressive ulnar neuropathy at the wrist pre-disposed by a presumed congential variation of the path of the ulnar nerve at the level of the wrist which improved following surgical release of the constriction caused as a result of it.

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Open elbow arthrolysis for post-traumatic elbow stiffness

Bone & Joint Open ◽

10.1302/2633-1462.19.bjo-2020-0098.r1 ◽

2020 ◽

Vol 1 (9) ◽

pp. 576-584 ◽

Cited By ~ 1

Author(s):

Ziyang Sun ◽

Weixuan Liu ◽

Juehong Li ◽

Cunyi Fan

Keyword(s):

Upper Limb ◽

Conservative Therapy ◽

Preoperative Evaluation ◽

Diagnosis And Treatment ◽

Elbow Stiffness ◽

Postoperative Rehabilitation ◽

Stiff Elbow ◽

Post Traumatic ◽

Elbow Arthrolysis

Post-traumatic elbow stiffness is a disabling condition that remains challenging for upper limb surgeons. Open elbow arthrolysis is commonly used for the treatment of stiff elbow when conservative therapy has failed. Multiple questions commonly arise from surgeons who deal with this disease. These include whether the patient has post-traumatic stiff elbow, how to evaluate the problem, when surgery is appropriate, how to perform an excellent arthrolysis, what the optimal postoperative rehabilitation is, and how to prevent or reduce the incidence of complications. Following these questions, this review provides an update and overview of post-traumatic elbow stiffness with respect to the diagnosis, preoperative evaluation, arthrolysis strategies, postoperative rehabilitation, and prevention of complications, aiming to provide a complete diagnosis and treatment path. Cite this article: Bone Joint Open 2020;1-9:576–584.

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Complications of Open Elbow Arthrolysis in Post-Traumatic Elbow Stiffness: A Systematic Review

PLoS ONE ◽

10.1371/journal.pone.0138547 ◽

2015 ◽

Vol 10 (9) ◽

pp. e0138547 ◽

Cited By ~ 28

Author(s):

Jiangyu Cai ◽

Wei Wang ◽

Hede Yan ◽

Yangbai Sun ◽

Wei Chen ◽

...

Keyword(s):

Systematic Review ◽

Elbow Stiffness ◽

Post Traumatic ◽

Elbow Arthrolysis

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TREATMENT OF POST-TRAUMATIC LATE ULNAR NEURITIS IN PATIENTS WITH FALSE JOINTS, OSTEOPOROSIS OF THE HEAD OF THE CONDYLE OF THE HUMERUS

JOURNAL OF NEUROLOGY AND NEUROSURGICAL RESEARCH ◽

10.26739/2181-0982-2020-2-9 ◽

2020 ◽

Vol 2 (1) ◽

pp. 34-40

Author(s):

Payzullo Urinbaev ◽

◽

Farrukh Kholholzhaev ◽

Ikrom Urinbaev ◽

Keyword(s):

Ulnar Nerve ◽

Post Traumatic ◽

Ulnar Neuritis ◽

Flexion And Extension

Relevance.The opinions of scientists on the pathogenesis of the development of late neuritis of the ulnar nerve in patients with pseudarthrosis ofthe condyle head, valgus deviation of the forearm are described. The authors explained the pathogenesis of complicationby narrowing of the groove of the nerve on the condyle (s. Ulnaris) and excursion of the nerve during flexion and extension, followed by the development of perineuritis and neuritis.

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TREATMENT OF POST-TRAUMATIC LATE ULNAR NEURITIS IN PATIENTS WITH FALSE JOINTS, OSTEOPOROSIS OF THE HEAD OF THE CONDYLE OF THE HUMERUS

JOURNAL OF NEUROLOGY AND NEUROSURGICAL RESEARCH ◽

10.26739/2181-0982-2020-3-2 ◽

2020 ◽

Vol 3 (1) ◽

pp. 9-15

Author(s):

Payzullo Urinbaev ◽

◽

Farrukh Kholholzhaev ◽

Ikrom Urinbaev ◽

Keyword(s):

Ulnar Nerve ◽

Post Traumatic ◽

Ulnar Neuritis ◽

Flexion And Extension

The opinions of scientists on the pathogenesis of the development of late neuritis of the ulnar nerve in patients with pseudarthrosis of the condylehead, valgus deviation of the forearm are described. The authors explained the pathogenesis of complication by narrowing of the groove of the nerve on the condyle (s. Ulnaris) and excursion of the nerve during flexion and extension, followed by the development of perineuritis and neuritis. Other authors expressed the opinion that the development of neuritis is associated with microtraumatization due to the pressing ofa nerve to the internal epicondyle by the ulnar process and with the formation of an endoneural neuroma.

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