scholarly journals Foreign Body Inside the Tunnel: A Rare Cause of Acute Cubital Tunnel Syndrome

2019 ◽  
Vol 05 (04) ◽  
pp. e170-e171
Author(s):  
Gokce Yildiran ◽  
Mustafa Sutcu ◽  
Osman Akdag ◽  
Zekeriya Tosun
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Hand Surgery ◽  
Acute Onset ◽  
Cubital Tunnel Syndrome ◽  
Cubital Tunnel ◽  
Acute Trauma ◽  
History Of ◽  
Tunnel Syndrome ◽  
Unconscious State

AbstractForeign bodies are common entities found in hand surgery practice. However, they are a very rare cause of the acute cubital tunnel syndrome. A 48-year-old male patient was consulted for cubital tunnel symptoms after 2-day unconscious state in the intensive care unit. The ulnar nerve was explored, a piece of glass was removed inside the cubital tunnel, and the nerve was repaired. However, compression neuropathy symptoms due to the acute trauma are interesting. Nerve laceration with a foreign body should be considered in acute-onset cubital tunnel syndrome, in which the foreign body history of a trauma patient cannot be determined explicitly.

scholarly journals Ulnar Nerve Neuropathy Secondary to “Snapping Triceps Syndrome”

2017 ◽  
Vol 3 ◽  
pp. 2513826X1771645
Author(s):  
Stahs Pripotnev ◽  
Colin White
Keyword(s):  
Ulnar Nerve ◽  
Cubital Tunnel Syndrome ◽  
Cubital Tunnel ◽  
Dominant Male ◽  
Ulnar Nerve Compression ◽  
Compression Neuropathy ◽  
History Of ◽  
Tunnel Syndrome ◽  
Subcutaneous Transposition ◽  
Abnormal Anatomy

Cubital tunnel syndrome is the second most common compression neuropathy of the upper extremity and the most common point of compression for the ulnar nerve. We present a case of ulnar nerve compression neuropathy at the elbow secondary to an abnormal subluxating medial head of triceps. A 37-year-old right hand dominant male presented with a history of bilateral medial elbow pain and ulnar distribution hand numbness. During his left cubital tunnel release surgery, the abnormal anatomy was noted. Initial subfascial anterior transposition was insufficient and had to be revised to a subcutaneous transposition intraoperatively. Failure to recognize the contribution of triceps abnormalities can lead to incomplete resolution following surgery. Surgeons should be wary of uncommon findings and adjust their approach appropriately.

scholarly journals Muscle Atrophy at Presentation of Cubital Tunnel Syndrome

Hand ◽  
2016 ◽  
Vol 12 (1) ◽  
pp. 64-67 ◽  
Author(s):  
Matthew L. Drake ◽  
Dana T. Hensley ◽  
Wei C. Chen ◽  
Kenneth F. Taylor
Keyword(s):  
Physical Examination ◽  
Muscle Atrophy ◽  
Demographic Data ◽  
Hand Surgery ◽  
Cubital Tunnel Syndrome ◽  
Cubital Tunnel ◽  
Single Institution ◽  
Duration Of Symptoms ◽  
Younger Patients ◽  
Tunnel Syndrome

Background: The purpose of this study is to describe the demographics and duration of symptoms of patients with cubital tunnel syndrome who present with muscle atrophy. Methods: We identified 146 patients who presented to the hand surgery clinic at a single institution over a 5-year period with an initial diagnosis of cubital tunnel syndrome based on history and physical examination. Medical records were retrospectively reviewed to determine if there was a difference in demographic data, physical examination findings, and duration of symptoms in patients who presented with muscle atrophy from those with sensory complaints alone. Results: A total of 17/146 (11.6%) of patients presented with muscle atrophy, all of which were men. In all, 17.2% of men presented with atrophy. Age by itself was not a predictor of presentation with atrophy; however, younger patients with atrophy presented with significantly shorter duration of symptoms. Patients under the age of 29 years presenting with muscle atrophy on average had symptoms for 2.4 months compared with 16.2 months of symptoms for those over 55 years of age. Conclusions: Men with cubital tunnel syndrome are more likely to present with muscle atrophy than women. Age is not necessarily a predictor of presentation with atrophy. There is a subset population of younger patients who presents with extremely short duration of symptoms that rapidly develops muscle atrophy.

scholarly journals The pathology of the ulnar nerve in acromegaly

2008 ◽  
Vol 159 (4) ◽  
pp. 369-373 ◽  
Author(s):  
Alberto Tagliafico ◽  
Eugenia Resmini ◽  
Raffaella Nizzo ◽  
Lorenzo E Derchi ◽  
Francesco Minuto ◽  
...  
Keyword(s):  
Ulnar Nerve ◽  
Clinical History ◽  
Cubital Tunnel Syndrome ◽  
Cubital Tunnel ◽  
Control Group ◽  
Cross Sectional ◽  
Sensory Disturbances ◽  
History Of ◽  
Tunnel Syndrome ◽  
Written Informed Consent

ContextAcromegalic patients may complain of sensory disturbances in their hands. Cubital tunnel syndrome, the ulnar nerve neuropathy at the cubital tunnel (UCT), in acromegalic patients has never been reported.ObjectiveTo describe and assess the prevalence of UCT in acromegalic patients and the effects of 1 year of therapy on UCT.PatientsWe examined prospectively 37 acromegalic patients with no history of polyneuropathy, acute trauma at the elbow, no diabetes or hypothyroidism with clinical examination, nerve conduction studies (NCS), and high-resolution ultrasound (US). A control group was made by 50 volunteers. The local ethics committee approved the study and written informed consent was obtained from all subjects involved in the study.InterventionClinical history, physical examination, NCS, and US were used to diagnose UCT at the beginning of the study and after 1 year.ResultsIn 8 of 37 patients, a diagnosis of UCT was made at the beginning of the study reflecting a prevalence of 21%. After 1 year, 5 of 8 (62.5%) patients reported clinical and NCS improvements and evident US reduction of nerve cross-sectional area (CSA; 16.7±2.9 mm2 vs 12.2±3.1 mm2; P<0.001). In 3 of 8 (37.5%) patients, the UCT was unchanged. Ulnar nerve CSA was significantly increased in acromegalic patients with UCT (16.7±2.9 mm2 vs 11.1±2.3 mm2; P<0.047).ConclusionUlnar neuropathy could occur in acromegalic patients and can improve in 62% of cases with disease control. Due to the different management and therapeutic approach, it would be important to make differential diagnosis between cubital and carpal tunnel syndrome in acromegaly.

scholarly journals History of the surgical treatment of cubital tunnel syndrome

2019 ◽  
Vol 11 (1) ◽  
pp. 73-78
Author(s):  
Rudiko Jigania ◽  
Mikhail M. Korotkevich ◽  
Andrei Yu. Orlov ◽  
V. P. Bersnev
Keyword(s):  
Surgical Treatment ◽  
Peripheral Neuropathy ◽  
Historical Review ◽  
Cubital Tunnel Syndrome ◽  
Cubital Tunnel ◽  
Surgical Approaches ◽  
Surgical Methods ◽  
History Of ◽  
Tunnel Syndrome ◽  
First Time

Cubital tunnel syndrome is a widespread form of peripheral neuropathy. This article presents chronological overview of the surgical treatment methods of cubital tunnel syndrome along with authors who described them for the first time. The historical review provides for better understanding of existent surgical methods und for development new surgical approaches of treatment cubital tunnel syndrome

A Case of Work-Related Cubital Tunnel Syndrome Due To Repetitive Motions

2000 ◽  
Vol 12 (2) ◽  
pp. 310
Author(s):  
Jung Won Kim ◽  
Insun Won Park ◽  
Youngjoon Won Lee ◽  
Yu Chang Kim ◽  
Pilja Chang Kim ◽  
...  
Keyword(s):  
Cubital Tunnel Syndrome ◽  
Cubital Tunnel ◽  
Work Related ◽  
Tunnel Syndrome

scholarly journals Management of cubital tunnel syndrome by anterior trans-muscular transposition of the ulnar nerve

2019 ◽  
Vol 34 (1) ◽  
Author(s):  
Ahmed Shawky Ammar ◽  
Mohamed Ahmed El Tabl ◽  
Dalia Salah Saif
Keyword(s):  
Clinical Outcome ◽  
Ulnar Nerve ◽  
Visual Analog Scale ◽  
Electrophysiological Study ◽  
Cubital Tunnel Syndrome ◽  
Nerve Entrapment ◽  
Cubital Tunnel ◽  
Analog Scale ◽  
Tunnel Syndrome ◽  
Dash Questionnaire

Abstract Background Various surgical options are used for the treatment of ulnar nerve entrapment at the elbow. In this study, anterior trans-muscular transposition of the ulnar nerve was used for the treatment of cubital tunnel syndrome. Objectives To evaluate the surgical results of anterior trans-muscular transposition technique for the treatment of cubital tunnel syndrome with particular emphasis on clinical outcome. Methods Forty patients with cubital tunnel syndrome were operated using anterior trans-muscular transposition technique. Patients were classified into post-operative clinical outcome grades according to the Wilson & Krout criteria, and they were followed up by visual analog scale (VAS), the Disability of Arm Shoulder and Hand (DASH) questionnaire, electrophysiological study, and post-operative clinical evaluation. Results Forty patients with cubital tunnel syndrome who underwent anterior trans-muscular transposition of the ulnar nerve show a significant clinical improvement at 24 months post-surgery regarding visual analog scale (VAS), the Disability of Arm Shoulder and Hand (DASH) questionnaire, electrophysiological study, and the Wilson & Krout grading as 87.5% of the patients recorded excellent and good outcome. Conclusion Anterior transmuscular transposition of the ulnar nerve is a safe and effective treatment for ulnar nerve entrapment at the elbow.

Evaluation of PROMIS Outcomes for Surgical Treatment of Cubital Tunnel Syndrome With and Without Carpal Tunnel Syndrome

Hand ◽  
2021 ◽  
pp. 155894472110289
Author(s):  
Amy Phan ◽  
Warren Hammert
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Carpal Tunnel ◽  
Postoperative Period ◽  
Cubital Tunnel Syndrome ◽  
Cubital Tunnel ◽  
Measurement Information ◽  
Level Of Evidence ◽  
Patient Reported ◽  
Tunnel Syndrome ◽  
Measurement Information System

Background: Assessment of outcomes for cubital tunnel syndrome (CuTS) surgeries has been difficult due to heterogeneity in outcome reporting. Our objective was to evaluate the outcomes for 2 cohorts treated surgically for isolated CuTS and for combined CuTS and carpal tunnel syndrome (CTS) using Patient Reported Outcomes Measurement Information System (PROMIS). Methods: There were 29 patients in the isolated CuTS cohort and 30 patients in the combined CuTS and CTS cohort. PROMIS Physical Function (PF), Pain Interference (PI), Depression, and Upper Extremity (UE) were completed preoperatively and 1-week, 6-weeks, and 3-months postoperatively. Responsiveness was evaluated by standardized response means (SRM). Results: Significant improvements from the 1-week to 6-week postoperative period are shown in the isolated CuTS cohort for PROMIS PF ( P = .002), PI ( P = .0002), and UE ( P = .02), but scores plateau after 6-weeks postoperatively. A similar pattern for the same time points was seen for the combined CuTS and CTS group for PROMIS PF ( P = .001), PI ( P = .02), and UE ( P = .04), with a plateau of scores beyond 6 weeks postoperatively. PROMIS UE was more responsive (SRM range: 0.11-1.03) than the PF (SRM range: 0.02-0.52) and PI (SRM range: 0.11-0.40), which were both mildly responsive for both cohorts. Conclusions: PROMIS lacks the sensitivity to show improvement beyond 6-weeks postoperatively for both isolated CuTS and combined CuTS and CTS. Patients with combined nerve compressions follow similar trajectories in the postoperative period as those with isolated CuTS. Level of Evidence: Level IV.

The association between surgery for carpal and cubital tunnel syndrome: analysis of incidence and risk factors within a geographical area

2021 ◽  
Vol 46 (3) ◽  
pp. 260-264
Author(s):  
Nick A. Johnson ◽  
Oliver Darwin ◽  
Dimitrious Chasiouras ◽  
Anna Selby ◽  
Chris Bainbridge
Keyword(s):  
Relative Risk ◽  
Carpal Tunnel ◽  
Carpal Tunnel Release ◽  
Geographical Area ◽  
Cubital Tunnel Syndrome ◽  
Cubital Tunnel ◽  
Level Of Evidence ◽  
Tunnel Syndrome ◽  
The Relationship ◽  
Syndrome Analysis

The relationship between surgery for cubital tunnel and carpal tunnel syndrome was examined in this retrospective study. Between 1997 and 2018, data from consecutive patients who underwent carpal tunnel release (8352 patients), cubital tunnel release (1681 patients) or both procedures (692 patients) were analysed. The relative risk of undergoing cubital tunnel release in the population who had carpal tunnel release compared with those with no carpal tunnel release was 15.3 (male 20.3; female 12.5). The relative risk of undergoing carpal tunnel release in the population who had cubital tunnel release compared with those who did not undergo carpal tunnel release was 11.5 (male 16.5; female 9.1). Our study showed that men and women who undergo carpal tunnel release are over 20 times and 10 times more likely to have cubital tunnel release than those who did not undergo carpal tunnel release, respectively. These findings suggest that the two conditions may share a similar aetiology. Level of evidence: IV

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