Surgical Approach to Ulnar Nerve Compression at the Elbow Caused by the Epitrochleoanconeus Muscle and a Prominent Medial Head of the Triceps

2009 ◽  
Vol 20 (4) ◽  
pp. 1301
Author(s):  
Patrick Cole ◽  
Larry H. Hollier
2008 ◽  
Vol 62 (suppl_1) ◽  
pp. ONS186-ONS193 ◽  
Author(s):  
Olga Gervasio ◽  
Claudio Zaccone

Abstract Objective: We sought to describe the operative technique in ulnar nerve compression caused by the epitrochleoanconeus muscle and a prominent medial head of the triceps. These anatomic features make the approach to the ulnar nerve at the elbow peculiar and may create technical difficulties during surgical treatment of this area. Methods: We reviewed patients who underwent surgery for cubital tunnel syndrome between November 1997 and December 2004. The presence of the epitrochleoanconeus muscle with prominent medial head of the triceps occurred in 3.2% of patients. A detailed and illustrated description of the surgical anatomy and the peculiarities of the surgical approach are provided. Results: Epitrochleoanconeus muscle and the prominent portion of the medial head of the triceps were sectioned and removed, and simple decompression of the ulnar nerve was performed. This treatment achieved complete recovery in all of the patients affected by moderate-grade syndrome (Dellon Grade 2 syndrome) who had not shown severe-grade syndrome preoperatively. Conclusion: The simple decompression of the ulnar nerve with myotomy or removal of epitrochleoanconeus muscle and the prominent portion of the medial head of the triceps achieved good postoperative results. Experiences from the literature and alternative surgical options are reported.


1996 ◽  
Vol 21 (1) ◽  
pp. 133-135 ◽  
Author(s):  
J. J. O’HARA ◽  
J. H. STONE

A number of musculo-tendinous variations around the medial epicondyle have been alleged to cause ulnar nerve compression. Subluxation of the ulnar nerve, a “snapping” separate medial head of triceps, a prominent medial head of triceps covering the ulnar nerve, anconeus epitrochlearis, Osborne’s band, and the ligament of Struthers have been implicated. We present a case of clear-cut compression of the ulnar nerve at two levels just at and posterior to the epicondyle by a tightly applied prominent head of the triceps, and at a more distal level beneath an anconeus epitroch-learis muscle.


1996 ◽  
Vol 4 (4) ◽  
pp. 1-7
Author(s):  
Susan D Moffatt ◽  
Winston S Parkhill

Ulnar nerve compression causing clinical symptoms is a common occurrence. There are numerous conditions that can cause compression. Recently two very interesting and unusual etiologies were seen at the Plastic Surgery service. Leprosy causing ulnar nerve compression is a rare occurrence in a Canadian hospital, and so is a case of palmar mycotic aneurysm in the postantibiotic era.


Hand Surgery ◽  
2015 ◽  
Vol 20 (01) ◽  
pp. 137-139 ◽  
Author(s):  
Yoshihiro Abe ◽  
Masahiko Saito

Compression neuropathy of the ulnar nerve at the elbow is well-recognised as cubital tunnel syndrome (CuTS). Many causes of ulnar neuropathy at the elbow have been identified. A previously unreported finding of ulnar nerve compression in the cubital tunnel caused by a thrombosed proximal ulnar recurrent artery vena comitans is described.


1987 ◽  
Vol 35 (3) ◽  
pp. 965-967
Author(s):  
Sinji Izumi ◽  
Issei Higashi ◽  
Hidetoshi Kouda ◽  
Toshio Kitagawa ◽  
Makoto Kai

Hand Clinics ◽  
1992 ◽  
Vol 8 (2) ◽  
pp. 325-336
Author(s):  
Ghazi M. Rayan

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