ULNAR NERVE ENTRAPMENT BY ANCONEUS EPITROCHLEARIS LIGAMENT

Hand Surgery ◽  
2012 ◽  
Vol 17 (01) ◽  
pp. 83-84 ◽  
Author(s):  
William H. C. Tiong ◽  
Jason Kelly
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Ulnar Nerve ◽  
Upper Limb ◽  
Carpal Tunnel ◽  
Nerve Entrapment ◽  
Entrapment Neuropathy ◽  
Review Of The Literature ◽  
Inflammatory Conditions ◽  
Ulnar Nerve Entrapment ◽  
Tunnel Syndrome

Ulnar nerve entrapment at the elbow is the second most common upper limb entrapment neuropathy other than carpal tunnel syndrome. There have been many causes identified ranging from chronic aging joint changes to inflammatory conditions or systemic disorders. Among them, uncommon anatomical variants accounts for a small number of cases. Here, we report our experience in managing ulnar nerve entrapment caused by a rare vestigial structure, anconeus epitrochlearis ligament, and provide a brief review of the literature of its management.

Ulnar nerve entrapment at wrist associated with carpal tunnel syndrome

2003 ◽  
Vol 33 (5) ◽  
pp. 219-222 ◽  
Author(s):  
E Gozke ◽  
N Dortcan ◽  
A Kocer ◽  
M Cetinkaya ◽  
G Akyuz ◽  
...  
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Ulnar Nerve ◽  
Carpal Tunnel ◽  
Nerve Entrapment ◽  
Ulnar Nerve Entrapment ◽  
Tunnel Syndrome

Ulnar Nerve Entrapment Neuropathy at the Elbow: Simple Decompression

Neurosurgery ◽  
2004 ◽  
Vol 55 (5) ◽  
pp. 1150-1153 ◽  
Author(s):  
Jason H. Huang ◽  
Uzma Samadani ◽  
Eric L. Zager
Keyword(s):  
Ulnar Nerve ◽  
Surgical Techniques ◽  
Cubital Tunnel Syndrome ◽  
Nerve Entrapment ◽  
Entrapment Neuropathy ◽  
Ulnar Nerve Entrapment ◽  
Careful Clinical Examination ◽  
Electrophysiological Studies ◽  
Tunnel Syndrome ◽  
Simple Decompression

Abstract ULNAR NERVE ENTRAPMENT neuropathy at the elbow, or the cubital tunnel syndrome, is frequently encountered in neurosurgical practice as the second most common peripheral nerve entrapment after carpal tunnel syndrome. Patients typically present with weakness or atrophy of the hand as well as paresthesias in the ulnar nerve distribution. The diagnosis can be confirmed with a careful clinical examination and electrophysiological studies. Patients who have failed conservative therapy are considered for surgery. Although a number of surgical options are available, simple decompression of the ulnar nerve can achieve satisfactory results with appropriate patient selection. We describe the relevant anatomy and surgical techniques for simple in situ decompression of the ulnar nerve at the elbow.

Nerves

2011 ◽  
Author(s):  
David Warwick ◽  
Roderick Dunn ◽  
Erman Melikyan ◽  
Jane Vadher
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Median Nerve ◽  
Ulnar Nerve ◽  
Upper Limb ◽  
Carpal Tunnel ◽  
Clinical Assessment ◽  
Ulnar Nerve Compression ◽  
Anterior Interosseous Nerve ◽  
Tunnel Syndrome ◽  
Anterior Interosseous Nerve Syndrome

Neuroanatomy 298Examination of the nerves of the upper limb 300Clinical assessment 304Neurophysiology tests 306Nerve injury 310Compression neuropathy 314Carpal tunnel syndrome 315Proximal compression of the median nerve 318Anterior interosseous nerve syndrome 319Ulnar nerve compression at the elbow ...

HIGH DEFINITION ULTRASOUND AS DIAGNOSTIC ADJUNCT FOR INCOMPLETE CARPAL TUNNEL RELEASE

Hand Surgery ◽  
2011 ◽  
Vol 16 (03) ◽  
pp. 289-294 ◽  
Author(s):  
Ter Chyan Tan ◽  
Chong Jin Yeo ◽  
Einar Wilder Smith
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Upper Limb ◽  
Carpal Tunnel ◽  
Carpal Tunnel Release ◽  
Nerve Entrapment ◽  
High Definition ◽  
Tunnel Syndrome

Carpal tunnel syndrome is the most common nerve entrapment in the upper limb and carpal tunnel release (CTR) provides the most predictable outcome and relief of symptoms. Incomplete carpal tunnel releases are uncommon, however, in the event of incomplete surgical releases, symptoms following such incomplete releases tend to be more severe than the symptoms presented at the initial complaint. We present our experience in utilizing high definition ultrasound to reliably and accurately localize the anatomical cause to aid focused revision CTR.

Anterior Subcutaneous Transposition With Expanded Polytetrafluoroethylene (ASTEP) for Cubital Tunnel Syndrome: Technical Note

2020 ◽  
Vol 19 (4) ◽  
pp. E337-E342
Author(s):  
Umit Eroglu ◽  
Melih Bozkurt ◽  
Samuel B Tomlinson ◽  
Gokmen Kahilogullari ◽  
Eyyub S M Al-Beyati ◽  
...  
Keyword(s):  
Ulnar Nerve ◽  
Nerve Entrapment ◽  
Entrapment Neuropathy ◽  
Cubital Tunnel ◽  
Symptom Duration ◽  
Expanded Polytetrafluoroethylene ◽  
Presenting Symptoms ◽  
Ulnar Nerve Entrapment ◽  
Tunnel Syndrome ◽  
Subcutaneous Transposition

Abstract BACKGROUND Ulnar nerve entrapment neuropathy at the elbow is the most common upper-extremity entrapment neuropathy after carpal tunnel syndrome. Surgical treatment can be complicated by perineural scarring and fibrosis, which may lead to recurrent symptoms. Expanded polytetrafluoroethylene (ePTFE) is a synthetic polymer with antiadhesive properties. OBJECTIVE To introduce the operative technique and outcomes of anterior subcutaneous transposition with ePTFE (ASTEP) in primary and recurrent cubital tunnel neuropathy. METHODS We studied 14 adult patients (11 men, 3 women; mean age, 45 yr) with cubital tunnel neuropathy (10 primary, 4 revision) who underwent surgery with the ASTEP technique between January 2008 and May 2018. Pain, numbness in the fourth/fifth fingers, and weakness of the intrinsic hand muscles were the most common presenting symptoms. Surgical outcomes were assessed using the modified McGowan and Wilson-Krout criteria. RESULTS The average (± standard deviation) preoperative symptom duration was 12.1 ± 5.2 mo (McGowan Grade 1, n = 5; Grade 2, n = 6; Grade 3, n = 3). No intraoperative or postoperative complications were observed with the ASTEP technique. Postoperative follow-up ranged from 9 mo to 7 yr (mean, 4.3 yr). All 14 patients experienced improvement in or complete resolution of their symptoms after this unique intervention. CONCLUSION Our novel technique of anterior transposition of the ulnar nerve with ePTFE was safe and highly effective in treating primary and recurrent ulnar nerve entrapment neuropathy at the elbow and represents an alternative to the current techniques.

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