scholarly journals Median Nerve and Ulnar Nerve Entrapment with Cubital Tunnel Syndrome in a Hemodialysis Patient Following Creation of an Arteriovenous Fistula

2021 ◽  
pp. 275-280
Author(s):  
Ramanath Dukkipati ◽  
Aaron Richler ◽  
Anuja Shah ◽  
Christian de Virgilio
Keyword(s):  
Ulnar Nerve ◽  
Vascular Complications ◽  
Cubital Tunnel Syndrome ◽  
Nerve Entrapment ◽  
Loss Of Function ◽  
Ulnar Nerve Entrapment ◽  
Arteriovenous Access ◽  
Tunnel Syndrome ◽  
Stage Renal Disease ◽  
End Stage

Neurological and vascular complications associated with creation of arteriovenous access need to be recognized promptly to deliver appropriate interventions for relief of symptoms and avoid loss of function of the involved extremity. We present here a 55-year-old female with end-stage renal disease on hemodialysis secondary to diabetic nephropathy who had a surgical creation of first stage of the brachial artery-basilic vein fistula in the left arm. She subsequently developed pain and weakness of the left arm which was diagnosed as median and ulnar nerve entrapment. She was treated with surgical nerve release and neurolysis and her symptoms improved.

Ulnar nerve entrapment and cubital tunnel syndrome

2003 ◽  
Vol 14 (4) ◽  
pp. 296-301 ◽  
Author(s):  
Robert L. Brady ◽  
Louis W. Catalano ◽  
O. Alton Barron
Keyword(s):  
Ulnar Nerve ◽  
Cubital Tunnel Syndrome ◽  
Nerve Entrapment ◽  
Cubital Tunnel ◽  
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.

Ulnar Neuropathy—Cubital Tunnel Syndrome

2018 ◽  
Author(s):  
Ron Ron Cheng ◽  
Abhay K. Varma
Keyword(s):  
Ulnar Nerve ◽  
Cubital Tunnel Syndrome ◽  
Medial Epicondyle ◽  
Nerve Entrapment ◽  
Nerve Roots ◽  
Ulnar Nerve Entrapment ◽  
Tunnel Syndrome ◽  
Electrodiagnostic Study ◽  
Typical Scenario

The chapter presents the typical scenario of ulnar nerve entrapment at the elbow. The clinical picture can mimic pathology of nerve roots, of the brachial plexus, or of the ulnar nerve at different sites. Electrodiagnostic study helps to differentiate ulnar nerve entrapment from radiculopathy and to localize the site of compression, while imaging (ultrasound and MR imaging) are useful adjuncts to clinical examination. Conservative management is recommended for intermittent symptoms and absence of motor involvement. Surgical procedures include in situ, open, or endoscopic decompression and nerve transposition. Subluxation of the nerve over the medial epicondyle and recurrent or persistent neuropathy after in situ decompression are indications for transposition.

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.

scholarly journals Anconeus Epitrochlearis Muscle as a Cause of Ulnar Nerve Compression at the Elbow

2017 ◽  
Vol 36 (03) ◽  
pp. 190-193
Author(s):  
Luiz Cannoni ◽  
Luciano Haddad
Keyword(s):  
Surgical Treatment ◽  
Ulnar Nerve ◽  
Complete Recovery ◽  
Nerve Entrapment ◽  
Ulnar Nerve Compression ◽  
Left Hand ◽  
Ulnar Nerve Entrapment ◽  
Compressive Neuropathy ◽  
Tunnel Syndrome ◽  
Magnetic Resonance Imaging Mri

AbstractUlnar nerve entrapment is the second most common compressive neuropathy in the upper limb, after carpal tunnel syndrome (Dellon, 1986). One of the causes that must be considered is the accessory anconeus epitrochlearis muscle, which is present in 4% to 34% of the general population (Husarik et al, 2010; Vanderpool et al, 1968; Nellans et al, 2014).We describe a patient with symptoms of compression of the left ulnar nerve at the elbow and the result of the surgical treatment.The patient presented with hypoesthesia in the fourth and fifth fingers of the left hand, and reduction of strength in the fifth finger abduction. No alterations were found in the thumb adduction.Initially, the treatment was conservative (splint, physiotherapy, analgesics); surgical treatment was indicated due to the continuity of the symptoms.The ulnar nerve was surgically released and transposed, with complete recovery after 6 months of follow-up.Ulnar nerve entrapment at the elbow by the anconeus epitrochlearis muscle is not common, but it must not be ignored (Chalmers, 1978). Ultrasonography (Jung et al, 2013; Bargalló et al, 2010), elbow magnetic resonance imaging (MRI) (Jeon, 2005), and electromyography (Byun, 2011) can help establish the proper diagnosis.

Ulnar Nerve Entrapment at Elbow in an Adult Patient with Macrodactyly

2020 ◽  
Vol 25 (02) ◽  
pp. 236-239
Author(s):  
Sarah K. Tolerton ◽  
Marco Sinisi ◽  
Paul O’Donnell ◽  
Maxim D. Horwitz
Keyword(s):  
Early Diagnosis ◽  
Adult Patient ◽  
Ulnar Nerve ◽  
Peripheral Nerves ◽  
Cubital Tunnel Syndrome ◽  
Nerve Entrapment ◽  
Nerve Compression ◽  
Cubital Tunnel ◽  
Diagnosis And Management ◽  
Tunnel Syndrome

We describe a case of an adult patient presenting with cubital tunnel syndrome in the setting of previously undiagnosed macrodactyly. Early diagnosis and management of macrodactyly is important to help prevent symptoms associated with compromised peripheral nerves and reduce the likelihood of the permanent motor and sensory sequelae of prolonged nerve compression.

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
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