scholarly journals Cubital tunnel syndrome: A report of two cases

2012 ◽  
Vol 16 (2) ◽  
pp. 77-78
Author(s):  
Farhana Ebrahim Suleman ◽  
Mark D Velleman
Keyword(s):  
Peripheral Neuropathy ◽  
Upper Limb ◽  
Elbow Flexion ◽  
Cubital Tunnel Syndrome ◽  
Ulnar Neuropathy ◽  
Cubital Tunnel ◽  
Physiological Changes ◽  
Pathological Conditions ◽  
Tunnel Syndrome

Cubital tunnel syndrome is the second most common peripheral neuropathy of the upper limb. This is due to the anatomy of the tunnel, the physiological changes that the nerve undergoes during elbow flexion, as well as pathological conditions that occur within the tunnel. We present two cases of ulnar neuropathy occurring at the level of the cubital tunnel, demonstrating that this entity may occur owing to an identifiable cause or may show only signal alteration without a visible cause on MRI.

A CASE REPORT OF ACUTE CUBITAL TUNNEL SYNDROME CAUSED BY VENOUS THROMBOSIS

Hand Surgery ◽  
2015 ◽  
Vol 20 (01) ◽  
pp. 137-139 ◽  
Author(s):  
Yoshihiro Abe ◽  
Masahiko Saito
Keyword(s):  
Case Report ◽  
Venous Thrombosis ◽  
Ulnar Nerve ◽  
Cubital Tunnel Syndrome ◽  
Nerve Compression ◽  
Ulnar Neuropathy ◽  
Cubital Tunnel ◽  
Ulnar Nerve Compression ◽  
Compression Neuropathy ◽  
Tunnel Syndrome

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.

Shoulder internal rotation elbow flexion test for diagnosing cubital tunnel syndrome

2012 ◽  
Vol 21 (6) ◽  
pp. 777-781 ◽  
Author(s):  
Kensuke Ochi ◽  
Yukio Horiuchi ◽  
Aya Tanabe ◽  
Makoto Waseda ◽  
Yasuhito Kaneko ◽  
...  
Keyword(s):  
Internal Rotation ◽  
Elbow Flexion ◽  
Cubital Tunnel Syndrome ◽  
Cubital Tunnel ◽  
Tunnel Syndrome ◽  
Flexion Test

Association between the disease severity and extraneural pressure induced by maximum elbow flexion in patients with cubital tunnel syndrome

2013 ◽  
Vol 47 (3) ◽  
pp. 219-223 ◽  
Author(s):  
Kensuke Ochi ◽  
Yukio Horiuchi ◽  
Hikaru Morisue ◽  
Kengo Harato ◽  
Hidenori Tanikawa ◽  
...  
Keyword(s):  
Disease Severity ◽  
Elbow Flexion ◽  
Cubital Tunnel Syndrome ◽  
Cubital Tunnel ◽  
Tunnel Syndrome

Comparison of Shoulder Internal Rotation Test With the Elbow Flexion Test in the Diagnosis of Cubital Tunnel Syndrome

2011 ◽  
Vol 36 (5) ◽  
pp. 782-787 ◽  
Author(s):  
Kensuke Ochi ◽  
Yukio Horiuchi ◽  
Aya Tanabe ◽  
Kozo Morita ◽  
Kentaro Takeda ◽  
...  
Keyword(s):  
Internal Rotation ◽  
Elbow Flexion ◽  
Cubital Tunnel Syndrome ◽  
Cubital Tunnel ◽  
Rotation Test ◽  
Tunnel Syndrome ◽  
Flexion Test

In idiopathic cubital tunnel syndrome, ulnar nerve excursion and instability can be reduced by repairing Osborne’s ligament after simple decompression

2019 ◽  
Vol 45 (3) ◽  
pp. 242-249 ◽  
Author(s):  
Sang Ho Kwak ◽  
Seung-Jun Lee ◽  
Jung Yun Bae ◽  
Hee Seok Jeong ◽  
Sang Woo Kang ◽  
...  
Keyword(s):  
Ulnar Nerve ◽  
Interrupted Time Series ◽  
Elbow Flexion ◽  
Cubital Tunnel Syndrome ◽  
Cubital Tunnel ◽  
Level Of Evidence ◽  
Before And After ◽  
Tunnel Syndrome ◽  
Simple Decompression ◽  
Ulnar Nerve Instability

Osborne’s modified decompression involves repairing Osborne’s ligament beneath the ulnar nerve after simple decompression for idiopathic cubital tunnel syndrome. In this retrospective interrupted time series, 31 patients underwent modified simple decompression and 20 patients underwent conventional simple decompression. In the modified simple decompression group, the ulnar nerve length was measured at operation in full elbow flexion and extension before and after repair of Osborne’s ligament. Ulnar nerve instability during elbow motion was measured using ultrasonography before operation and at 12 months after operation. In patients treated by modified simple decompression, the ulnar nerve length in full elbow flexion reduced significantly after repair of Osborne’s ligament. At 12 months after surgery, the grade of ulnar nerve instability was lower in the modified simple decompression group than in the conventional simple decompression group. The clinical outcomes did not differ significantly between the groups at 24 months after operation. Level of evidence: III

Cubital Tunnel Syndrome

Hand Surgery ◽  
2003 ◽  
Vol 08 (01) ◽  
pp. 127-131 ◽  
Author(s):  
Boris Matev
Keyword(s):  
Ulnar Nerve ◽  
Past History ◽  
Motor Impairment ◽  
Elbow Flexion ◽  
Proximal Part ◽  
Cubital Tunnel Syndrome ◽  
Cubital Tunnel ◽  
Tunnel Wall ◽  
Great Resistance ◽  
Tunnel Syndrome

During a 15-year period, 145 patients presenting with cubital tunnel syndrome were operated upon. They are divided into two groups: (1) Primary tunnel syndrome — 27 cases (18.6%), with a "pure" past history, and (2) secondary — 118 cases (81.4%) with the lesion occurring after a known causative event. Investigation of 100 healthy persons, 50 men and 50 women (200 extremities) show, when elbow flexes, the ulnar nerve moves around the epicondyle in 50% of men, whereas in the remainder nerve subluxation or dislocation anteriorly to the epicondyle occurs. In women, the figures are 72% and 28%, respectively. Apparently in men, the nerve being more mobile is more sensitive to gliding impairment in the tunnel compared to women. In the series of 145 patients, there is a 4.5 : 1 men-to-women ratio, the men being affected much more often. The role of traction in the pathomechanic is further suggested by two facts: the presence of elbow flexion contracture (52%) of the patients and firm ulnar nerve adhesions to the tunnel wall (73%). Skin electroresistance assessment using a high-sensitivity microamperimeter was conducted in 100 patients. Skin electroresistance may remain within normal limits even in cases of expressed sensory and motor impairment. This points to the great resistance of sympathetic fibres against the compression and traction within the canal. Concerning the type of anterior transfer, a combined procedure was used by placing the nerve subcutaneously for the proximal part, and intramuscularly for the distal one. Nerve recovery may proceed even ten years after anterior transfer.

MINIMALIST CUBITAL TUNNEL TREATMENT

Neurosurgery ◽  
2009 ◽  
Vol 65 (suppl_4) ◽  
pp. A145-A149 ◽  
Author(s):  
Tarek Abuelem ◽  
Bruce Loyal Ehni
Keyword(s):  
Nerve Injury ◽  
Ulnar Nerve ◽  
Cubital Tunnel Syndrome ◽  
Senior Author ◽  
Cutaneous Nerve ◽  
Ulnar Neuropathy ◽  
Cubital Tunnel ◽  
Success Rates ◽  
Tunnel Syndrome

Abstract OBJECTIVE The surgical treatment of cubital tunnel syndrome by various techniques is often met with disappointing results. An optimal treatment is not agreed upon. The authors propose a collection of techniques which they believe optimizes outcome and minimizes iatrogenic injuries. METHODS A combination of a novel skin incision which minimizes scar and iatrogenic cutaneous nerve injury, a technique of in situ decompression, and an atraumatic technique of ensuring complete nerve exploration proximal and distal to the incision is presented; these methods have been in use by the senior author for a number of years. RESULTS Numerous reports have demonstrated that the success of in situ ulnar nerve release by division of Osborne's fascia is equivalent to the success rates of more invasive operations for the condition of ulnar neuropathy. The authors share this view in the majority of cases of ulnar neuropathy, and they present a technique that can be expanded, if necessary, on the basis of surgical findings, with only a few indications for the greater epicondylectomy or transposition procedures. CONCLUSION The authors present a means of treating cubital tunnel syndrome. Failure of in situ cubital tunnel release, as with failure of any ulnar procedure, can be attributed to intraoperative ulnar nerve injury, injury to the medial antebrachial cutaneous nerve, inadequate longitudinal exploration and release, scar formation with recurrent compression and/or traction, and the possibility that decompression could lead to iatrogenic symptomatic nerve subluxation. The authors discuss the rationale for a minimalist open surgical approach for the treatment of cubital tunnel syndrome, and each of these concerns is addressed.

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