Abstract
Cubital tunnel syndrome (CuTS) results from compression of the ulnar nerve within its fibroosseous tunnel at the elbow. It is the second most common nerve entrapment syndrome (carpal tunnel syndrome being the most common). Knowledge of the pathoanatomy in this region can allow an appreciation of patients’ symptoms and nerve pathology. Numbness and tingling in the ulnar nerve distribution may be intermittent, constant and/or associated with weakness of the forearm or hand muscles. The severity of the neuropathy can, in addition to careful physical examination, be evaluated by electrodiagnostic studies (EDS) and imaging (ultrasound (US) or magnetic resonance imaging MRI) of the nerve at the elbow. Deformity or enlargement of the nerve, the stability of the nerve with elbow flexion and changes in the fascicular arrangement of the nerve on US can be consistent with clinical symptoms and may aid in the diagnosis and selection of a treatment plan.
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Gelberman RH, et al. Changes in interstitial pressure and cross-sectional area of the cubital tunnel and of the ulnar nerve with flexion of the elbow. An experimental study in human cadavera. J Bone Joint Surg Am. 1998;80(4):492–501.
Dellon AL, et al. Intraneural ulnar nerve pressure changes related to operative techniques for cubital tunnel decompression. J Hand Surg Am. 1994;19(6):923–30.
Zlowodzki M, et al. Anterior transposition compared with simple decompression for treatment of cubital tunnel syndrome. A meta-analysis of randomized, controlled trials. J Bone Joint Surg Am. 2007;89(12):2591–8.
Macadam SA, et al. Simple decompression versus anterior subcutaneous and submuscular transposition of the ulnar nerve for cubital tunnel syndrome: a meta-analysis. J Hand Surg Am. 2008;33(8):1314.e1–12.
Chen HW, et al. Clinical efficacy of simple decompression versus anterior transposition of the ulnar nerve for the treatment of cubital tunnel syndrome: a meta-analysis. Clin Neurol Neurosurg. 2014;126:150–5.
Caliandro P, et al. Treatment for ulnar neuropathy at the elbow. Cochrane Database Syst Rev. 2016;(11):Cd006839.
Staples R, et al. Comparative morbidity of cubital tunnel surgeries: a prospective cohort study. J Hand Surg Am. 2018;43(3):207–13.
Caliandro P, et al. Treatment for ulnar neuropathy at the elbow. Cochrane Database Syst Rev. 2011;(2):Cd006839.
Caliandro P, et al. Treatment for ulnar neuropathy at the elbow. Cochrane Database Syst Rev. 2012;(7):Cd006839.
Zarezadeh A, et al. Comparison of anterior subcutaneous and submuscular transposition of ulnar nerve in treatment of cubital tunnel syndrome: a prospective randomized trial. J Res Med Sci. 2012;17(8):745–9.
Chimenti PC, Hammert WC. Ulnar neuropathy at the elbow: an evidence-based algorithm. Hand Clin. 2013;29(3):435–42.
Song JW, Chung KC, Prosser LA. Treatment of ulnar neuropathy at the elbow: cost-utility analysis. J Hand Surg Am. 2012;37(8):1617–1629.e3.
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Dennison, D.G., Spinner, R.J. (2019). Cubital Tunnel Syndrome: Primary Decompression or Transposition of the Ulnar Nerve at the Elbow. In: Bartels, R., Rovers, M., Westert, G. (eds) Evidence for Neurosurgery. Springer, Cham. https://doi.org/10.1007/978-3-030-16323-5_19
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DOI: https://doi.org/10.1007/978-3-030-16323-5_19
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