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Endoscopic Cubital Tunnel Release

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Atlas of Endoscopic Plastic Surgery

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Abstract

Cubital tunnel syndrome (CuTS) is the second most common compressive neuropathy in the upper extremity, surpassed only by carpal tunnel syndrome. First described by Feindel and Stratford in 1958, cubital tunnel syndrome is more common in women than in men and has an incidence of between 19 and 25 per 100,000 person-years. Although the term “cubital tunnel syndrome” is commonly used to describe compression of the ulnar nerve at the elbow, it specifically refers to compression of the nerve within the cubital tunnel, more specifically by Osborne’s ligament.

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References

  1. Feindel W, Stratford J. Cubital tunnel compression in tardy ulnar palsy. Can Med Assoc J. 1958;78:351–3.

    PubMed Central  CAS  PubMed  Google Scholar 

  2. Latinovic R, Gulliford MC, Hughes RA. Incidence of common compressive neuropathies in primary care. J Neurol Neurosurg Psychiatry. 2006;77:263–5.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  3. Shah CM, Calfee RP, Gelberman RH, Goldfarb CA. Outcomes of rigid night splinting and activity modification in the treatment of cubital tunnel syndrome. J Hand Surg Am. 2013;38:1125–30.

    Article  PubMed Central  PubMed  Google Scholar 

  4. Seror P. Treatment of ulnar nerve palsy at the elbow with a night splint. J Bone Joint Surg Br. 1993;75:322–7.

    CAS  PubMed  Google Scholar 

  5. Charles YP, Coulet B, Rouzaud JC, Daures JP, Chammas M. Comparative clinical outcomes of submuscular and subcutaneous transposition of the ulnar nerve for cubital tunnel syndrome. J Hand Surg Am. 2009;34:866–74.

    Article  PubMed  Google Scholar 

  6. Masear VR, Hill Jr JJ, Cohen SM. Ulnar compression neuropathy secondary to the anconeus epitrochlearis muscle. J Hand Surg Am. 1988;13:720–4.

    Article  CAS  PubMed  Google Scholar 

  7. Bekler H, Riansuwan K, Vroemen JC, McKean J, Wolfe VM, Rosenwasser MP. Innervation of the elbow joint and surgical perspectives of denervation: a cadaveric anatomic study. J Hand Surg Am. 2008;33:740–5.

    Article  PubMed  Google Scholar 

  8. Apfelberg DB, Larson SJ. Dynamic anatomy of the ulnar nerve at the elbow. Plast Reconstr Surg. 1973;51:79–81.

    CAS  PubMed  Google Scholar 

  9. James J, Sutton LG, Werner FW, Basu N, Allison MA, Palmer AK. Morphology of the cubital tunnel: an anatomical and biomechanical study with implications for treatment of ulnar nerve compression. J Hand Surg Am. 2011;36:1988–95.

    Article  PubMed  Google Scholar 

  10. Wilson FD, Andrews JR, Blackburn TA, McCluskey G. Valgus extension overload in the pitching elbow. Am J Sports Med. 1983;11:83–8.

    Article  CAS  PubMed  Google Scholar 

  11. Cheng CJ, Mackinnon-Patterson B, Beck JL, Mackinnon SE. Scratch collapse test for evaluation of carpal and cubital tunnel syndrome. J Hand Surg Am. 2008;33:1518–24.

    Article  PubMed  Google Scholar 

  12. Rayan GM, Jensen C, Duke J. Elbow flexion test in the normal population. J Hand Surg Am. 1992;17:86–9.

    Article  CAS  PubMed  Google Scholar 

  13. McGowan AJ. The results of transposition of the ulnar nerve for traumatic ulnar neuritis. J Bone Joint Surg Br. 1950;32:293–301.

    PubMed  Google Scholar 

  14. Dellon AL. Review of treatment results for ulnar nerve entrapment at the elbow. J Hand Surg Am. 1989;14:688–700.

    Article  CAS  PubMed  Google Scholar 

  15. Lee DH, Claussen GC, Oh S. Clinical nerve conduction and needle electromyography studies. J Am Acad Orthop Surg. 2004;12:276–87.

    PubMed  Google Scholar 

  16. Kothari MJ, Heistand M, Rutkove SB. Three ulnar nerve conduction studies in patients with ulnar neuropathy at the elbow. Arch Phys Med Rehabil. 1998;79:87–9.

    Article  CAS  PubMed  Google Scholar 

  17. Nelson RM. Effects of elbow position on motor conduction velocity of the ulnar nerve. Phys Ther. 1980;60:780–3.

    CAS  PubMed  Google Scholar 

  18. Harding C, Halar E. Motor and sensory ulnar nerve conduction velocities: effect of elbow position. Arch Phys Med Rehabil. 1983;64:227–32.

    CAS  PubMed  Google Scholar 

  19. Svernlov B, Larsson M, Rehn K, Adolfsson L. Conservative treatment of the cubital tunnel syndrome. J Hand Surg Eur. 2009;34:201–7.

    Article  CAS  Google Scholar 

  20. Cobb TK. Endoscopic cubital tunnel release. J Hand Surg Am. 2010;35:1690–7.

    Article  PubMed  Google Scholar 

  21. Watts AC, Bain GI. Patient-rated outcome of ulnar nerve decompression: a comparison of endoscopic and open in situ decompression. J Hand Surg Am. 2009;34:1492–8.

    Article  PubMed  Google Scholar 

  22. Cobb TK, Walden AL, Merrell PT, Lemke JH. Setting expectations following endoscopic cubital tunnel release. Hand. 2014;9:356–63.

    Article  PubMed Central  PubMed  Google Scholar 

  23. Hoffmann R, Siemionow M. The endoscopic management of cubital tunnel syndrome. J Hand Surg Am. 2006;31:23–9.

    Article  CAS  Google Scholar 

  24. Zhong W, Zhang W, Zheng X, Li S, Shi J. Comparative study of different surgical transposition methods for ulnar nerve entrapment at the elbow. J Int Med Res. 2011;39:1766–72.

    Article  CAS  PubMed  Google Scholar 

  25. Zarezadeh A, Shemshaki H, Nourbakhsh M, Etemadifar MR, Moeini M, Mazoochian F. 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;17:745–9.

    PubMed Central  PubMed  Google Scholar 

  26. Caliandro P, La Torre G, Padua R, Giannini F, Padua L. Treatment for ulnar neuropathy at the elbow. Cochrane Database Syst Rev. 2012;7, CD006839.

    PubMed  Google Scholar 

  27. Macadam SA, Gandhi R, Bezuhly M, Lefaivre KA. Simple decompression versus anterior subcutaneous and submuscular transposition of the ulnar nerve for cubital tunnel syndrome: a meta-analysis. J Hand Surg Am. 2008;33:1314.

    Article  PubMed  Google Scholar 

  28. Nellans K, Tang P. Evaluation and treatment of failed ulnar nerve release at the elbow. Orthop Clin North Am. 2012;43:487–94.

    Article  PubMed  Google Scholar 

  29. Hicks D, Toby EB. Ulnar nerve strains at the elbow: the effect of in situ decompression and medial epicondylectomy. J Hand Surg Am. 2002;27:1026–31.

    Article  PubMed  Google Scholar 

  30. Heithoff SJ, Millender LH, Nalebuff EA, Petruska Jr AJ. Medial epicondylectomy for the treatment of ulnar nerve compression at the elbow. J Hand Surg Am. 1990;15:22–9.

    Article  CAS  PubMed  Google Scholar 

  31. Kaempffe FA, Farbach J. A modified surgical procedure for cubital tunnel syndrome: partial medial epicondylectomy. J Hand Surg Am. 1998;23:492–9.

    Article  CAS  PubMed  Google Scholar 

  32. Cole RJ, Jemison DM, Hayes CW. Anterior elbow dislocation following medial epicondylectomy: a case report. J Hand Surg Am. 1994;19:614–6.

    Article  CAS  PubMed  Google Scholar 

  33. Muermans S, De Smet L. Partial medial epicondylectomy for cubital tunnel syndrome: outcome and complications. J Shoulder Elbow Surg. 2002;11:248–52.

    Article  PubMed  Google Scholar 

  34. Osei DA, Padegimas EM, Calfee RP, Gelberman RH. Outcomes following modified oblique medial epicondylectomy for treatment of cubital tunnel syndrome. J Hand Surg Am. 2013;38:336–43.

    Article  PubMed  Google Scholar 

  35. Jackson LC, Hotchkiss RN. Cubital tunnel surgery. Complications and treatment of failures. Hand Clin. 1996;12:449–56.

    CAS  PubMed  Google Scholar 

  36. Ehsan A, Hanel DP. Recurrent or persistent cubital tunnel syndrome. J Hand Surg Am. 2012;37:1910–2.

    Article  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Orthopaedic Surgery, St. Luke’s University Hospital, 801 Ostrum Street PPHP-2, Bethlehem, PA, 18015, USA

    Nicholas M. Caggiano MD

  2. Department of Orthopaedic Surgery, St. Luke’s University Hospital and Health Network, 801 Ostrum Street, PPH-2, Bethlehem, PA, 18015, USA

    Kristofer S. Matullo MD

Authors
  1. Nicholas M. Caggiano MD
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  2. Kristofer S. Matullo MD
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Correspondence to Kristofer S. Matullo MD .

Editor information

Editors and Affiliations

  1. University of Parma, Parma, Italy

    Edoardo Raposio

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© 2016 Springer International Publishing Switzerland

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Caggiano, N.M., Matullo, K.S. (2016). Endoscopic Cubital Tunnel Release. In: Raposio, E. (eds) Atlas of Endoscopic Plastic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-19461-5_10

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  • DOI: https://doi.org/10.1007/978-3-319-19461-5_10

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-19460-8

  • Online ISBN: 978-3-319-19461-5

  • eBook Packages: MedicineMedicine (R0)

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