scholarly journals Fascia Wrapping Technique: A Modified Method for the Treatment of Cubital Tunnel Syndrome

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Hyun Ho Han ◽  
Hae Won Kang ◽  
Jun Yong Lee ◽  
Sung-No Jung
Keyword(s):  
Statistical Significance ◽  
Mean Value ◽  
Cubital Tunnel Syndrome ◽  
Cubital Tunnel ◽  
Mean Values ◽  
Advantages And Disadvantages ◽  
Modified Method ◽  
Anterior Transposition ◽  
Tunnel Syndrome ◽  
Wrapping Technique

Variations of the anterior transposition of the ulnar nerve for cubital tunnel syndrome include subcutaneous, submuscular, intramuscular, and subfascial methods. We introduce a modification of subfascial transposition, which is designed to facilitate nerve gliding by wrapping the nerve with fascia. Twenty patients with wrapping surgery following the diagnosis of cubital tunnel syndrome were reviewed retrospectively. Preoperative electrodiagnostic studies were performed in all patients and all of them were rechecked postoperatively. The preoperative mean value of motor conduction velocity (MCV) was37.1±6.7 m/s within the elbow segment and this result showed a decrease compared to the result of MCV with53.9±6.9 m/s in the below the elbow-wrist segment with statistical significance (P<0.05). Postoperative mean values of MCV were improved in all of 20 patients to47.6±5.5 m/s (P<0.05). 19 patients of 20 (95%) reported good or excellent clinical outcomes according to a modified Bishop scoring system. The surgical treatment methods for cubital tunnel syndrome have their own advantages and disadvantages, and the preferred method differs depending on the surgeon. The wrapping method of anterior transposition is a newly designed alternative method modified from subfascial transposition. This method could be an alternative option to treat cubital tunnel syndrome.

scholarly journals Subcutaneous Versus Submuscular Anterior Transposition of the Ulnar Nerve for Cubital Tunnel Syndrome

Medicine ◽  
2015 ◽  
Vol 94 (29) ◽  
pp. e1207 ◽  
Author(s):  
Chun-Hua Liu ◽  
Shi-Qiang Wu ◽  
Xiao-Bin Ke ◽  
Han-Long Wang ◽  
Chang-Xian Chen ◽  
...  
Keyword(s):  
Ulnar Nerve ◽  
Cubital Tunnel Syndrome ◽  
Cubital Tunnel ◽  
Anterior Transposition ◽  
Tunnel Syndrome

scholarly journals SUBCUTANEOUS ANTERIOR TRANSPOSITION FOR TREATMENT OF CUBITAL TUNNEL SYNDROME: IS THIS METHOD SAFE AND EFFECTIVE?

2012 ◽  
Vol 47 (6) ◽  
pp. 748-753 ◽  
Author(s):  
Sara Lima ◽  
João Freitas Correia ◽  
Rui Moura Martins ◽  
Jorge Miguel Alves ◽  
João Palheiras ◽  
...  
Keyword(s):  
Cubital Tunnel Syndrome ◽  
Cubital Tunnel ◽  
Anterior Transposition ◽  
Tunnel Syndrome

Functional Outcome of Anterior Transposition of the Vascularized Ulnar Nerve for Cubital Tunnel Syndrome

1998 ◽  
Vol 23 (5) ◽  
pp. 613-616 ◽  
Author(s):  
A. ASAMI ◽  
K. MORISAWA ◽  
T. TSURUTA
Keyword(s):  
Functional Outcome ◽  
Ulnar Nerve ◽  
Conduction Velocity ◽  
Nerve Conduction ◽  
Nerve Conduction Velocity ◽  
Clinical Results ◽  
Cubital Tunnel Syndrome ◽  
Cubital Tunnel ◽  
Anterior Transposition ◽  
Tunnel Syndrome

Anterior transposition of the ulnar nerve is a widely used treatment for cubital tunnel syndrome, but neurolysis performed at the time of surgery may impair the blood supply to the ulnar nerve. This study compared the results of intramuscular anterior transposition of the ulnar nerve with or without preserving the extrinsic vessels of the ulnar nerve in 35 patients. The postoperative nerve conduction velocity and the clinical results were better in the group in which the extrinsic vessels were presented.

scholarly journals The 7 Structures Distal to the Elbow That Are Critical to Successful Anterior Transposition of the Ulnar Nerve

Hand ◽  
2018 ◽  
Vol 14 (6) ◽  
pp. 776-781 ◽  
Author(s):  
John M. Felder ◽  
Susan E. Mackinnon ◽  
Megan M. Patterson
Keyword(s):  
Ulnar Nerve ◽  
Ulnar Artery ◽  
Cubital Tunnel Syndrome ◽  
Medial Epicondyle ◽  
Cubital Tunnel ◽  
Anterior Transposition ◽  
Straight Line ◽  
Tunnel Syndrome ◽  
Poor Outcomes ◽  
Flexor Digitorum

Background: Ulnar nerve transposition (UNT) surgery is performed for the treatment of cubital tunnel syndrome. Improperly performed UNT can create iatrogenic pain and neuropathy. The aim of this study is to identify anatomical structures distal to the medial epicondyle that should be recognized by all surgeons performing UNT to prevent postoperative neuropathy. Methods: Ten cadaveric specimens were dissected with attention to the ulnar nerve. Intramuscular UNT surgery was simulated in each. Distal to the medial epicondyle, any anatomical structure prohibiting transposition of the ulnar nerve to a straight-line course across the flexor-pronator mass was noted and its distance from the medial epicondyle was measured. Results: Seven structures were found distal to the medial epicondyle whose recognition is critical to ensuring a successful anterior transposition of the ulnar nerve: (1) Branches of the medial antebrachial cutaneous (MABC) nerve; (2) Osborne’s fascia; (3) branches from the ulnar nerve to the flexor carpi ulnaris (FCU); (4) crossing vascular branches from the ulnar artery to the FCU; (5) the distal medial intermuscular septum between the FCU and flexor digitorum superficialis (FDS); (6) the combined muscular origins of the flexor-pronator muscles; and (7) the investing fascia of the FDS. Measurements are given for each structure. Conclusions: Poor outcomes and unnecessary revision surgeries for cubital tunnel syndrome can be avoided with intraoperative attention to 7 structures distal to the medial epicondyle. Surgeons should expect to dissect up to 12 cm distal to the medial epicondyle to adequately address these and prevent kinking of the nerve in transposition.

Anterior Transposition Compared with Simple Decompression for Treatment of Cubital Tunnel Syndrome

2007 ◽  
Vol 89 (12) ◽  
pp. 2591-2598 ◽  
Author(s):  
Michael Zlowodzki ◽  
Simon Chan ◽  
Mohit Bhandari ◽  
Loree Kalliainen ◽  
Warren Schubert
Keyword(s):  
Cubital Tunnel Syndrome ◽  
Cubital Tunnel ◽  
Anterior Transposition ◽  
Tunnel Syndrome ◽  
Simple Decompression
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