Abstract
BackgroundVarious 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.ObjectivesTo evaluate the surgical results of anterior trans-muscular transposition technique for the treatment of cubital tunnel syndrome with particular emphasis on clinical outcome.MethodsForty 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.ResultsForty 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.ConclusionAnterior transmuscular transposition of the ulnar nerve is a safe and effective treatment for ulnar nerve entrapment at the elbow.
Highlights
Cubital tunnel syndrome is one of the common nerve entrapment neuropathies, second to carpal tunnel syndrome
Surgical treatments are recommended for patients who have not responded to non-surgical intervention that includes simple decompression, in which Osborne’s band can be released using either open or endoscopic surgical methods, medial epicondylectomy, and anterior transposition of the ulnar nerve by intramuscular, submuscular, or subcutaneous placement of the nerve
The purpose of this study is to evaluate the surgical results of anterior trans-muscular transposition of the ulnar nerve for the treatment of cubital tunnel syndrome with particular emphasis on clinical outcome
Summary
Cubital tunnel syndrome is one of the common nerve entrapment neuropathies, second to carpal tunnel syndrome. Non-operative treatment is initiated when the diagnosis of ulnar entrapment at the elbow is first made. Surgical treatments are recommended for patients who have not responded to non-surgical intervention that includes simple decompression, in which Osborne’s band can be released using either open or endoscopic surgical methods, medial epicondylectomy, and anterior transposition of the ulnar nerve by intramuscular, submuscular, or subcutaneous placement of the nerve. Studies reported that no certain surgical method has encouraging outcomes, so in patients with an advanced stage of cubital tunnel syndrome, anterior transposition of the ulnar nerve should be considered as it can release. Various surgical options are used for the treatment of ulnar nerve entrapment at the elbow. Anterior trans-muscular transposition of the ulnar nerve was used for the treatment of cubital tunnel syndrome
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