Medial epicondylectomy or ulnar-nerve transposition for ulnar neuropathy at the elbow?
نویسندگان
چکیده
We carried out a prospective randomised study comparing medial epicondylectomy with anterior transposition for the treatment of ulnar neuropathy at the elbow. The mean follow-up period was 4.5 years and we assessed the patients neurologically and orthopaedically. Neither procedure appeared to have a significant effect on elbow function. Our study showed better results after medial epicondylectomy; in particular patient satisfaction was higher than after ulnar nerve transposition. There were no significant differences in motor power or nerve-conduction rates and sensory fibres appeared to be more vulnerable to devascularisation.
منابع مشابه
Endoscopic Anterior Subcutaneous Transposition of the Ulnar Nerve
Cubital tunnel syndrome refers to ulnar nerve compressive neuropathy and most commonly occurs at the level of the elbow. Surgical options include in situ decompression, decompression with anterior transposition of the ulnar nerve, and medial epicondylectomy with or without decompression. With the advancement of endoscopic surgery, techniques of endoscopic in situ decompression of the ulnar nerv...
متن کاملCompressive ulnar neuropathies at the elbow: II. treatment.
Initial treatment of most compressive neuropathies at the elbow is nonoperative, consisting of rest, avoidance of elbow flexion, and, when necessary, temporary immobilization of the elbow and wrist. If symptoms persist, particularly when accompanied by muscle weakness, surgery is usually indicated. Operative procedures include decompression without transposition of the nerve (in situ or by mean...
متن کاملPrevalence of Concurrent Disorders of Ulnar Nerve Entrapment at the Elbow and Carpal Tunnel Syndrome Ahvaz Imam Khomeini Hospital During 2009 to 2012
Carpal tunnel syndrome (CTS) is the most well-known and frequent form of median nerve entrapment, and accounts for 90% of all entrapment neuropathies. Entrapment neuropathies of the ulnar nerve are relatively common with ulnar neuropathy at the elbow more prevalent than ulnar neuropathy at the wrist. The diagnosis of ulnar neuropathy at the elbow is usually confirmed in a relatively straight – ...
متن کاملUltrasound-guided Percutaneous Medial Pinning of Pediatric Supracondylar Humeral Fractures to Avoid Ulnar Nerve Injury.
Background: Medial pinning is one of the most controversial aspects of the surgical treatment of supracondylar fractures (SHF) owing to the risk of ulnar nerve injury. Aim: To evaluate the safety and usefulness of medial pinning for SHF using ultrasound imaging for ulnar nerve visualization. Methods: Fifteen children, with a mean age of 60 months, with displaced SHF were treated with a cros...
متن کاملPrevalence of Concurrent Disorders of Ulnar Nerve Entrapment at the Elbow and Carpal Tunnel Syndrome Ahvaz Imam Khomeini Hospital During 2009 to 2012
Carpal tunnel syndrome (CTS) is the most well-known and frequent form of median nerve entrapment, and accounts for 90% of all entrapment neuropathies. Entrapment neuropathies of the ulnar nerve are relatively common with ulnar neuropathy at the elbow more prevalent than ulnar neuropathy at the wrist. The diagnosis of ulnar neuropathy at the elbow is usually confirmed in a relatively straight – ...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- The Journal of bone and joint surgery. British volume
دوره 78 5 شماره
صفحات -
تاریخ انتشار 1996