The Superiority of the Anterior Transposition Surgical Method to Decompression Procedures in a Case of Secondary Cubital Entrapment Neuropathy

Ertuğrul Allahverdi, Tülay Diken Allahverdi
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Abstract


Cubital Entrapment Neuropathy (cubital tunnel syndrome) is a peripheral entrapment neuropathy coming right after the carpal tunnel syndrome in terms of frequency. It is twice as common in adult males as in females. We report our surgical experience with the anterior transposition method. A 41-year-old male patient presented to our clinic with symptoms of functional weakness of the right hand hypothenar region and 3rd- 4th intrinsic lumbrical muscles together with atrophy and claw finger symptom in the 4th and 5th fingers (Grade III) that had been increasing for the last 19 months. The patient underwent ulnar nerve decompression. There was no improvement 5 months after the surgery and anterior transposition of the ulnar nerve was therefore performed as secondary surgery. No complication occurred afterwards.The anterior transposition method used in our case with secondary cubital tunnel syndrome has a high success rate when performed properly although it is a more invasive intervention.While the only accepted treatment for idiopathic cubital tunnel syndrome is decompression, the anterior transposition method can be used for posttraumatic secondary cubital tunnel syndrome. Surgical Methods of Anterior Transposition for Secondary Cubital Entrapment vs. Decompression Procedures.


Keywords


Cubital tunnel syndrome, Anterior intramuscular transposition, decompression, Ulnar nerve

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References


Anderton M, Webb M, Cubital tunnel syndrome. British Journal of Hospital Medicine, November. 2010.Vol 71.No 11.

Asami A, The evaluation of pre and post operative classification system for cubital tunnel syndrome. HandSurgery, December 2001, Vol.6 No.2,187-190.

Asamoto S, Böker D.K, Jödicke A. Surgical treatment of ulnar nerve entrapment at the elbow. Neurol Med Chir (Tokyo) 2005:45(5);240-244:discussion 244-245.

Dhia A, Jaddue K, et al. Subcutaneous vs.submuscular ulnar nerve tranposition in moderate cubital tunnelsyndrome. The Open Orthopaedics Journal, 2009, Vol 3,78-82.

Flores L.P, Endoscopically assisted release of the ulnar nerve for cubital tunnel syndrome. ActaNeurochir.2010,152;619-625.

Iba K, Wada T, Tamakawa M et al. Diffusion-weighted Magneticresonance imaging of the ulnar nerve in cubital tunnelsyndrome. Hand Surgery, 2010. Vol.15 No.1, 11-15.

Keiner D, Gaab M.R, Schroeder H.W.S, Comparison of the long-term results of anterior transposition of the ulnar nerve or simple decompression in the treatment of cubital tunnel syndrome-aprospective study. ActaNeurochir.2009,151;311-316.

Kılıç E, Özçakar L, Ulnar nerve compression possibly due to aberrant veins:sonography is elucidatory for idiopathic cubital tunnel syndrome. RheumatolInt,2011,31;139-140.

Kutlay M, Çolak A, Şimşek H et al. Use of ultrasonography in ulnar nerve entrapment surgery-a prospective study. NeurosurgRev ,2009,12;225-232.

Nikitins M.D, Griffin P.A, Rice N. J, A dynamic anatomical study of ulnar nerve motion after anterior transposition for cubital tunnel syndrome. Hand Surgery,December 2002, Vol.7 No.2,177-182.

Schnabl S.M, Kisslinger F, Schramm A, etal. Objective outcome of partial medial epicondylectomy in cubital tunnel syndrome. Arch Orthop Trauma Surg. 2010,130;1549-1556

Sreedbaran S, Yam A.K.T, Tay S.C, Self-reported outcome following anterior transposition of ulnar nerve in the elderly. Hand Surgery, 2010, Vol 15 No 3,169-172.

Thatte M.R, MansukhaniK.A ,Compressive neuropathy in the upper limb.Indian Journal of Plastic Surgery, May-August, 2011, Vol 44 Issue 2.

Tubbs S.R, Loukas M, Apaydın N et al. Correlation between the lengths of the upper limb and cubital tunnel: potential use in patients with proximal ulnar nerve entrapment. SurgRadiolAnat, 2010,32;239-242.

Uysal M, Özkoç G, Tandoğan R et al. Combined unlar and carpal tunnel syndrome caused by pigmented villo-nodular tenosynovitis: a rare case. Arch Orthop Trauma Surg, 2007,127;563-565.




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