Cubital tunnel syndrome

Cubital tunnel syndrome is relatively common; therefore, it represents a significant public health problem. Unique course of the ulnar nerve along the arm, in respect to bone and soft tissue structures of the elbow, is what makes it very susceptible to external forces, especially compression. Worsen...

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Autores principales:	Igor Knežević, Katarina Barbarić Starčević, Damir Starčević, Ivan Bojanić
Formato:	article
Lenguaje:	EN HR
Publicado:	Hrvatski liječnički zbor 2021
Materias:	cubital tunnel syndrome – diagnosis surgery therapy; ulnar nerve – physiopathology surgery; elbow – physiopathology surgery; electromyography; decompression Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/10129a9f288d47d3b4d452822562bcad
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id	oai:doaj.org-article:10129a9f288d47d3b4d452822562bcad
record_format	dspace
spelling	oai:doaj.org-article:10129a9f288d47d3b4d452822562bcad2021-12-01T13:44:01ZCubital tunnel syndrome10.26800/LV-143-1-2-70024-34771849-2177https://doaj.org/article/10129a9f288d47d3b4d452822562bcad2021-02-01T00:00:00Zhttps://lijecnicki-vjesnik.hlz.hr/lijecnicki-vjesnik/sindrom-kubitalnog-kanala/https://doaj.org/toc/0024-3477https://doaj.org/toc/1849-2177Cubital tunnel syndrome is relatively common; therefore, it represents a significant public health problem. Unique course of the ulnar nerve along the arm, in respect to bone and soft tissue structures of the elbow, is what makes it very susceptible to external forces, especially compression. Worsening paraesthesia on the ulnar side of the fourth finger and the whole fifth finger including muscle weakness and muscle atrophy is causing disability, particularly in patients spending longperiods with a flexed elbow, limiting them in continuing their everyday activities. Therefore, early diagnosis, based on comprehensive anamnesis and detailed physical examination in addition to the use of specific tests elaborated in this article, is crucial. Electromyoneurography helps grade the level of ulnar nerve compression and monitor the treatment progress. Mild grade cubital tunnel syndrome has been successfully treated non-operatively. However, moderate and severe cases, as well as those cases which did not respond with improvement to non-operative treatment, should be treated surgically. Surgical techniques available for treating cubital tunnel syndrome are divided into ones that leave the ulnar nerve at its original site, like in situ decompression or medial epicondylectomy, and those who displace the ulnar nerve in front of the medial epicondyle, as during nerve transposition. This article depicts the critical stages of every technique, including comparing their advantages and disadvantages. Even though they all proved to be safe and effective, research has shown that in situ decompression is most widely and commonly used surgical technique for treating cubital tunnel syndrome.Igor KneževićKatarina Barbarić StarčevićDamir StarčevićIvan BojanićHrvatski liječnički zborarticlecubital tunnel syndrome – diagnosissurgerytherapy; ulnar nerve – physiopathologysurgery; elbow – physiopathologysurgery; electromyography; decompressionMedicine (General)R5-920ENHRLiječnički vjesnik, Vol 143, Iss 1-2, Pp 42-50 (2021)
institution	DOAJ
collection	DOAJ
language	EN HR
topic	cubital tunnel syndrome – diagnosis surgery therapy; ulnar nerve – physiopathology surgery; elbow – physiopathology surgery; electromyography; decompression Medicine (General) R5-920
spellingShingle	cubital tunnel syndrome – diagnosis surgery therapy; ulnar nerve – physiopathology surgery; elbow – physiopathology surgery; electromyography; decompression Medicine (General) R5-920 Igor Knežević Katarina Barbarić Starčević Damir Starčević Ivan Bojanić Cubital tunnel syndrome
description	Cubital tunnel syndrome is relatively common; therefore, it represents a significant public health problem. Unique course of the ulnar nerve along the arm, in respect to bone and soft tissue structures of the elbow, is what makes it very susceptible to external forces, especially compression. Worsening paraesthesia on the ulnar side of the fourth finger and the whole fifth finger including muscle weakness and muscle atrophy is causing disability, particularly in patients spending longperiods with a flexed elbow, limiting them in continuing their everyday activities. Therefore, early diagnosis, based on comprehensive anamnesis and detailed physical examination in addition to the use of specific tests elaborated in this article, is crucial. Electromyoneurography helps grade the level of ulnar nerve compression and monitor the treatment progress. Mild grade cubital tunnel syndrome has been successfully treated non-operatively. However, moderate and severe cases, as well as those cases which did not respond with improvement to non-operative treatment, should be treated surgically. Surgical techniques available for treating cubital tunnel syndrome are divided into ones that leave the ulnar nerve at its original site, like in situ decompression or medial epicondylectomy, and those who displace the ulnar nerve in front of the medial epicondyle, as during nerve transposition. This article depicts the critical stages of every technique, including comparing their advantages and disadvantages. Even though they all proved to be safe and effective, research has shown that in situ decompression is most widely and commonly used surgical technique for treating cubital tunnel syndrome.
format	article
author	Igor Knežević Katarina Barbarić Starčević Damir Starčević Ivan Bojanić
author_facet	Igor Knežević Katarina Barbarić Starčević Damir Starčević Ivan Bojanić
author_sort	Igor Knežević
title	Cubital tunnel syndrome
title_short	Cubital tunnel syndrome
title_full	Cubital tunnel syndrome
title_fullStr	Cubital tunnel syndrome
title_full_unstemmed	Cubital tunnel syndrome
title_sort	cubital tunnel syndrome
publisher	Hrvatski liječnički zbor
publishDate	2021
url	https://doaj.org/article/10129a9f288d47d3b4d452822562bcad
work_keys_str_mv	AT igorknezevic cubitaltunnelsyndrome AT katarinabarbaricstarcevic cubitaltunnelsyndrome AT damirstarcevic cubitaltunnelsyndrome AT ivanbojanic cubitaltunnelsyndrome
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Cubital tunnel syndrome

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