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Ulnar nerve entrapment neuropathy at the elbow: simple decompression
Jason H Huang1, Uzma Samadani, Eric L Zager
1Department of Neurosurgery, University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA.
Neurosurgery
|October 29, 2004
Summary
Cubital tunnel syndrome, or ulnar nerve entrapment at the elbow, is common. Simple surgical decompression offers good results for patients who have not improved with conservative treatment.
Area of Science:
- Neurosurgery
- Peripheral Nerve Disorders
Background:
- Cubital tunnel syndrome is the second most common peripheral nerve entrapment.
- It presents as hand weakness, atrophy, and paresthesias in the ulnar nerve distribution.
Purpose of the Study:
- To describe the anatomy and surgical techniques for ulnar nerve decompression at the elbow.
Main Methods:
- Review of relevant anatomy.
- Description of surgical techniques for in situ decompression.
Main Results:
- Simple in situ decompression can yield satisfactory outcomes.
- Appropriate patient selection is crucial for surgical success.
Conclusions:
- Cubital tunnel syndrome requires careful diagnosis through clinical examination and electrophysiological studies.
- Surgical decompression is an effective option for refractory cases.