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Related Concept Videos

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Bones of the Upper Limb: Ulna

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Spinal Nerves: Plexus I

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Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation

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Related Experiment Video

Updated: May 18, 2026

Screening of Axonal Degeneration in Carpal Tunnel Syndrome Using Ultrasonography and Nerve Conduction Studies
06:40

Screening of Axonal Degeneration in Carpal Tunnel Syndrome Using Ultrasonography and Nerve Conduction Studies

Published on: January 11, 2019

Cubital tunnel syndrome.

Leo T Kroonen1

  • 1Hand & Microvascular Surgery, Department of Orthopedic Surgery, Naval Medical Center San Diego, San Diego, CA 92134, USA. leo.kroonen@med.navy.mil

The Orthopedic Clinics of North America
|October 3, 2012
PubMed
Summary

Cubital tunnel syndrome, ulnar nerve compression at the elbow, is common. Studies show simple decompression and anterior transposition surgical techniques offer similar outcomes for this condition.

Area of Science:

  • Orthopedics
  • Neurology
  • Surgical Treatment

Background:

  • Cubital tunnel syndrome, characterized by ulnar nerve compression at the elbow, is the second most frequent peripheral nerve compression syndrome affecting the upper extremity.
  • Accurate diagnosis relies on thorough patient history and physical examination, often supplemented by electrodiagnostic testing to confirm the diagnosis and assess nerve injury severity.

Purpose of the Study:

  • To evaluate the effectiveness of different surgical interventions for cubital tunnel syndrome.
  • To compare outcomes between simple decompression and anterior transposition techniques for managing ulnar nerve compression at the elbow.

Main Methods:

  • Review of existing literature, focusing on randomized prospective studies comparing surgical treatment options for cubital tunnel syndrome.

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Screening of Axonal Degeneration in Carpal Tunnel Syndrome Using Ultrasonography and Nerve Conduction Studies
06:40

Screening of Axonal Degeneration in Carpal Tunnel Syndrome Using Ultrasonography and Nerve Conduction Studies

Published on: January 11, 2019

Metacarpal Small Incision for Carpal Tunnel Syndrome
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Metacarpal Small Incision for Carpal Tunnel Syndrome

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  • Analysis of diagnostic methods including clinical evaluation and electrodiagnostic testing.
  • Assessment of indications for surgical intervention based on the failure of nonoperative management.
  • Main Results:

    • There is no established consensus regarding the optimal surgical approach for cubital tunnel syndrome.
    • The limited number of randomized prospective studies available suggest that both simple decompression and anterior transposition provide comparable results.
    • Electrodiagnostic testing plays a crucial role in confirming the diagnosis and determining the extent of nerve damage.

    Conclusions:

    • Surgical treatment is recommended for cubital tunnel syndrome when conservative measures fail to alleviate symptoms.
    • Current evidence indicates that simple decompression and anterior transposition are equally effective surgical options for managing ulnar nerve compression at the elbow.
    • Further research may be needed to establish a definitive best practice for surgical treatment.