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Postoperative ulnar neuropathy.

R G Miller, P E Camp

    JAMA
    |October 12, 1979
    PubMed
    Summary
    This summary is machine-generated.

    Surgical patients can develop ulnar neuropathy due to nerve compression, often at the cubital tunnel. This complication leads to persistent deficits, highlighting the need for preventative measures during major operations.

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    Area of Science:

    • Neurology
    • Surgical Complications
    • Nerve Injury

    Background:

    • Compressive ulnar neuropathy during surgery under general anesthesia is known but incompletely described.
    • Eight patients developed this complication, primarily after intra-abdominal or intrathoracic procedures.

    Purpose of the Study:

    • To describe the clinical and electrophysiological features of ulnar neuropathy following surgery.
    • To investigate the prognosis and potential causes of this surgical complication.

    Main Methods:

    • Case series of eight patients with post-operative ulnar neuropathy.
    • Clinical evaluation and electrophysiological studies (nerve conduction studies, EMG).
    • Review of intraoperative findings in relevant cases.

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    Main Results:

    • Neuropathy presented with persistent, severe deficits at a mean follow-up of 23.5 months.
    • Electrophysiological studies revealed significant Wallerian degeneration in most patients.
    • Evidence suggests cubital tunnel compression as the likely cause.

    Conclusions:

    • Post-surgical ulnar neuropathy, likely due to cubital tunnel compression, has a poor prognosis.
    • Surgical or medical treatments offered limited improvement.
    • Preventing ulnar nerve compression during major operations is crucial.