Modified simple decompression in the treatment of cubital tunnel syndrome: avoiding ulnar nerve subluxation
ABSTRACT Objective In this study, we propose a modification to the simple decompression technique that contains the ulnar nerve in the cubital fossa, thus preventing subluxation during forearm flexion movements. Methods Five consecutive patients with leprosy-associated cubital tunnel syndrome un...
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| Series: | Arquivos de Neuro-Psiquiatria |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2017000400238&lng=en&tlng=en |
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| author | Marcus André Acioly Amanda Mendes Soares Mariana Lopes de Almeida Renata Barbosa Egon Daxbacher Carlos Henrique Carvalho |
| author_facet | Marcus André Acioly Amanda Mendes Soares Mariana Lopes de Almeida Renata Barbosa Egon Daxbacher Carlos Henrique Carvalho |
| author_sort | Marcus André Acioly |
| collection | DOAJ |
| description | ABSTRACT Objective In this study, we propose a modification to the simple decompression technique that contains the ulnar nerve in the cubital fossa, thus preventing subluxation during forearm flexion movements. Methods Five consecutive patients with leprosy-associated cubital tunnel syndrome underwent surgery with the modified technique between July 2011 and October 2012. Results The most common symptoms were neuropathic pain and sensory changes (both 60%). On the McGowan scale, three patients maintained their preoperative score and two patients improved by two points, while on the Louisiana State University Health Sciences Center scale, two patients maintained the same scores, two improved by two points, and one improved by one point. Four patients were able to discontinue corticosteroid use. The mean follow-up time was 25.6 months (range 2-48 months). There were no recurrences or subluxations in the long-term. Conclusion This alternative technique resulted in excellent functional results, as well as successful withdrawal from corticosteroids. Furthermore, it resulted in no ulnar nerve subluxations. |
| format | Article |
| id | doaj-art-aad1bae3358b45c6b6c8b32a2d73d3a0 |
| institution | Kabale University |
| issn | 1678-4227 |
| language | English |
| publisher | Thieme Revinter Publicações |
| record_format | Article |
| series | Arquivos de Neuro-Psiquiatria |
| spelling | doaj-art-aad1bae3358b45c6b6c8b32a2d73d3a02025-08-20T03:39:40ZengThieme Revinter PublicaçõesArquivos de Neuro-Psiquiatria1678-422775423824310.1590/0004-282x20170023S0004-282X2017000400238Modified simple decompression in the treatment of cubital tunnel syndrome: avoiding ulnar nerve subluxationMarcus André AciolyAmanda Mendes SoaresMariana Lopes de AlmeidaRenata BarbosaEgon DaxbacherCarlos Henrique CarvalhoABSTRACT Objective In this study, we propose a modification to the simple decompression technique that contains the ulnar nerve in the cubital fossa, thus preventing subluxation during forearm flexion movements. Methods Five consecutive patients with leprosy-associated cubital tunnel syndrome underwent surgery with the modified technique between July 2011 and October 2012. Results The most common symptoms were neuropathic pain and sensory changes (both 60%). On the McGowan scale, three patients maintained their preoperative score and two patients improved by two points, while on the Louisiana State University Health Sciences Center scale, two patients maintained the same scores, two improved by two points, and one improved by one point. Four patients were able to discontinue corticosteroid use. The mean follow-up time was 25.6 months (range 2-48 months). There were no recurrences or subluxations in the long-term. Conclusion This alternative technique resulted in excellent functional results, as well as successful withdrawal from corticosteroids. Furthermore, it resulted in no ulnar nerve subluxations.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2017000400238&lng=en&tlng=ensíndrome do túnel ulnardescompressãohanseníasenervos periféricosnervo ulnar |
| spellingShingle | Marcus André Acioly Amanda Mendes Soares Mariana Lopes de Almeida Renata Barbosa Egon Daxbacher Carlos Henrique Carvalho Modified simple decompression in the treatment of cubital tunnel syndrome: avoiding ulnar nerve subluxation Arquivos de Neuro-Psiquiatria síndrome do túnel ulnar descompressão hanseníase nervos periféricos nervo ulnar |
| title | Modified simple decompression in the treatment of cubital tunnel syndrome: avoiding ulnar nerve subluxation |
| title_full | Modified simple decompression in the treatment of cubital tunnel syndrome: avoiding ulnar nerve subluxation |
| title_fullStr | Modified simple decompression in the treatment of cubital tunnel syndrome: avoiding ulnar nerve subluxation |
| title_full_unstemmed | Modified simple decompression in the treatment of cubital tunnel syndrome: avoiding ulnar nerve subluxation |
| title_short | Modified simple decompression in the treatment of cubital tunnel syndrome: avoiding ulnar nerve subluxation |
| title_sort | modified simple decompression in the treatment of cubital tunnel syndrome avoiding ulnar nerve subluxation |
| topic | síndrome do túnel ulnar descompressão hanseníase nervos periféricos nervo ulnar |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2017000400238&lng=en&tlng=en |
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