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Paper Information

Journal:   WORLD JOURNAL OF PLASTIC SURGERY   JANUARY 2012 , Volume 1 , Number 1; Page(s) 11 To 15.
 
Paper: 

MODIFIED SIMPLE DECOMPRESSION OF ULNAR NERVE IN TREATMENT OF CUBITAL TUNNEL SYNDROME

 
 
Author(s):  GOUSHEH JAMAL*, ARASTEH EHSAN
 
* SHIEKH BAHAI MEDICAL CENTER, NORTH SHIEKH BAHAI STREE, TEHRAN, IRAN
 
Abstract: 

BACKGROUND: There are two main surgical approaches, simple ulnar nerve decompression at the elbow, and anterior transposition of the nerve in treatment of cubital tunnel syndrome. Both techniques were reported in literature in details with similar reported success rates. Here, we present a modified simple decompression surgical technique in treatment of cubital tunnel syndrome.
METHODS: Fifty eight patients diagnosed with cubital tunnel syndrome undergoing the presented technique were enrolled. This procedure consisted of ulnar nerve decompression at the elbow and a supplementary procedure of inter-muscular septum transverse cut between triceps and brachialis muscle above the elbow.
RESULTS: Complete sensory recovery was observed in 35 (60.3%) patients, however, mild and occasional sensory symptoms remained in 15 (25.9%), and moderate symptoms persisted in 6 (10.3%) patients. In two patients (3.4%), no sensory improvement was recorded. Post-operatively, muscular hypotrophy improved completely in 5 out of 12 patients (41.7%).
However, in the remaining 7 patients (58.3%) with muscular atrophy, motor recovery never took place.
CONCLUSION: The presented modified simple decompression technique was shown to be an effective and safe procedure for the treatment of cubital tunnel syndrome without any complications.

 
Keyword(s): ULNAR NERVE, CUBITAL TUNNEL SYNDROME, SIMPLE DECOMPRESSION, ANTERIOR TRANSPOSITION, INTER-MUSCULAR SEPTUM
 
References: 
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