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2014, Number 1

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Ortho-tips 2014; 10 (1)

Compressive syndromes of the ulnar nerve at the elbow and wrist

Navarro BE
Full text How to cite this article

Language: Spanish
References: 11
Page: 26-33
PDF size: 208.33 Kb.


Key words:

Cubital tunnel, Guyon canal, nerve compression.

ABSTRACT

After carpal tunnel syndrome, the ulnar nerve compression syndrome mainly in the ulnar canal is the second most common nerve syndrome in the extremities. The symptoms are varied, which can confuse the diagnosis, may have numbness of the ring and little finger, as well as a decrease in hand strength. Multiple repetition trauma or tumors can produce the symptoms. The diagnosis should be performed as early as possible, in chronic conditions may be irreversible with muscle atrophy and contracture of the joints metacarpo-phalanx. There are multiple treatments to release this symptoms non-surgical and surgical, transposition of the nerve subcutaneous, submuscular or intermuscular, epicondilectomy. Treatment should be directed depending on the case and the mechanism by which it is producing.


REFERENCES

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  2. Heithoff SJ. Cubital tunnel syndrome does not require transposition of the ulnar nerve. J Hand Surg Am. 1999; 24: 898-905.

  3. Platt H. The pathogenesis and treatment of traumatic neuritis of the ulnar nerve in the post-condylar groove. Br J Surg. 1926; 13: 409-431.

  4. 4 Skillern PG. Surgical lesions of the ulnar nerve at the elbow. Surg Clin North Am. 1922; 2: 251-269.

  5. Palmer BA, Hughes TB. Cubital tunnel syndrome. Hand Surg. 2010; 35A: 153-163.

  6. Lindsey JT, Watumull D. Anatomic study of the ulnar nerve and related vascular anatomy at Guyón’s canal: a practical classification system. J Hand Surg. 1996; 21A: 626-633.

  7. Tapadia M, Mozaffar T, Gupta R. Compressive neuropathies of the upper extremity: update on pathophysiology classification and electrodiagnostic findings. J Hand Surg. 2010; 35A: 668-677.

  8. De Jesus R, Dellon L. Historic rigin of the “Arcade of Struthers”. Hand Surg. 2003; 28A: 528-531.

  9. Wojewnik B, Bindra R. Cubital tunnel syndrome—review of current literature on causes, diagnosis and treatment. J Hand Microsurg. 2009; 1(2): 76-81.

  10. Pai V, Harp A. Guyon’s canal syndrome: a rare case of venous malformation. J Hand Microsurg. 2009; 1 (2): 113-115.

  11. Cheng CJ, Mackinnon-Patterson B, Beck JL, Mackinnon SE. Scratch collapse test for evolution of carpal and cubital tunnel syndrome. J Hand Surg Am. 2008; 33: 1518-1524. doi: 10.1016/j.jhsa.2008.05.022.




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Ortho-tips. 2014;10