medigraphic.com
SPANISH

Acta Ortopédica Mexicana

ISSN 2992-8036 (Electronic)
ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología
  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2019, Number 5

<< Back Next >>

Acta Ortop Mex 2019; 33 (5)

Endoscopic release of the ulnar tunnel. Technique and clinical-functional outcomes

Solís-Villarruel O, Sánchez-Gutiérrez LE
Full text How to cite this article 10.35366/OR195H

DOI

DOI: 10.35366/OR195H
URL: https://dx.doi.org/10.35366/OR195H

Language: Spanish
References: 19
Page: 303-307
PDF size: 166.22 Kb.


Key words:

Cubital tunnel, ulnar nerve, neuropathy, endoscopic decompression.

ABSTRACT

Introduction: The ulnar tunnel syndrome is the second compressive neuropathy, followed by the carpal tunnel, making it a frequent reference in hand surgery. There are few published studies about endoscopic technique. Material and methods: We studied 26 patients with ulnar tunnel syndrome diagnosis, were operated by endoscopic release of the ulnar tunnel. Nine women (35%) and 17 (65%) male patients. We used the modified McGowan, and the Wilson and Krout classification to analyze preoperative and postoperative variables. Results: After endoscopic decompression we obtained 18 patients (69%) with excellent evolution, 6 (24%) with good evolution, and 2 (7%) with acceptable outcome. We obtained a significant p of ‹ 0.05. Conclusion: Endoscopic decompression of the ulnar tunnel is a safe technique, less invasive and with good outcome.


REFERENCES

  1. Palmer BA, Hughes TB. Cubital tunnel syndrome. J Hand Surg Am. 2010; 35(1): 153-63.

  2. Watts AC, Bain GI. Patient-rated outcomes of ulnar nerve decompression: a comparison of endoscopic and open in situ decompression. J Hand Surg Am. 2009; 34(8): 1492-8.

  3. Zlowodzki M, Chan S, Bhandari M, Kalliainem L, Schubert W. Anterior transposition compared with simple descompression for treatment of cubital tunnel syndrome. A meta-analysis of randomized, controlled trials. J Bone Joint Surg Am. 2007; 89(12): 2591-8.

  4. Gil GJ, Abellán GJ. Liberación endoscópica del túnel cubital. Técnica quirúrgica y resultados preliminares. Arch Med Dep. 2013; 30(6): 354-8.

  5. Carratalá V, Lucas F, Sánchez AE, Calero R. Descompresión endoscópica del túnel cubital, técnica y experiencia. Rev Iberoam Cir Mano. 2014; 42(1): 9-17.

  6. Bain GI, Bajhau A, Endoscopic release of the ulnar nerve at the elbow using the Agee device: a cadaveric study. Artrhoscopy. 2005; 21(6): 691-5.

  7. Mitsionis GI, Manudis GN, Paschos NK. Comparative study of surgical treatment of ulnar nerve compression at the elbow. J Shoulder Elbow Surg. 2010; 19: 513-9.

  8. Macadam SA, Gandhi R, Bezuhly M, Lefaivre KA. Simple descompression versus anterior subcutaneous and submuscular transposition of the ulnar nerve for cubital tunnel syndrome: a meta-analysis. J Hand Surg Am. 2008; 33(8): 1314-12.

  9. Cobb T, Lemke J, Tyler J, Sterbank P. Efficacy of endoscopic cubital tunnel release. Hand. 2008; 3(2): 191.

  10. Cobb TK, Endoscopic cubital tunnel release. J Hand Surg Am. 2010; 35(10): 1960-7.

  11. Tsai TM, Chen IC, Majd ME, Lim BH. Cubital tunel release with endoscopic assistance: results of a new technique. J Hand Surg Am. 1999; 24(1): 21-9.

  12. Mirza A, Reinhart MK, Bove J, Litwa J. Scope-assisted release of the cubital tunnel. J Hand Surg Am. 2011; 36(1): 23-9.

  13. Tsai TM, Bonczar M, Tsuruta T, Syed SA. A new operative technique: cubital tunnel decompression with endoscope assistance. Hand Clin. 1995; 11: 71-80.

  14. Oertel J, Keiner D, Gaab MR. Endoscopic decompression of the ulnar nerve at the elbow. Neurosurgery. 2010; 66(4): 817-24.

  15. Jiang S, Xu W, Shen Y, Xu JG, Gu YD. Endoscopy-assited cubital tunnel release under carbon dioxide insufflations and anterior transposition. Ann Plast Surg. 2012; 68(1): 62-6.

  16. Dützmann S, Martin KD, Sobottka S, Marquardt G, Schackert G, Seifert V, et al. Open vs retractor-endoscopic in situ decompression of the ulnar nerve in cubital tunnel syndrome a retrospective cohort study. Neurosurgery. 2013; 72(4): 605-16.

  17. Hoffmann R, Siemionow M. The endoscopic management of cubital tunnel syndrome. J Hand Surg Br. 2006; 31(1): 23-9.

  18. Nakao Y, Takayama S, Toyama Y. Cubital tunnel release with lift-type endoscopic surgery. Hand Surg. 2001; 6: 199-203.

  19. Achan U, Zorman P. Endoscopic decompression of the ulnar nerve at the elbow. J Hand Surg Am. 2007; 32(8): 1171-6.




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Acta Ortop Mex. 2019 Sep-Oct;33