A Tailored Approach to the Surgical Treatment of Cubital Tunnel Syndrome

Jerrod KEITH; Ronit WOLLSTEIN

doi:10.1097/SAP.0b013e318219183d

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A Tailored Approach to the Surgical Treatment of Cubital Tunnel Syndrome

Journal article

Peer reviewed

A Tailored Approach to the Surgical Treatment of Cubital Tunnel Syndrome

Jerrod KEITH and Ronit WOLLSTEIN

Annals of plastic surgery, Vol.66(6), pp.637-639

2011

DOI: 10.1097/SAP.0b013e318219183d

PMID: 21508810

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Abstract

Multiple studies have compared the outcome of surgery for cubital tunnel syndrome (CUTS), yet there remains no clear guidelines for treatment. We describe an approach to CUTS that includes tailoring the procedure to the pathology found at surgery. Patients treated surgically were retrospectively reviewed. Following in situ neurolysis, nerve stability within the cubital tunnel was assessed, and the nerve was left in situ, or transposed accordingly. We evaluated demographic information, presenting features, intraoperative and postoperative findings. Statistics included paired t test and logistic regression analysis. A total of 63 patients (standard deviation = 10.3 years) were reviewed. Fourteen nerves were transposed (22.5%). Postoperatively, sensation (71%), static 2-point discrimination, and motor strength improved. Grip strength compared with the uninvolved side was 94.8% postoperatively. Overall, 90% of the patients reported improvement in function. Our results compare favorably with other studies. Since CUTS originates from numerous causes, basing the operative plan on intraoperative findings produces excellent results.

Neurology

Cranial nerves. Spinal roots. Peripheral nerves. Autonomic nervous system. Gustation. Olfaction

Biological and medical sciences

Medical sciences

Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases

Nervous system (semeiology, syndromes)

Details

Title: Subtitle: A Tailored Approach to the Surgical Treatment of Cubital Tunnel Syndrome
Creators: Jerrod KEITH - Department of Surgery, Division of Plastic and Reconstructive Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, United States
Ronit WOLLSTEIN - Department of Surgery, Division of Plastic and Reconstructive Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, United States
Resource Type: Journal article
Publication Details: Annals of plastic surgery, Vol.66(6), pp.637-639
Publisher: Lippincott Williams & Wilkins; Hagerstown, MD
DOI: 10.1097/SAP.0b013e318219183d
PMID: 21508810
ISSN: 0148-7043
eISSN: 1536-3708
Language: English
Date published: 2011
Academic Unit: Surgery
Record Identifier: 9984051707602771

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