Cubital Tunnel-Management of Cubital Tunnel Syndrome

Management of Cubital Tunnel Syndrome

Pdf Summary

Cubital tunnel syndrome is a condition that affects the ulnar nerve at the elbow and can cause symptoms such as pain, numbness, and weakness in the hand. It is the second most common peripheral nerve compression syndrome after carpal tunnel syndrome. The condition can be diagnosed through a combination of history, physical examination, and nerve conduction testing. Nonsurgical treatment options include activity modification, splinting, and nerve gliding exercises. For patients with loss of sensation or muscle atrophy, surgery is often recommended. There are several surgical options, including simple decompression, in which the tissue around the nerve is released, medial epicondylectomy, in which part of the elbow bone is removed, and anterior transposition, in which the nerve is moved to the front of the elbow. Recent studies have shown that all three procedures can be equally effective in relieving symptoms. However, there is no consensus on the best surgical approach. Revision surgery may be necessary in some cases, but outcomes are generally less favorable than with primary surgery. It is recommended that a trial of nonsurgical management be attempted before surgical intervention is considered, and that surgery be performed by a knowledgeable and experienced surgeon. Overall, their surgical outcomes are generally imperfect, and the recommended surgical approach may vary depending on the individual case.

Keywords

Cubital tunnel syndrome

ulnar nerve

elbow

pain

numbness

weakness

diagnosis

nonsurgical treatment

surgery options

revision surgery