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Handchir Mikrochir Plast Chir 2022; 54(03): 253-262
DOI: 10.1055/a-1808-6973
Übersichtsarbeit

Cubital Tunnel Syndrome: Review of Diagnosis and Management

Sulkus-ulnaris-Syndrom: Diagnostik und Behandlung
Devin Patrick Ferguson
University of Western Ontario Roth|McFarlane Hand and Upper Limb Center
,
Ruby Grewal
University of Western Ontario Roth|McFarlane Hand and Upper Limb Center
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Abstract

Cubital tunnel syndrome is one of the most common upper extremity nerve entrapment conditions. Clinical examination and electrodiagnostic studies assist in the diagnosis. Mild cases can be successfully treated conservatively, aiming to reduce traction and compression on the nerve. Surgical management of cubital tunnel syndrome is increasing in frequency. Multiple surgical options exist ranging from simple decompression to decompression and anterior transposition of the nerve. There is no preferred surgical technique. It is critical to reduce the risk of recurrent cubital tunnel syndrome. Revision surgical procedures have worse outcomes than primary surgical procedures.

Zusammenfassung

Das Sulkus-ulnaris-Syndrom ist nach dem Karpaltunnelsyndrom das zweithäufigste Nervenengpasssyndrom der oberen Extremität. Die Diagnose wird anhand einer klinischen und elektrophysiologischen Untersuchung gestellt. Milde Formen können konservativ behandelt werden, zunehmend erfolgt eine operative Behandlung, wobei mehrere Optionen, so die In-Situ-Dekompression und die Dekompression mit Ventralverlagerung zur Verfügung stehen. Dabei ist es entscheidend, das Risiko eines Rezidives gering zu halten, da die Ergebnisse nach Revisionseingriffen schlechter sind als die nach einem Ersteingriff.

Key words

Cubital tunnel syndrome - diagnosis - management

Schlüsselwörter

Sulkus-ulnaris-syndrom - Diagnostik - Behandlung


Publication History

Received: 15 February 2022

Accepted: 17 February 2022

Article published online:
10 June 2022

© 2022. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

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