ArticleJSES international2020
Cubital tunnel syndrome: a surgical modification to in situ decompression to improve results.
Article in JSES international, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Efficacy of Manual Therapy and Electrophysical Modalities for Treatment of Cubital Tunnel Syndrome: A Randomized Interventional Trial.Life (Basel, Switzerland) · 2025Article
- Managing Ulnar Nerve Subluxation With a Medial Intermuscular Septum Sling.Hand (New York, N.Y.) · 2025Article
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Authors and funding
3 authors.
Funding
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Abstract
backgroundThe gold standard for surgical treatment of cubital tunnel syndrome is in situ decompression. However, this procedure does not come without complications. Subluxation of the ulnar nerve and ulnar nerve neuritis from adhesion formation remain 2 potential complications after this procedure. It has been shown in the literature that young, active, male patients are most likely to have these complications postoperatively. We have developed a modification to in situ decompression by developing a fascial turnover flap and using a porcine submucosa extracellular matrix (Axogen) to help reduce both ulnar nerve subluxation and adhesion formation postoperatively.
methodsThirteen patients underwent cubital tunnel surgery by the highlighted technique to prevent postoperative ulnar nerve subluxation and adhesion formation. Patient outcomes including elbow range of motion, functional status, paresthesia, and grip strength were recorded.
resultsOf the 13 patients, 10 had excellent results, 1 had a good result, and 2 required revision with anterior transposition of the nerve. The mean Mayo Elbow Performance Score of the 11 patients not needing revision was 92.7.
conclusionThe described surgical technique provides surgeons with the ability to directly decompress the ulnar nerve while decreasing postoperative complications such as instability and adhesion formation.
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