Cubital tunnel syndrome complicated with elbow osteoarthritis -- subcutaneous or submuscular transposition of the ulnar nerve?
10.3760/cma.j.cn115530-20240307-00108
- VernacularTitle:肘管综合征合并肘关节骨关节炎——尺神经皮下前移还是肌下前移？
- Author:
Pengfei WANG
1
;
Wenjie LIANG
;
Yabing JIANG
;
Xiao WANG
;
Wankui ZHANG
;
Tianyun ZHAO
Author Information
1. 甘肃中医药大学第一临床医学院，兰州 730000
- Keywords:
Cubital tunnel syndrome;
Osteoarthritis;
Ulnar nerve;
Cubitus valgus
- From:
Chinese Journal of Orthopaedic Trauma
2024;26(8):728-731
- CountryChina
- Language:Chinese
-
Abstract:
At present, most surgeons use release and subcutaneous transposition of the ulnar nerve to treat cubital tunnel syndrome (CuTS). However, subcutaneous transposition of the ulnar nerve is not effective enough and leads to a high rate of recurrence in clinic when CuTS is complicated with elbow osteoarthritis (EOA). Therefore, an appropriate surgical treatment should be adopted as early as possible if the symptoms are not relieved by a conservative treatment in cases of EOA complicated with CuTS. Different surgical methods lead to different physiological environments of the ulnar nerve, resulting in different outcomes. As a result, the recurrence rate of subcutaneous transposition motion is higher in patients with EOA. Surgical submuscular transposition of the ulnar nerve under the muscle significantly reduces its angular formation during elbow flexion, provides it with a more favorable biological environment and a better anatomical position, benefits the vascular reconstruction and regeneration of the injured nerve, and reduces its chance of secondary entrapment, leading to a better prognosis and a lower recurrence rate. This literature review evaluates the surgical methods for patients with CuTS plus EOA in an attempt to provide helpful references for their treatment.
