Surgery for Cubital Tunnel Syndrome: A Comparative Study of Small Incision with Classic Anterior Nerve Transposition
DOI:
https://doi.org/10.36552/pjns.v27i2.872Keywords:
Classic Anterior Nerve TranspositionAbstract
Objective: To evaluate the clinical outcomes of ulnar neuropathy, and cubital tunnel syndrome (CuTS) surgery via a small incision with that of anterior transposition of the ulnar nerve.
Materials & Methods: In this comparative cross-sectional study, 108 patients were recruited from the Neurosurgery Department of Qazi Hussain Ahmad Medical Complex, Nowshera. Two Groups were made. Group A patients undergo either ulnar nerve anterior transposition or simple decompression via a small skin incision, while Group B patients undergo ulnar nerve subcutaneous anterior transposition through a classic skin incision.
Results: Totally 108 patients were enrolled. Males were 67 and females were 41 with a mean age of 45.6 ± 12.97 years. During follow-up visits, an increase in clinical outcome measures was noted, but no statistically significant difference was seen in both groups. Nevertheless, in comparison to the two groups, complications were more in group B, in terms of superficial infection, numbness of skin at the medial elbow, revision surgery, and painful scar.
Conclusion: It is concluded that keeping in view the stability/anatomical position of the ulnar nerve to undergo either simple decompression or anterior transposition through small skin incision is effective and an excellent procedure as compared to classic incision procedure in treating patients suffering from cubital tunnel syndrome.
References
Pisquiy JJ, Chan AG, Prabhakar G, Kusnezov N, Dunn JC. Incidence of cubital tunnel syndrome in the US military population. The Journal of Hand Surgery, 2019; 44 (6): 516. e1-. e7.
Assmus H, Antoniadis G, Bischoff C. Carpal and cubital tunnel and other, rarer nerve compression syndromes. Deutsches Ärzteblatt International, 2015; 112 (1-2): 14.
Anderson D, Woods B, Abubakar T, Koontz C, Li N, Hasoon J, et al. A comprehensive review of cubital tunnel syndrome. Orthopedic Reviews, 2022; 14 (3): 1-8.
Kroonen LT. Cubital tunnel syndrome. Orthopedic Clinics, 2012; 43 (4): 475-86.
Wolny T, Peñas CF, Buczek T, Domin M, Granek A, Linek P. The Effects of Physiotherapy in the Treatment of Cubital Tunnel Syndrome: A Systematic Review. J. Clin. Med. 2022; 11 (14): 4247.
An TW, Evanoff BA, Boyer MI, Osei DA. The Prevalence of Cubital Tunnel Syndrome: A Cross-Sectional Study in a U.S. Metropolitan Cohort. J. Bone Jt. Surg. 2017; 99: 408–16.
Kang HJ, Koh IH, Chun YM, Oh WT, Chung KH,
Choi YR. Ulnar nerve stability-based surgery for cubital tunnel syndrome via a small incision: a comparison with classic anterior nerve transposition. Journal of Orthopaedic Surgery and Research, 2015; 10 (1): 1-7.
Wojewnik B, Bindra R. Cubital tunnel syndrome–Review of current literature on causes, diagnosis and treatment. Journal of Hand and Microsurgery, 2009; 1 (2): 76-81.
Huang W, Zhang P-x, Peng Z, Xue F, Wang T-b, Jiang B-g. Anterior subcutaneous transposition of the ulnar nerve improves neurological function in patients with cubital tunnel syndrome. Neural Regeneration Research, 2015; 10 (10): 1690.
Lascar T, Laulan J. Cubital tunnel syndrome: a retrospective review of 53 anterior subcutaneous transpositions. Journal of Hand Surgery,. 2000; 25 (5): 453-6.
Gelberman RH, Yamaguchi K, Hollstien SB, Winn SS, Heidenreich JFP, Bindra RR, et al. Changes in interstitial pressure and cross-sectional area of the cubital tunnel and the ulnar nerve with flexion of the elbow. An experimental study in human cadavera. JBJS. 1998; 80 (4): 492-501.
Dagregorio G, Saint-Cast Y. Simple neurolysis for failed anterior submuscular transposition of the ulnar nerve at the elbow. International orthopedics, 2004; 28 (6): 342-6.
Bonczar M, Ostrowski P, Plutecki D, Dziedzic M, Depukat P, Walocha J, et al. A complete analysis of the surgical treatment for cubital tunnel syndrome: an umbrella review. Journal of Shoulder and Elbow Surgery, 2023; 32 (4): 850-60.
Phan A, Hammert W. Evaluation of PROMIS outcomes for surgical treatment of cubital tunnel syndrome with and without carpal tunnel syndrome. Hand, 2023; 18 (3): 393-400.
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Copyright (c) 2023 Naseer Hassan, Raza Hassan, Muhammad Usman, Mumtaz Ali, Farooq Azam, Momina SaleemThe work published by PJNS is licensed under a Creative Commons Attribution-NonCommercial 4.0 International (CC BY-NC 4.0). Copyrights on any open access article published by Pakistan Journal of Neurological Surgery are retained by the author(s).
