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Preliminary Study on the Lesion Location and Prognosis of cubital tunnel syndrome by Motor Nerve Conduction Studies

Chinese Medical Journal 2015年第9期128卷 1165-1170页

作者： Zhu Liu Zhi-Rong Jia Ting-Ting Wang Xin Shi Wei Liang Department of Neurology The First Hospital of Peking University Beijing 100034 China

Background：To study lesions＇ location and prognosis of cubital tunnel syndrome （CubTS） by routine motor nerve conduction studies （MNCSs） and short-segment nerve conduction studies （SSNCSs,inching test）.Methods：Thirty healthy subjects were included and 60 ulnar nerves were studied by inching studies for normal ***-six patients who diagnosed CubTS clinically were performed bilaterally by routine MNCSs and ***-up for 1-year,the information of brief complaints,clinical symptoms,and physical examination were ***：Sixty-six patients were included,88 of nerves was abnormal by MNCS,while 105 was abnormal by the inching *** epicondyle to 2 cm above medial epicondyle is the most common segment to be detected abnormally （59.09％）,P ＜ ***-two patients were followed-up,17 patients＇ symptoms were *** of the patients were treated with drugs and modification of bad ***：（1） SSNCSs can detect lesions of compressive neuropathy in CubTS more precisely than the routine motor conduction studies.（2） SSNCSs can diagnose CubTS more sensitively than routine motor conduction studies.（3） In this study,we found that medial epicondyle to 2 cm above the medial epicondyle is the most vulnerable place that the ulnar nerve compressed.（4） The patients had a better prognosis who were abnormal in motor nerve conduction time only,but not amplitude in compressed lesions than those who were abnormal both in velocity and *** study suggests that SSNCSs is a practical method in detecting ulnar nerve compressed neuropathy,and sensitive in diagnosing *** compound muscle action potentials by SSNCSs may predict prognosis of CubTS.

关键词： cubital tunnel syndrome Electrophysiology Short-segment Nerve Conduction Studies Ulnar Nerve

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Effect of Elbow Position on Short-segment Nerve Conduction Study in cubital tunnel syndrome

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Chinese Medical Journal 2016年第9期129卷 1028-1035页

作者： Zhu Liu Zhi-Rong Jia Ting-Ting Wang Xin Shi Wei Liang Department of Neurology Peking University First Hospital Beijing 100034 China Department of Emergency Peking University First HospitaL Beijing 100034 China

Background： The appropriate elbow position of short-segment nerve conduction study （SSNCS） to diagnose cubital tunnel syndrome （CubTS） is still controversial. The goal of this study was to determine the effect of different elbow positions at full extension and 70° flexion on SSNCS in CubTS. Methods： In this cross-sectional study, the clinical data of seventy elbows from 59 CubTS patients between September, 2011 and December, 2014 in the Peking University First Hospital were included as CubTS group. Moreover, thirty healthy volunteers were included as the healthy group. SSNCS were conducted in all subjects at elbow fhll extension and 70° elbow flexion. Paired nonparametric test, bivariate correlation, Bland-Altman, and Chi-squared test analysis were used to compare the effectiveness of elbow full extension and 70° flexion elbow positions on SSNCS in CubTS patients. Results： Data of upper limit was calculated from healthy group, and abnormal latency was judged accordingly. CubTS group＇s latency and compound muscle action potential （CMAP） of each segment at 70° elbow flexion by SSNCS was compared with lull extension position, no statistically significant difference were found （all P 〉 0.05）. Latency and CMAP of each segment at elbow full extension and 70° flexion were correlated （all P 〈 0 elbow （P - 0.43）, and the latency （P = 0.15） and the CMAP （P = 01）, except the latency of segment of 4 cm to 6 cm above 0.06） of segment of 2 cm to 4 cm below elbow. Bivariate correlation and Bland-Altman analysis proved the correlation between elbow full extension and 70° flexion. Especially in segments across the elbow （2 cm above the elbow and 2 cm below it）, latency at elbow full extension and 70° flexion were strong direct associated（r=0.83, P〈0.01;r=0.55, P〈0.01）,andsodidtheCMAP（r 0.49, P〈0.01;r=0.72, P〈0.01）.Therewasno statistically significant difference in abnormality of each segment at full extension as measured by SSNCS compared with that at 70° flexion （P 〉 0.05, respecti

关键词： cubital tunnel syndrome Elbow Position Inching Test Short-segment Nerve Conduction Study Ulnar Nerve

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Theoretical Discussion on Treatment of cubital tunnel syndrome Based on Theory of Liver,Spleen and Kidney

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World Journal of Integrated Traditional and Western Medicine 2022年第4期8卷 22-28页

作者： ZHANG Xiao-li SU Xiao-lei DU Xuan-xuan WANG Zi-yu LI Jun-jie YU Hang North China University of Science and Technology Tangshan 063000China Cangzhou Hospital of Integrated Traditional Chinese and Western Medicine Cangzhou 061000China Hebei College of Traditional Chinese Medicine Shijiazhuang 050000China

cubital tunnel syndrome is a disease in which ulnar nerve is compressed by its surrounding tissues,and its main clinical manifestations are pain,sensory disturbance and *** incidence rate is the second highest among peripheral nerve entrapment diseases,and it is one of the common clinical *** theory of liver,spleen and kidney can guide the treatment of cubital tunnel syndrome with traditional Chinese medicine and *** discussing the traditional Chinese medicine(TCM)pathogenesis and treatment principles of cubital tunnel syndrome,it provides modern medical theoretical support for TCM treatment of cubital tunnel syndrome.

关键词： cubital tunnel syndrome Soothing the liver Regulating the spleen Kidney tonifying

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Recalcitrant cubital tunnel syndrome

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Plastic and Aesthetic Research 2015年第1期2卷 176-182页

作者： Adolfo Vigasio Ignazio Marcoccio Eleonora Morandini Hand Surgery and Orthopaedic Microsurgery Unit Istituto Clinico Cittàdi Brescia-Gruppo San Donato25123 BresciaItaly

Ulnar nerve neuropathy at the elbow represents the second most frequent compression neuropathy of the upper *** the five different anatomical areas responsible for ulnar nerve compression at the elbow region,the epitrochlear-olecranon channel and Osborne’s arcade are the most *** additional cause of nerve damage is a dynamic process in which the ulnar nerve dislocates anteriorly at the epitrochlear-olecranon level during elbow flexion,partially or completely,causing nerve friction and constriction leading to chronic neuropathic *** after primary surgery is generally secondary to procedural errors or technical omissions,frequently represented by incomplete nerve decompression,failure to recognize nerve instability after nerve decompression,loosening of the nerve anchor after superficial nerve transposition with consequent spontaneous nerve relocation in the epitrochlear-olecranon channel,perineural fibrosis and neurodesis,which creates new nerve *** association with the clinical evaluation,electromyography studies,magnetic resonance imaging and ultrasound are useful tools that may aid in the decision-making process when considering revision *** anterior transposition is the most commonly employed technique but also has a high failure rate,as opposed to anterior deep transposition that is the method of choice for many surgeons despite being more technically *** results of revision surgery following recalcitrant ulnar nerve compression at the elbow are inferior to those obtained after primary ***,the clinical advantages remain relevant provided that the revision surgery is performed by an expert *** avoid misinterpretation,the patient is completely informed of the quality of results.

关键词： cubital tunnel syndrome failed nerve decompression nerve transposition recalcitrant nerve compression ulnar nerve

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Anterior Subcutaneous Transposition of the Ulnar Nerve Affects Elbow Range of Motion： A Mean 13.5 Years of Follow-up

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Chinese Medical Journal 2018年第3期131卷 282-288页

作者： Xing-Hua Liu Mao-Qi Gong Yang Wang Chang Liu Shao-Liang Li Xie-Yuan Jiang Department of Orthopedic Trauma Beijing Jishuitan Hospital Beijing 100035 China Department of Hand Surgery Beijing Jishuitan Hospital Beijing 100035 China

Background：Surgical decompression of the ulnar nerve is effective for cubital tunnel ***,deep approaches may result in iatrogenic elbow *** long-term study was to evaluate the range of motion （ROM） of the elbow and functional outcomes after anterior subcutaneous ***：A total of 115 patients （78 male and 37 female;mean age：46.6 years） who underwent anterior subcutaneous transposition of the ulnar nerve between 2001 and 2005 were evaluated retrospectively;mean follow-up was 13.5 *** ROM was measured as flexion arc,flexion,and extension preoperatively and at the final follow-up,and compared via a mixed analysis of variance adjusting for *** was assessed preoperatively using a modified McGowan neuropathy grade and postoperatively using modified Wilson-Krout *** ordinal logistic regression analysis used postoperative modified Wilson-Krout criteria as the outcome and preoperative factors as ***：Preoperative McGowan grades were Grade 1 in 14 patients （12.2%）,Grade 2A in 28 （24.3%）,Grade 2B in 53 （46.1%）,and Grade 3 in 20 （17.4%） ***,66 patients （57.4%） had excellent results,26 （22.6%） had good results,16 （13.9%） had fair results,and 7 （6.1%） had poor results at the final follow-up,as per the Wilson-Krout *** were no ***-and postoperative elbow ROM was significantly decreased in patients with previous trauma or surgery of the elbow compared with those without （P 〈 0.05）.Anterior subcutaneous transposition of the ulnar nerve did not significantly affect elbow ROM regardless of previous trauma or surgical history nor preoperative ROM （P 〉 0.05）,after adjusting for *** with prolonged symptoms prior to surgery and worse neuropathy tended to have less satisfactory functional outcomes （P 〈 0.05）,after adjusting for ***：Anterior subcutaneous transposition of the ulnar nerve is an effective and reliable treatment of cubital tun

关键词： cubital tunnel syndrome Elbow Stiffness Neuropathy Transposition Ulnar Nerve

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