Modified simple decompression in the treatment of cubital tunnel syndrome: avoiding ulnar nerve subluxation
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Arquivos de neuro-psiquiatria (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2017000400238 |
Resumo: | ABSTRACT Objective In this study, we propose a modification to the simple decompression technique that contains the ulnar nerve in the cubital fossa, thus preventing subluxation during forearm flexion movements. Methods Five consecutive patients with leprosy-associated cubital tunnel syndrome underwent surgery with the modified technique between July 2011 and October 2012. Results The most common symptoms were neuropathic pain and sensory changes (both 60%). On the McGowan scale, three patients maintained their preoperative score and two patients improved by two points, while on the Louisiana State University Health Sciences Center scale, two patients maintained the same scores, two improved by two points, and one improved by one point. Four patients were able to discontinue corticosteroid use. The mean follow-up time was 25.6 months (range 2-48 months). There were no recurrences or subluxations in the long-term. Conclusion This alternative technique resulted in excellent functional results, as well as successful withdrawal from corticosteroids. Furthermore, it resulted in no ulnar nerve subluxations. |
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Arquivos de neuro-psiquiatria (Online) |
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Modified simple decompression in the treatment of cubital tunnel syndrome: avoiding ulnar nerve subluxationcubital tunnel syndromedecompressionleprosyperipheral nervesulnar nerveABSTRACT Objective In this study, we propose a modification to the simple decompression technique that contains the ulnar nerve in the cubital fossa, thus preventing subluxation during forearm flexion movements. Methods Five consecutive patients with leprosy-associated cubital tunnel syndrome underwent surgery with the modified technique between July 2011 and October 2012. Results The most common symptoms were neuropathic pain and sensory changes (both 60%). On the McGowan scale, three patients maintained their preoperative score and two patients improved by two points, while on the Louisiana State University Health Sciences Center scale, two patients maintained the same scores, two improved by two points, and one improved by one point. Four patients were able to discontinue corticosteroid use. The mean follow-up time was 25.6 months (range 2-48 months). There were no recurrences or subluxations in the long-term. Conclusion This alternative technique resulted in excellent functional results, as well as successful withdrawal from corticosteroids. Furthermore, it resulted in no ulnar nerve subluxations.Academia Brasileira de Neurologia - ABNEURO2017-04-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2017000400238Arquivos de Neuro-Psiquiatria v.75 n.4 2017reponame:Arquivos de neuro-psiquiatria (Online)instname:Academia Brasileira de Neurologiainstacron:ABNEURO10.1590/0004-282x20170023info:eu-repo/semantics/openAccessAcioly,Marcus AndréSoares,Amanda MendesAlmeida,Mariana Lopes deBarbosa,RenataDaxbacher,EgonCarvalho,Carlos Henriqueeng2017-09-20T00:00:00Zoai:scielo:S0004-282X2017000400238Revistahttp://www.scielo.br/anphttps://old.scielo.br/oai/scielo-oai.php||revista.arquivos@abneuro.org1678-42270004-282Xopendoar:2017-09-20T00:00Arquivos de neuro-psiquiatria (Online) - Academia Brasileira de Neurologiafalse |
dc.title.none.fl_str_mv |
Modified simple decompression in the treatment of cubital tunnel syndrome: avoiding ulnar nerve subluxation |
title |
Modified simple decompression in the treatment of cubital tunnel syndrome: avoiding ulnar nerve subluxation |
spellingShingle |
Modified simple decompression in the treatment of cubital tunnel syndrome: avoiding ulnar nerve subluxation Acioly,Marcus André cubital tunnel syndrome decompression leprosy peripheral nerves ulnar nerve |
title_short |
Modified simple decompression in the treatment of cubital tunnel syndrome: avoiding ulnar nerve subluxation |
title_full |
Modified simple decompression in the treatment of cubital tunnel syndrome: avoiding ulnar nerve subluxation |
title_fullStr |
Modified simple decompression in the treatment of cubital tunnel syndrome: avoiding ulnar nerve subluxation |
title_full_unstemmed |
Modified simple decompression in the treatment of cubital tunnel syndrome: avoiding ulnar nerve subluxation |
title_sort |
Modified simple decompression in the treatment of cubital tunnel syndrome: avoiding ulnar nerve subluxation |
author |
Acioly,Marcus André |
author_facet |
Acioly,Marcus André Soares,Amanda Mendes Almeida,Mariana Lopes de Barbosa,Renata Daxbacher,Egon Carvalho,Carlos Henrique |
author_role |
author |
author2 |
Soares,Amanda Mendes Almeida,Mariana Lopes de Barbosa,Renata Daxbacher,Egon Carvalho,Carlos Henrique |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Acioly,Marcus André Soares,Amanda Mendes Almeida,Mariana Lopes de Barbosa,Renata Daxbacher,Egon Carvalho,Carlos Henrique |
dc.subject.por.fl_str_mv |
cubital tunnel syndrome decompression leprosy peripheral nerves ulnar nerve |
topic |
cubital tunnel syndrome decompression leprosy peripheral nerves ulnar nerve |
description |
ABSTRACT Objective In this study, we propose a modification to the simple decompression technique that contains the ulnar nerve in the cubital fossa, thus preventing subluxation during forearm flexion movements. Methods Five consecutive patients with leprosy-associated cubital tunnel syndrome underwent surgery with the modified technique between July 2011 and October 2012. Results The most common symptoms were neuropathic pain and sensory changes (both 60%). On the McGowan scale, three patients maintained their preoperative score and two patients improved by two points, while on the Louisiana State University Health Sciences Center scale, two patients maintained the same scores, two improved by two points, and one improved by one point. Four patients were able to discontinue corticosteroid use. The mean follow-up time was 25.6 months (range 2-48 months). There were no recurrences or subluxations in the long-term. Conclusion This alternative technique resulted in excellent functional results, as well as successful withdrawal from corticosteroids. Furthermore, it resulted in no ulnar nerve subluxations. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-04-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2017000400238 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2017000400238 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/0004-282x20170023 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Academia Brasileira de Neurologia - ABNEURO |
publisher.none.fl_str_mv |
Academia Brasileira de Neurologia - ABNEURO |
dc.source.none.fl_str_mv |
Arquivos de Neuro-Psiquiatria v.75 n.4 2017 reponame:Arquivos de neuro-psiquiatria (Online) instname:Academia Brasileira de Neurologia instacron:ABNEURO |
instname_str |
Academia Brasileira de Neurologia |
instacron_str |
ABNEURO |
institution |
ABNEURO |
reponame_str |
Arquivos de neuro-psiquiatria (Online) |
collection |
Arquivos de neuro-psiquiatria (Online) |
repository.name.fl_str_mv |
Arquivos de neuro-psiquiatria (Online) - Academia Brasileira de Neurologia |
repository.mail.fl_str_mv |
||revista.arquivos@abneuro.org |
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1754212782319861760 |