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Introduction Cubital tunnel syndrome (CuTS) describes dysfunction of the ulnar nerve (UN) in the region of the elbow. It is the second most common compression neuropathy in the upper extremity, with 25 male and 19 female new cases per 100
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Introduction Cubital tunnel syndrome (CuTS) is the second most common compression neuropathy and affects the ulnar nerve at the elbow. Surgery is to be considered when conservative options have failed, when there is poor symptom control or
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failure can be a gradual process. 4 Medial elbow pain can be caused by ulnar nerve problems, which can include neuropathy and neuritis with or without nerve dislocation. The medial antebrachial cutaneous nerve (MABCN) has also been reported to be a
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and anterior interosseous nerve (AIN) can be assessed with active flexion of the distal interphalangeal joint of index and thumb. For the radial nerve, thumb extension is usually easy to achieve, even in the young child. For ulnar nerve assessment, at
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Life and Health Science Research Institute, University of Minho, Portugal
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Life and Health Science Research Institute, University of Minho, Portugal
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.03–0.1%, with the ulnar nerve and brachial plexus injuries being the most common ( 5 ). In a review, Uribe et al. identified that 17 out of 517 patients experienced postoperative brachial plexopathy when in the prone position and 44 after surgery in supine or
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autograft in a figure-of-eight pattern via a flexor pronator mass detachment approach with sub-muscular transposition of the ulnar nerve. Since Jobe’s original description, numerous modifications of surgical technique have been designed to improve athletic
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-osseous tunnel, or due to hardware irritation. However, the true incidence of ulnar nerve dysfunction after elbow injury is unknown, since studies have not effectively distinguished acute injury-related, acute surgery-related, and delayed ulnar neuropathies and
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the likelihood of ulnar entrapment, especially in posttraumatic stiffness ( 15 ). Therefore, the ulnar nerve should be carefully examined for signs of either entrapment or instability, and the location in its sulcus should be carefully documented
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injury of the ulnar nerve at wrist level, a fascicular adaptation can be performed, since the sensory and motor nerve branches of that specific nerve are very well defined. After the primary nerve repair, the wound should be closed with interrupted skin
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approach should be related to skin quality, placement of previous incisions and skin circulation. Severe scarring may call for plastic surgery with the use of local flaps or skin transplantation. Neurological assessment is imperative and the ulnar nerve