MR imaging of the postsurgical cubital tunnel: an imaging review of the cubital tunnel, cubital tunnel syndrome, and associated surgical techniques

Ulnar nerve compression at the elbow, specifically the cubital tunnel, is the second most common upper extremity compression neuropathy. Many patients presenting with compression symptoms will subsequently undergo surgical intervention. We review the open surgical treatment of cubital tunnel syndrom...

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Bibliographic Details
Published in:Skeletal radiology 2019-10, Vol.48 (10), p.1541-1554
Main Authors: Rhodes, Nicholas G., Howe, Benjamin M., Frick, Matthew A., Moran, Steven L.
Format: Article
Language:English
Subjects:
Compression
Cubital Tunnel Syndrome - diagnostic imaging
Cubital Tunnel Syndrome - surgery
Decompression
Decompression, Surgical - methods
Elbow
Elbow (anatomy)
Humans
Imaging
Magnetic resonance imaging
Magnetic Resonance Imaging - methods
Medicine
Medicine & Public Health
Neuropathy
NMR
Nuclear magnetic resonance
Nuclear Medicine
Orthopedics
Pathology
Postoperative Complications - diagnostic imaging
Radiology
Review Article
Signs and symptoms
Surgery
Transposition
Tunnels
Ulnar Nerve - diagnostic imaging
Ulnar Nerve - surgery
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Summary:Ulnar nerve compression at the elbow, specifically the cubital tunnel, is the second most common upper extremity compression neuropathy. Many patients presenting with compression symptoms will subsequently undergo surgical intervention. We review the open surgical treatment of cubital tunnel syndrome and review the expected postoperative imaging appearance of those treatments on magnetic resonance imaging (MR), including: simple or in situ decompression, medial epicondylectomy, and anterior transposition, including subcutaneous, intramuscular, and submuscular variants. We discuss the relevant anatomy of the presurgical cubital tunnel and common sites and causes of ulnar nerve compression at and about the cubital tunnel. The imaging appearance of the preoperative and postoperative ulnar nerve and postoperative complications are reviewed.
ISSN:0364-2348
1432-2161
DOI:10.1007/s00256-019-03203-2