Modern Treatment of Cubital Tunnel Syndrome: Evidence and Controversy

Cubital tunnel syndrome is the second most common peripheral mononeuropathy in the upper extremity. However, the diagnosis and treatment of cubital tunnel syndrome remains controversial without a standard algorithm. Although diagnosis can often be made from the patient’s history and physical examina...

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Bibliographic Details
Published in:Journal of hand surgery global online 2023-07, Vol.5 (4), p.547-560
Main Authors: Graf, Alexander, Ahmed, Adil Shahzad, Roundy, Robert, Gottschalk, Michael B., Dempsey, Amanda
Format: Article
Language:English
Subjects:
Cubital tunnel syndrome
Electrodiagnostic testing
Nerve compression syndrome
Nerve transfer
Review
Ulnar nerve
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Summary:Cubital tunnel syndrome is the second most common peripheral mononeuropathy in the upper extremity. However, the diagnosis and treatment of cubital tunnel syndrome remains controversial without a standard algorithm. Although diagnosis can often be made from the patient’s history and physical examination alone, electrodiagnostic studies, ultrasound, computed tomography (CT), and magnetic resonance image (MRI) can also be useful in diagnosing the disease and selecting the most appropriate treatment option. Treatment options include conservative nonoperative techniques as well as various surgical options, including in situ decompression with or without transposition, medial epicondylectomy, and nerve transfer in advanced disease. The purpose of this review is to summarize the most up-to-date literature regarding cubital tunnel syndrome and propose a treatment algorithm to provide clarity about the challenges of treating this complex patient population.
ISSN:2589-5141
2589-5141
DOI:10.1016/j.jhsg.2022.07.008