Clinics in Shoulder and Elbow

대한견·주관절의학회 (Korean Shoulder and Elbow Society)
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주관 증후군에 대한 척골 신경 전방 피하 전위술

Anterior Subcutaneous Ulnar Nerve Transposition for Cubital Tunnel Syndrome

  • 편영식 (계명대학교 의과대학 정형외과학교실) ;
  • 전시현 (계명대학교 의과대학 정형외과학교실) ;
  • 여경기 (계명대학교 의과대학 정형외과학교실) ;
  • 배기철 (계명대학교 의과대학 정형외과학교실)
  • Pyun Young-Sik (Department of Orthopedic Surgery, School of medicine, Keimyung University) ;
  • Jeon Si-Hyun (Department of Orthopedic Surgery, School of medicine, Keimyung University) ;
  • Yeo Kyung-Ki (Department of Orthopedic Surgery, School of medicine, Keimyung University) ;
  • Bae Ki-Cheol (Department of Orthopedic Surgery, School of medicine, Keimyung University)
  • 발행 : 2005.06.01
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초록

Purpose: To evaluate the clinical results of anterior subcutaneous ulnar nerve transposition operation and the factors that influence the results for cubital tunnel syndrome. Materials and Methods: Seventeen cases of cubital tunnel syndrome were treated by anterior subcutaneous transposition between March 2001 and December 2003. The mean age was 56 years and mean follow up period was 20.4 months. All patients were reviewed retrospectively. The preoperative evaluation was done by Dellon's classification and the clinical results were evaluated by Messina’s classification. We analyzed the effect of the operation and the relations between the results and the preoperative factors, for example, duration of symptom, age, cause of illness, present of association with diabetes mellitus or preoperative flexion contracture of the elbow were analyzed. Results: The results according to Messina's classification were 4 cases of excellent, 9 cases of good, 3 cases of fair, and 1 case of poor. The preoperative factors like duration of symptom, age, cause of illness and flexion contracture of the elbow didn't show any statistical difference in the result of operation, but the cases which have diabetes mellitus were unsatisfactory with statistical difference (p=0.018). Conclusion: Anterior subcutaneous ulnar nerve transposition is relatively easy and good operative method in cubital tunnel syndrome.

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참고문헌

  1. Adelaar RS, Foster WC and McDowell C: The treatment of cubital tunnel syndrome. J Hand surg, 9-A: 90-95, 1984.
  2. Apfelberg DB and Larson SJ: Dynamic anatomy of the ulnar nerve at elbow. Plast & Reconstr surg, 51:76-81, 1973.
  3. Campbell WC: Arthroplasty of the elbow. A n n Surg, 76:615-631, 1922.
  4. Dellon AL: Review of treatment results for ulnar nerve entrapment at the elbow. J Hand Surg, 14-A:688-700, 1989.
  5. Dellon AL, Hament W and Gittelshon A: Nonoperative management of cubital tunnel syndrome: An 8-year prospective study. Neurology, 43:1673-1677, 1993.
  6. Dellon AL and Mackinon SE: Validity of nerve conduction velocity studies after anterior transposition of ulnar nerve. J Hand Surg, 12-A:700-703, 1987.
  7. Eversmann WW: Entrapment and compression neuropathies. Operative hand surgery. Churchill Livingstone Inc, New York. Ed. 3, 1341-1386,1993.
  8. Gelberman RH, Yamaguchi K, Hollstien SB, Winn SS, Heidenreich FP, Bindra RR, Hsieh P and Silva MJ: Changes in interstitial pressure and cross-sectional area of the cubital tunnel and of the ulnar nerve with flexion of the elbow. J Bone Joint Surg, 80-A:492-501, 1998.
  9. Han SH, Shin KH, Kang ES, Hahn SB and Kang HJ: Operative treatment of Tardy ulnar nerve palsy. J Korean Orthop, 38:417-420, 2003.
  10. Hashiguchi H, Ito H and Sawaizumi T: Stabilized subcutaneous transposition of the ulnar nerve. International orthop, 27:232-234, 2003.
  11. Heithoff SJ: Cubital tunnel syndrome does not require transposition of the ulnar nerve. J Hand Surg, 24-A:898-905, 1999.
  12. King T and Morgan FP: Late results of removing the medial humeral epicondyle for traumatic ulnar neuritis. J Bone Joint Surg, 41-B:51-55,1959.
  13. Kleinman WB: Cubital tunnel syndrome: anterior transposition as a logical approach to complete nerve decompression. J Hand Surg, 24-A:886-897, 1999.
  14. Lascar T and Laulan J: Cubital tunnel syndrome: a retrospective review of 53 anterior subcutaneous transposition. J Hand Surg, 25-B:453-456, 2000.
  15. Learmonth JR: A technique for transplanting the ulnar nerve. Surg Gynec Obstet, 75:792-793, 1942.
  16. Lundborg G: Surgical treatment for ulnar nerve entrapment at the elbow. J Hand Surg, 17-B:245- 247, 1992.
  17. Macnicol MF: The results of operation for ulnar neuritis. J Bone Joint Surg, 61-B: 159-164, 1979.
  18. Matsuzaki H, Yoshizu T, Maki Y, Tsubokawa N, Yamamoto Y and Toishi S: Long-term clinical and neurologic recovery in the hand after surgery for severe cubital tunnel syndrome. J Hand Surg, 29-A:373-378, 2004.
  19. Messina A and Messina JC: Transposition of the ulnar nerve and its vascular bundle for the entrapment syndrome at the elbow. J Hand Surg,20-B:638-648, 1995.
  20. Moon ES and Park SJ: Surgical treatment for ulnar nerve palsy at elbow. J Korean Orthop, 35:939-943, 2000.
  21. Osborne GV: The surgical treatment of tardy ulnar neuritis. J Bone Joint Surg, 39-B:782, 1957.
  22. Osterman AL and Davis CA: Subcutaneous transposition of the ulnar nerve for treatment of cubital tunnel syndrome. Hand Clinincs, 12:421-433, 1996.
  23. Posner MA: Compressive ulnar neuropathies at the elbow. J Am Acad orthop Surg, 6:282-297, 1988.
  24. Rogers MR, Bergfield TG and Aulicino PL: The failed ulnar nerve transposition: Etiology and treatment. Clin Orthop, 269:193-200, 1991.
  25. Sohn HM, Ha SH, You JW, Lee JY and Oh S J: Surgical treatment of cubital tunnel syndrome with subcutaneous anterior transposition of the ulnar nerve. J Korean Orthop, 38:305-308, 2003.
  26. Siegel DB: Submuscular transposition of the ulnar nerve. Hand Clinics, 12:445-448, 1996.

피인용 문헌

  1. Ultrasonographic Findings and Usefulness in Ulnar Neuropathy at the Elbow vol.15, pp.2, 2012, https://doi.org/10.5397/CiSE.2012.15.2.109