RESEARCH PROGRESS OF SURGICAL PROCEDURES FOR CUBITAL TUNNEL SYNDROME_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

TONGJinsong ,  DONGZhen

Department of Hand Surgery, Huashan Hospital, Fudan University, Shanghai, 200040, P. R. China;

Corresponding author：

DONGZhen, Email: dongzhen.hsh@gmail.com

Keywords：

Cubital tunnel syndrome; Surgical procedure; Research progress

DOI：

10.7507/1002-1892.20160237

Video：

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Objective To summarize the clinical research progress of surgical procedures for cubital tunnel syndrome. Methods The related literature on surgical procedures for cubital tunnel syndrome was summarized and analyzed. Results Multiple surgical procedures have been applied to treat cubital tunnel syndrome, including simple decompression, subcutaneous transposition, submuscular transposition, medial epicondylectomy, intramuscular transposition, and ulnar groove plasty. Each procedure has its own advantages and disadvantages. With the development of minimally invasive surgical technique, endoscope-assisted surgery has been gradually applied to treat cubital tunnel syndrome. Conclusion Optimal surgical procedure remains controversial and individualized treatment decision based on patient's clinical conditions is recommended.

Citation： TONGJinsong, DONGZhen. RESEARCH PROGRESS OF SURGICAL PROCEDURES FOR CUBITAL TUNNEL SYNDROME. Chinese Journal of Reparative and Reconstructive Surgery, 2016, 30(9): 1166-1169. doi: 10.7507/1002-1892.20160237 Copy

1.	Mondelli M, Giannini F, Ballerini M, et al. Incidence of ulnar neuropathy at the elbow in the province of Siena (Italy). J Neurol Sci, 2005, 234(1-2):5-10.
2.	顾玉东.肘管综合征如何治疗.中华手外科杂志, 2010, 26(2):66.
3.	Guinet V, Cordier-Fuzeau C, Auquit-Auckbur I. Cubital tunnel syndrome:a retrospective review of 55 subcutaneous transpositions with minimum 3-year follow-up. Chir Main, 2013, 32(5):292-298.
4.	张春林, 阴彦林, 苏峰, 等.尺神经前置深筋膜瓣包绕固定治疗肘管综合征疗效分析.中国修复重建外科杂志, 2008, 22(8):1008-1009.
5.	赵民, 田德虎, 吴金英, 等.带伴行血管尺神经前置术的解剖学研究.中国修复重建外科杂志, 2007, 21(11):1196-1198.
6.	戴志刚, 刘亚, 刘儒森, 等.尺神经肌下前置术后解剖学变化及动态分析.中国修复重建外科杂志, 2004, 18(4):254-256.
7.	Lancigu R, Saint Cast Y, Raimbeau G, et al. Dellon's anterior submuscular transposition of the ulnar nerve:Retrospective study of 82 operated patients with 11.5 years' follow-up. Chir Main, 2015, 34(5):234-239.
8.	Boone S, Gelberman RH, Calfee RP. The management of cubital tunnel syndrome. J Hand Surg (Am), 2015, 40(9):1897-1904.
9.	Hicks D, Toby EB. Ulnar nerve strains at the elbow:the effect of in situ decompression and medial epicondylectomy. J Hand Surg (Am), 2002, 27(6):1026-1031.
10.	Chen HW, Ou S, Liu GD, et al. Clinical efficacy of simple decompression versus anterior transposition of the ulnar nerve for the treatment of cubital tunnel syndrome:A meta-analysis. Clin Neurol Neurosurg, 2014, 126:150-155.
11.	Soltani AM, Best MJ, Francis CS, et al. Trends in the surgical treatment of cubital tunnel syndrome:an analysis of the national survey of ambulatory surgery database. J Hand Surg (Am), 2013, 38(8):1551-1556.
12.	Brauer CA, Graham B. The surgical treatment of cubital tunnel syndrome:a decision analysis. J Hand Surg (Eur Vol), 2007, 32(6):654-662.
13.	Lan ZD, Tatsui CE, Jalali A, et al. Outcomes of a novel minimalist approach for the treatment of cubital tunnel syndrome. J Clin Neurosci, 2015, 22(6):964-968.
14.	Kaempffe FA, Farbach J. A modified surgical procedure for cubital tunnel syndrome:partial medial epicondylectomy. J Hand Surg (Am), 1998, 23(3):492-499.
15.	O'Driscoll SW, Jaloszynski R, Morrey BF, et al. Origin of the medial ulnar collateral ligament. J Hand Surg (Am), 1992, 17(1):164-168.
16.	Kim KW, Lee HJ, Rhee SH, et al. Minimal epicondylectomy improves neurologic deficits in moderate to severe cubital tunnel syndrome. Clin Orthop Relat Res, 2012, 470(5):1405-1413.
17.	Tsujino A, Ochiai N. Ulnar groove plasty for friction neuropathy at the elbow. Hand Surg, 2001, 6(2):205-209.
18.	张建华, 崔青, 董占引, 等.尺神经沟扩大神经束间松解治疗重度肘管综合征临床研究.中国修复重建外科杂志, 2008, 22(11):1314-1317.
19.	Tsai TM, Chen IC, Majd ME, et al. Cubital tunnel release with endoscopic assistance:results of a new technique. J Hand Surg (Am), 1999, 24(1):21-29.
20.	Schmidt S, Kleist WW, Matthes M, et al. Endoscopic vs open decompression of the ulnar nerve in cubital tunnel syndrome:A prospective randomized double-blind study. Neurosurgery, 2015, 77(6):960-971.
21.	张义鹏, 高伟阳, 王安远, 等.内镜辅助尺神经前置术治疗肘管综合征的疗效随访.中华显微外科杂志, 2012, 35(3):204-206.
22.	Caliandro P, La Torre G, Padua R, et al. Treatment for ulnar neuropathy at the elbow. Cochrane Database Syst Rev, 2012, (2):CD006839.
23.	Macadam SA, Gandhi R, Bezuhly M, et al. Simple decompression versus anterior subcutaneous and submuscular transposition of the ulnar nerve for cubital tunnel syndrome:a meta-analysis. J Hand Surg (Am), 2008, 33(8):1314.e1-12.
24.	Liu CH, Wu SQ, Ke XB, et al. Subcutaneous versus submuscular anterior transposition of the ulnar nerve for cubital tunnel syndrome:A systematic review and meta-analysis of randomized controlled trials and observational studies. Medicine (Baltimore), 2015, 94(29):e1207.
25.	Siegel DB. Submuscular transposition of the ulnar nerve. Hand Clin, 1996, 12(2):445-448.
26.	Zarezadeh A, Shemshaki H, Nourbakhsh M, et al. Comparison of anterior subcutaneous and submuscular transposition of ulnar nerve in treatment of cubital tunnel syndrome:A prospective randomized trial. J Res Med Sci, 2012, 17(8):745-749.
27.	Dützmann S, Martin KD, Sobottka S, et al. Open vs retractor-endoscopic in situ decompression of the ulnar nerve in cubital tunnel syndrome:a retrospective cohort study. Neurosurgery, 2013, 72(4):605-616.
28.	Bolster MA, Zöphel OT, van den Heuvel ER, et al. Cubital tunnel syndrome:a comparison of an endoscopic technique with a minimal invasive open technique. J Hand Surg (Eur Vol), 2014, 39(6):621-625.
29.	Bacle G, Marteau E, Freslon M, et al. Cubital tunnel syndrome:comparative results of a multicenter study of 4 surgical techniques with a mean follow-up of 92 months. Orthop Traumatol Surg Res, 2014, 100(4 Suppl):S205-S208.
30.	Nellans K, Tang P. Evaluation and treatment of failed ulnar nerve release at the elbow. Orthop Clin North Am, 2012, 43(4):487-494.
31.	Aleem AW, Krogue JD, Calfee RP. Outcomes of revision surgery for cubital tunnel syndrome. J Hand Surg (Am), 2014, 39(11):2141-2149.
32.	Gabel GT, Amadio PC. Reoperation for failed decompression of the ulnar nerve in the region of the elbow. J Bone Joint Surg (Am), 1990, 72(2):213-219.

1. Mondelli M, Giannini F, Ballerini M, et al. Incidence of ulnar neuropathy at the elbow in the province of Siena (Italy). J Neurol Sci, 2005, 234(1-2):5-10.
2. 顾玉东.肘管综合征如何治疗.中华手外科杂志, 2010, 26(2):66.
3. Guinet V, Cordier-Fuzeau C, Auquit-Auckbur I. Cubital tunnel syndrome:a retrospective review of 55 subcutaneous transpositions with minimum 3-year follow-up. Chir Main, 2013, 32(5):292-298.
4. 张春林, 阴彦林, 苏峰, 等.尺神经前置深筋膜瓣包绕固定治疗肘管综合征疗效分析.中国修复重建外科杂志, 2008, 22(8):1008-1009.
5. 赵民, 田德虎, 吴金英, 等.带伴行血管尺神经前置术的解剖学研究.中国修复重建外科杂志, 2007, 21(11):1196-1198.
6. 戴志刚, 刘亚, 刘儒森, 等.尺神经肌下前置术后解剖学变化及动态分析.中国修复重建外科杂志, 2004, 18(4):254-256.
7. Lancigu R, Saint Cast Y, Raimbeau G, et al. Dellon's anterior submuscular transposition of the ulnar nerve:Retrospective study of 82 operated patients with 11.5 years' follow-up. Chir Main, 2015, 34(5):234-239.
8. Boone S, Gelberman RH, Calfee RP. The management of cubital tunnel syndrome. J Hand Surg (Am), 2015, 40(9):1897-1904.
9. Hicks D, Toby EB. Ulnar nerve strains at the elbow:the effect of in situ decompression and medial epicondylectomy. J Hand Surg (Am), 2002, 27(6):1026-1031.
10. Chen HW, Ou S, Liu GD, et al. Clinical efficacy of simple decompression versus anterior transposition of the ulnar nerve for the treatment of cubital tunnel syndrome:A meta-analysis. Clin Neurol Neurosurg, 2014, 126:150-155.
11. Soltani AM, Best MJ, Francis CS, et al. Trends in the surgical treatment of cubital tunnel syndrome:an analysis of the national survey of ambulatory surgery database. J Hand Surg (Am), 2013, 38(8):1551-1556.
12. Brauer CA, Graham B. The surgical treatment of cubital tunnel syndrome:a decision analysis. J Hand Surg (Eur Vol), 2007, 32(6):654-662.
13. Lan ZD, Tatsui CE, Jalali A, et al. Outcomes of a novel minimalist approach for the treatment of cubital tunnel syndrome. J Clin Neurosci, 2015, 22(6):964-968.
14. Kaempffe FA, Farbach J. A modified surgical procedure for cubital tunnel syndrome:partial medial epicondylectomy. J Hand Surg (Am), 1998, 23(3):492-499.
15. O'Driscoll SW, Jaloszynski R, Morrey BF, et al. Origin of the medial ulnar collateral ligament. J Hand Surg (Am), 1992, 17(1):164-168.
16. Kim KW, Lee HJ, Rhee SH, et al. Minimal epicondylectomy improves neurologic deficits in moderate to severe cubital tunnel syndrome. Clin Orthop Relat Res, 2012, 470(5):1405-1413.
17. Tsujino A, Ochiai N. Ulnar groove plasty for friction neuropathy at the elbow. Hand Surg, 2001, 6(2):205-209.
18. 张建华, 崔青, 董占引, 等.尺神经沟扩大神经束间松解治疗重度肘管综合征临床研究.中国修复重建外科杂志, 2008, 22(11):1314-1317.
19. Tsai TM, Chen IC, Majd ME, et al. Cubital tunnel release with endoscopic assistance:results of a new technique. J Hand Surg (Am), 1999, 24(1):21-29.
20. Schmidt S, Kleist WW, Matthes M, et al. Endoscopic vs open decompression of the ulnar nerve in cubital tunnel syndrome:A prospective randomized double-blind study. Neurosurgery, 2015, 77(6):960-971.
21. 张义鹏, 高伟阳, 王安远, 等.内镜辅助尺神经前置术治疗肘管综合征的疗效随访.中华显微外科杂志, 2012, 35(3):204-206.
22. Caliandro P, La Torre G, Padua R, et al. Treatment for ulnar neuropathy at the elbow. Cochrane Database Syst Rev, 2012, (2):CD006839.
23. Macadam SA, Gandhi R, Bezuhly M, et al. Simple decompression versus anterior subcutaneous and submuscular transposition of the ulnar nerve for cubital tunnel syndrome:a meta-analysis. J Hand Surg (Am), 2008, 33(8):1314.e1-12.
24. Liu CH, Wu SQ, Ke XB, et al. Subcutaneous versus submuscular anterior transposition of the ulnar nerve for cubital tunnel syndrome:A systematic review and meta-analysis of randomized controlled trials and observational studies. Medicine (Baltimore), 2015, 94(29):e1207.
25. Siegel DB. Submuscular transposition of the ulnar nerve. Hand Clin, 1996, 12(2):445-448.
26. Zarezadeh A, Shemshaki H, Nourbakhsh M, et al. Comparison of anterior subcutaneous and submuscular transposition of ulnar nerve in treatment of cubital tunnel syndrome:A prospective randomized trial. J Res Med Sci, 2012, 17(8):745-749.
27. Dützmann S, Martin KD, Sobottka S, et al. Open vs retractor-endoscopic in situ decompression of the ulnar nerve in cubital tunnel syndrome:a retrospective cohort study. Neurosurgery, 2013, 72(4):605-616.
28. Bolster MA, Zöphel OT, van den Heuvel ER, et al. Cubital tunnel syndrome:a comparison of an endoscopic technique with a minimal invasive open technique. J Hand Surg (Eur Vol), 2014, 39(6):621-625.
29. Bacle G, Marteau E, Freslon M, et al. Cubital tunnel syndrome:comparative results of a multicenter study of 4 surgical techniques with a mean follow-up of 92 months. Orthop Traumatol Surg Res, 2014, 100(4 Suppl):S205-S208.
30. Nellans K, Tang P. Evaluation and treatment of failed ulnar nerve release at the elbow. Orthop Clin North Am, 2012, 43(4):487-494.
31. Aleem AW, Krogue JD, Calfee RP. Outcomes of revision surgery for cubital tunnel syndrome. J Hand Surg (Am), 2014, 39(11):2141-2149.
32. Gabel GT, Amadio PC. Reoperation for failed decompression of the ulnar nerve in the region of the elbow. J Bone Joint Surg (Am), 1990, 72(2):213-219.

Chinese Journal of Reparative and Reconstructive Surgery

RESEARCH PROGRESS OF SURGICAL PROCEDURES FOR CUBITAL TUNNEL SYNDROME

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