Ulnar nerve entrapment neuropathy at the elbow: decisional algorithm and surgical considerations.
Introduction. We propose our surgical experience and the decisional algorithm we use to select the surgical procedure for the ulnar nerve entrapment at the elbow according to defined parameters. Materials and methods. Between 2005 and 2007, 44 patients were operated according to our algorithm that i...
| Publicado en: | Neurocirugía Vol. 20; no. 1; pp. 31 - 39 |
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| Autores principales: | , |
| Formato: | Artículo |
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Elsevier B.V.
2009
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=lth&AN=36917269&site=ehost-live header: @attributes: shortDbName: lth uiTerm: 36917269 longDbName: MedicLatina uiTag: AN controlInfo: bkinfo: jinfo: jid: 11301473 25ME jtl: Neurocirugía issn: 11301473 maglogo: N pubinfo: dt: 2009 vid: 20 iid: 1 pid: 467 pub: Elsevier B.V. artinfo: ui: 36917269 10.1016/S1130-1473(09)70191-5 ppf: 31 ppct: 8 formats: fmt: @attributes: type: P size: 506KB tig: atl: Ulnar nerve entrapment neuropathy at the elbow: decisional algorithm and surgical considerations. aug: au: Mandelli, C. Baiguini, M. affil: Department of Neurosurgery, IRCCS San Raffaele, Milano, Italy su: Alternative medicine Operative surgery Decompression (Physiology) Algorithm research Ulnar neuropathies sug: subj: Alternative medicine Operative surgery Decompression (Physiology) Algorithm research Ulnar neuropathies keyword: Anterior transposition Cubital tunnel syndrome Simple neurolysis Ulnar nerve Nervio ulnar Neurolisis simple Síndrome del túnel cubital Transposición anterior ab: Introduction. We propose our surgical experience and the decisional algorithm we use to select the surgical procedure for the ulnar nerve entrapment at the elbow according to defined parameters. Materials and methods. Between 2005 and 2007, 44 patients were operated according to our algorithm that is based both on clinical parameters, classified through the McGowan scale, and on biological ones (the nervous morphology and the amount of scar around the medial epicondyle). Patients were treated through "modified" in situ simple decompression, subcutaneous and sub muscular transpositions. Results. After an average follow-up of 13.4 months, function improved by one grade in 70% of patients, two grades in 16% and there was no change in 14%. Moreover 84,8% of patients operated through the modified in situ decompression technique reported an excellent outcome. Conclusion. We suggest an algorithm for uniformly treat the patients with cubital tunnel syndrome through a clinical and biological point of view. The modified in situ decompression is a safe and effective treatment for the majority of these patients reducing the risk of redo surgery. Introducción. Proponemos nuestra experiencia quirúrgica y el mítodo decisivo que utilizamos para elegir la tícnica quirúrgica en el atrapamiento del nervio ulnar en el codo según parámetros concretos. Materiales y tícnicas. Entre el 2005 y el 2007, 44 pacientes han sido sometidos a cirugía según nuestro algoritmo basado en unos parámetros clínicos, clasificados a travís de la escala de McGrowan, y otros biológicos ( morfología del nervio y cantidad de cicatriz en torno al epicóndilo medial). Los pacientes fueron tratados mediante la decompresión simple "modificada" in situ, la transposición subcutánea y submuscular. Resultados. Despuís de un control durante 13.4 meses, el 70% recuperó la función en un grado, el 16% en dos grados y no hubo cambios en el 14%. Además, el 84,8% de los pacientes operados mediante la tícnica de decompresión modificada in situ presentó excelentes resultados. Conclusión. Proponemos un algoritmo para tratar uniformemente pacientes con síndrome del túnel cubital a travís de puntos de vista clínicos y biológicos. La decompresión modificada in situ es un tratamiento seguro y eficaz en la mayor parte de pacientes reduciendo el riesgo de reintervención. pubtype: Periodical doctype: Article src: R language: English refInfo: copyright: @attributes: flag: Y custom: Copyright of Neurocirugía is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. item: Neurocirugía holder: Elsevier B.V. dt: @attributes: year: 2009 holdings: @attributes: islocal: N |
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