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Clinical classification and treatment of cubital tunnel syndrome
The aim of the present study was to investigate a new clinical classification of cubital tunnel syndrome that provides an improved basis for the clinical diagnosis and treatment of the disease. Retrospective analysis was performed on 341 patients with cubital tunnel syndrome. Based on the etiology,...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
D.A. Spandidos
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4186332/ https://www.ncbi.nlm.nih.gov/pubmed/25289024 http://dx.doi.org/10.3892/etm.2014.1983 |
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author | QING, CUI ZHANG, JIANHUA WU, SHIDONG LING, ZHAO WANG, SHUANCHI LI, HAORAN LI, HAIQING |
author_facet | QING, CUI ZHANG, JIANHUA WU, SHIDONG LING, ZHAO WANG, SHUANCHI LI, HAORAN LI, HAIQING |
author_sort | QING, CUI |
collection | PubMed |
description | The aim of the present study was to investigate a new clinical classification of cubital tunnel syndrome that provides an improved basis for the clinical diagnosis and treatment of the disease. Retrospective analysis was performed on 341 patients with cubital tunnel syndrome. Based on the etiology, signs and symptoms, neurophysiological tests and computed tomography (CT) imaging, a new clinical classification was proposed. The patients enrolled in the study were treated according to the new classification. According to the new classification, cubital tunnel syndrome cases were divided into types I-IV. Treatment for patients with type I consisted of rest, immobilization or physiotherapy, while patients with type II received simple ulnar neurolysis. Type III patients underwent ulnar neurolysis with expansion of the ulnar nerve sulcus or ulnar nerve anterior transposition surgery. Type IV patients represented a subgroup of cubital tunnel syndrome cases caused by factors other than degenerative joint diseases, including cysts, tumors, traumatic fracture, deformity and elbow deformity. Patients of this type received appropriate surgical treatment according to the specific etiology. Based on previous classifications that relied on sensation and strength symptoms, a new clinical classification of elbow tunnel syndrome has been established in the present study that adopts a CT imaging evaluation index. The new classification is reasonable, simple and practical, and therapies based on this classification are more targeted than those based on previous classifications. |
format | Online Article Text |
id | pubmed-4186332 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | D.A. Spandidos |
record_format | MEDLINE/PubMed |
spelling | pubmed-41863322014-10-06 Clinical classification and treatment of cubital tunnel syndrome QING, CUI ZHANG, JIANHUA WU, SHIDONG LING, ZHAO WANG, SHUANCHI LI, HAORAN LI, HAIQING Exp Ther Med Articles The aim of the present study was to investigate a new clinical classification of cubital tunnel syndrome that provides an improved basis for the clinical diagnosis and treatment of the disease. Retrospective analysis was performed on 341 patients with cubital tunnel syndrome. Based on the etiology, signs and symptoms, neurophysiological tests and computed tomography (CT) imaging, a new clinical classification was proposed. The patients enrolled in the study were treated according to the new classification. According to the new classification, cubital tunnel syndrome cases were divided into types I-IV. Treatment for patients with type I consisted of rest, immobilization or physiotherapy, while patients with type II received simple ulnar neurolysis. Type III patients underwent ulnar neurolysis with expansion of the ulnar nerve sulcus or ulnar nerve anterior transposition surgery. Type IV patients represented a subgroup of cubital tunnel syndrome cases caused by factors other than degenerative joint diseases, including cysts, tumors, traumatic fracture, deformity and elbow deformity. Patients of this type received appropriate surgical treatment according to the specific etiology. Based on previous classifications that relied on sensation and strength symptoms, a new clinical classification of elbow tunnel syndrome has been established in the present study that adopts a CT imaging evaluation index. The new classification is reasonable, simple and practical, and therapies based on this classification are more targeted than those based on previous classifications. D.A. Spandidos 2014-11 2014-09-22 /pmc/articles/PMC4186332/ /pubmed/25289024 http://dx.doi.org/10.3892/etm.2014.1983 Text en Copyright © 2014, Spandidos Publications http://creativecommons.org/licenses/by/3.0 This is an open-access article licensed under a Creative Commons Attribution-NonCommercial 3.0 Unported License. The article may be redistributed, reproduced, and reused for non-commercial purposes, provided the original source is properly cited. |
spellingShingle | Articles QING, CUI ZHANG, JIANHUA WU, SHIDONG LING, ZHAO WANG, SHUANCHI LI, HAORAN LI, HAIQING Clinical classification and treatment of cubital tunnel syndrome |
title | Clinical classification and treatment of cubital tunnel syndrome |
title_full | Clinical classification and treatment of cubital tunnel syndrome |
title_fullStr | Clinical classification and treatment of cubital tunnel syndrome |
title_full_unstemmed | Clinical classification and treatment of cubital tunnel syndrome |
title_short | Clinical classification and treatment of cubital tunnel syndrome |
title_sort | clinical classification and treatment of cubital tunnel syndrome |
topic | Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4186332/ https://www.ncbi.nlm.nih.gov/pubmed/25289024 http://dx.doi.org/10.3892/etm.2014.1983 |
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