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Fascia Wrapping Technique: A Modified Method for the Treatment of Cubital Tunnel Syndrome

Variations of the anterior transposition of the ulnar nerve for cubital tunnel syndrome include subcutaneous, submuscular, intramuscular, and subfascial methods. We introduce a modification of subfascial transposition, which is designed to facilitate nerve gliding by wrapping the nerve with fascia....

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Detalles Bibliográficos
Autores principales: Han, Hyun Ho, Kang, Hae Won, Lee, Jun Yong, Jung, Sung-No
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4214043/
https://www.ncbi.nlm.nih.gov/pubmed/25386601
http://dx.doi.org/10.1155/2014/482702
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author Han, Hyun Ho
Kang, Hae Won
Lee, Jun Yong
Jung, Sung-No
author_facet Han, Hyun Ho
Kang, Hae Won
Lee, Jun Yong
Jung, Sung-No
author_sort Han, Hyun Ho
collection PubMed
description Variations of the anterior transposition of the ulnar nerve for cubital tunnel syndrome include subcutaneous, submuscular, intramuscular, and subfascial methods. We introduce a modification of subfascial transposition, which is designed to facilitate nerve gliding by wrapping the nerve with fascia. Twenty patients with wrapping surgery following the diagnosis of cubital tunnel syndrome were reviewed retrospectively. Preoperative electrodiagnostic studies were performed in all patients and all of them were rechecked postoperatively. The preoperative mean value of motor conduction velocity (MCV) was 37.1 ± 6.7 m/s within the elbow segment and this result showed a decrease compared to the result of MCV with 53.9 ± 6.9 m/s in the below the elbow-wrist segment with statistical significance (P < 0.05). Postoperative mean values of MCV were improved in all of 20 patients to 47.6 ± 5.5 m/s (P < 0.05). 19 patients of 20 (95%) reported good or excellent clinical outcomes according to a modified Bishop scoring system. The surgical treatment methods for cubital tunnel syndrome have their own advantages and disadvantages, and the preferred method differs depending on the surgeon. The wrapping method of anterior transposition is a newly designed alternative method modified from subfascial transposition. This method could be an alternative option to treat cubital tunnel syndrome.
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spelling pubmed-42140432014-11-10 Fascia Wrapping Technique: A Modified Method for the Treatment of Cubital Tunnel Syndrome Han, Hyun Ho Kang, Hae Won Lee, Jun Yong Jung, Sung-No ScientificWorldJournal Clinical Study Variations of the anterior transposition of the ulnar nerve for cubital tunnel syndrome include subcutaneous, submuscular, intramuscular, and subfascial methods. We introduce a modification of subfascial transposition, which is designed to facilitate nerve gliding by wrapping the nerve with fascia. Twenty patients with wrapping surgery following the diagnosis of cubital tunnel syndrome were reviewed retrospectively. Preoperative electrodiagnostic studies were performed in all patients and all of them were rechecked postoperatively. The preoperative mean value of motor conduction velocity (MCV) was 37.1 ± 6.7 m/s within the elbow segment and this result showed a decrease compared to the result of MCV with 53.9 ± 6.9 m/s in the below the elbow-wrist segment with statistical significance (P < 0.05). Postoperative mean values of MCV were improved in all of 20 patients to 47.6 ± 5.5 m/s (P < 0.05). 19 patients of 20 (95%) reported good or excellent clinical outcomes according to a modified Bishop scoring system. The surgical treatment methods for cubital tunnel syndrome have their own advantages and disadvantages, and the preferred method differs depending on the surgeon. The wrapping method of anterior transposition is a newly designed alternative method modified from subfascial transposition. This method could be an alternative option to treat cubital tunnel syndrome. Hindawi Publishing Corporation 2014 2014-10-15 /pmc/articles/PMC4214043/ /pubmed/25386601 http://dx.doi.org/10.1155/2014/482702 Text en Copyright © 2014 Hyun Ho Han et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Clinical Study
Han, Hyun Ho
Kang, Hae Won
Lee, Jun Yong
Jung, Sung-No
Fascia Wrapping Technique: A Modified Method for the Treatment of Cubital Tunnel Syndrome
title Fascia Wrapping Technique: A Modified Method for the Treatment of Cubital Tunnel Syndrome
title_full Fascia Wrapping Technique: A Modified Method for the Treatment of Cubital Tunnel Syndrome
title_fullStr Fascia Wrapping Technique: A Modified Method for the Treatment of Cubital Tunnel Syndrome
title_full_unstemmed Fascia Wrapping Technique: A Modified Method for the Treatment of Cubital Tunnel Syndrome
title_short Fascia Wrapping Technique: A Modified Method for the Treatment of Cubital Tunnel Syndrome
title_sort fascia wrapping technique: a modified method for the treatment of cubital tunnel syndrome
topic Clinical Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4214043/
https://www.ncbi.nlm.nih.gov/pubmed/25386601
http://dx.doi.org/10.1155/2014/482702
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