Current diagnostics and treatment of the cubital tunnel syndrome in Austria

被引：6

作者：

Harder, Kristina ^{[1
,2
]}

Diehm, Jens ^{[1
,2
]}

Fassola, Isabella ^{[1
,2
]}

Al Khaled, Nesrin ^{[1
,2
]}

Doll, Dietrich ^{[1
,2
]}

Dunda, Sebastian E. ^{[1
,2
]}

Krapohl, Bjoern Dirk ^{[1
,2
]}

机构：

[1] St Marien Krankenhaus Berlin, Dept Plast & Hand Surg, Gallwitzallee 123-143, D-12249 Berlin, Germany

[2] Charite Med Univ Berlin, Ctr Musculoskeletal Surg, Berlin, Germany

来源：

GMS INTERDISCIPLINARY PLASTIC AND RECONSTRUCTIVE SURGERY DGPW | 2016年 / 5卷

关键词：

cubital tunnel syndrome; ulnar nerve; peripheral nerve compression;

D O I：

10.3205/iprs000082

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

According to the vote of the Austrian Society for Surgery of the Hand (OGH) an investigation to collect data on the current state of the treatment of cubital tunnel syndrome was initiated. Over one year a total of 875 patients with cubital tunnel syndrome were operated in Austria, this means an incidence of this nerve entrapment of 0.011%. Most of the operations were done by trauma surgeons (287; 33%). For diagnosis most of the centers rely on clinical symptoms, electroneurophysiology, and elbow X-ray. 40% of the institutions regard conservative therapy as useless and not indicated. If conservative treatment modalities are applied, physiotherapy (97%), non-steroidal anti-inflammatory medication (77%), and glucocorticoid injections (30%) are primarily used. In case of simple nerve entrapment most of the surgeons (72%) prefer simple nerve decompression. If there is additional pathology subcutaneous cubital nerve transposition is recommended (62%). Endoscopic techniques are only use by 3% of the surgeons. In the postoperative care, physiotherapy is favored in 51%, whereas 24% do not judge any postoperative care as beneficial. The three most often encountered complications were incomplete remission, scar contracture and hypertrophy, and postoperative bleeding.

引用

页数：5

共 7 条

[1] Prospective randomized controlled study comparing simple decompression versus anterior subcutaneous transposition for idiopathic neuropathy of the ulnar nerve at the elbow: Part 1 [J].