Evaluation of etiologic findings in patients with surgery of cubital tunnel syndrome
Background: Cubital tunnel syndrome, a neuropathy of ulnar nerve, is the second most common entrapping syndrome in the upper limb surpassing carpal tunnel syndrome. This syndrome arises from a high pressure decompressing the nerve for a long time. Patients with cubital tunnel syndrome show numbness...
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| Format: | Article |
| Language: | fas |
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Tehran University of Medical Sciences
2020-04-01
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| Series: | Tehran University Medical Journal |
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| Online Access: | http://tumj.tums.ac.ir/article-1-10381-en.html |
| _version_ | 1818175268216373248 |
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| author | Mohammadreza Emamhadi Ashkan Asgari-Gashtroudkhani Roxana Emamhadi Samaneh Ghorbani-Shirkouhi Sasan Andalib |
| author_facet | Mohammadreza Emamhadi Ashkan Asgari-Gashtroudkhani Roxana Emamhadi Samaneh Ghorbani-Shirkouhi Sasan Andalib |
| author_sort | Mohammadreza Emamhadi |
| collection | DOAJ |
| description | Background: Cubital tunnel syndrome, a neuropathy of ulnar nerve, is the second most common entrapping syndrome in the upper limb surpassing carpal tunnel syndrome. This syndrome arises from a high pressure decompressing the nerve for a long time. Patients with cubital tunnel syndrome show numbness in the ring and small fingers. The aim of this study was to evaluate the etiology of cubital tunnel syndrome in patients who underwent surgery for treatment of the syndrome.
Methods: In this retrospective study, medical records of 100 patients who underwent surgery for treatment of cubital tunnel syndrome at Department of Neurosurgery, Poursina Hospital, Rasht, Iran from March 2008 to March 2017, were checked. The etiology of cubital tunnel syndrome including inflammatory, tumoral, vascular, orthopedic causes and anomalies in nerve site and information about age, gender, job, and weight were collected and analyzed.
Results: In this study, the mean±SD of age was 33.8±11.5 years. Females and males constituted 21% and 79% of the cases, respectively. Idiopathic and orthopedic etiologies were seen in 84% and 13% of the operated cases, respectively. Vascular, tumoral, and inflammatory causes were found in 1% of the cases. Regarding location of nerve involvement, 57% of the cases had the ulnar nerve entrapment between MCL (medial collateral ligament) and Osborne ligaments; and in 22% of the cases, the cubital tunnel was involved. Arcade of Struthers and medial epicondyle and medial intermuscular septum were involved in 8%, 8%, and 5% of the patients, respectively. Forty-five percent of the cases performed a repetitive manual task by hand and 1.9% of cases were vibrator workers. Moreover, 12.4% of cases had a history of cubitus valgus or cubitus varus. Finally, 20.9% and 18% of the cases suffered from obesity (BMI>30) and diabetes mellitus, respectively. Furthermore, one patient had a history of head injury with contractions of upper limb flexion and one patient had arthritis of medial epicondylitis.
Conclusion: The evidence from the present study indicates that the idiopathic cubital tunnel syndrome constituted the bulk of involvement on ulnar nerve in the patients. Job, obesity, and diabetes were the most important accompanying factors with cubital tunnel syndrome. |
| first_indexed | 2024-12-11T19:57:36Z |
| format | Article |
| id | doaj.art-2ae48726d39b4665b9cd56c3ede4d9a9 |
| institution | Directory Open Access Journal |
| issn | 1683-1764 1735-7322 |
| language | fas |
| last_indexed | 2024-12-11T19:57:36Z |
| publishDate | 2020-04-01 |
| publisher | Tehran University of Medical Sciences |
| record_format | Article |
| series | Tehran University Medical Journal |
| spelling | doaj.art-2ae48726d39b4665b9cd56c3ede4d9a92022-12-22T00:52:36ZfasTehran University of Medical SciencesTehran University Medical Journal1683-17641735-73222020-04-0178299104Evaluation of etiologic findings in patients with surgery of cubital tunnel syndromeMohammadreza Emamhadi0Ashkan Asgari-Gashtroudkhani1Roxana Emamhadi2Samaneh Ghorbani-Shirkouhi3Sasan Andalib4 Brachial Plexus and Peripheral Nerve Injury Center, Guilan University of Medical Sciences, Rasht, Iran. Department of Surgery, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran. Department of Biotechnology, School of Basic Sciences, Tonekabon Branch, Islamic Azad University, Tonekabon, Iran. Neuroscience Research Center, Guilan University of Medical Sciences, Rasht, Iran. Neuroscience Research Center, Guilan University of Medical Sciences, Rasht, Iran.Department of Neurosurgery, Poursina Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran.Guilan Road Trauma Research Center, Guilan University of Medical Sciences, Rasht, Iran.Clinical Research Development Unit, Poursina Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran. Background: Cubital tunnel syndrome, a neuropathy of ulnar nerve, is the second most common entrapping syndrome in the upper limb surpassing carpal tunnel syndrome. This syndrome arises from a high pressure decompressing the nerve for a long time. Patients with cubital tunnel syndrome show numbness in the ring and small fingers. The aim of this study was to evaluate the etiology of cubital tunnel syndrome in patients who underwent surgery for treatment of the syndrome. Methods: In this retrospective study, medical records of 100 patients who underwent surgery for treatment of cubital tunnel syndrome at Department of Neurosurgery, Poursina Hospital, Rasht, Iran from March 2008 to March 2017, were checked. The etiology of cubital tunnel syndrome including inflammatory, tumoral, vascular, orthopedic causes and anomalies in nerve site and information about age, gender, job, and weight were collected and analyzed. Results: In this study, the mean±SD of age was 33.8±11.5 years. Females and males constituted 21% and 79% of the cases, respectively. Idiopathic and orthopedic etiologies were seen in 84% and 13% of the operated cases, respectively. Vascular, tumoral, and inflammatory causes were found in 1% of the cases. Regarding location of nerve involvement, 57% of the cases had the ulnar nerve entrapment between MCL (medial collateral ligament) and Osborne ligaments; and in 22% of the cases, the cubital tunnel was involved. Arcade of Struthers and medial epicondyle and medial intermuscular septum were involved in 8%, 8%, and 5% of the patients, respectively. Forty-five percent of the cases performed a repetitive manual task by hand and 1.9% of cases were vibrator workers. Moreover, 12.4% of cases had a history of cubitus valgus or cubitus varus. Finally, 20.9% and 18% of the cases suffered from obesity (BMI>30) and diabetes mellitus, respectively. Furthermore, one patient had a history of head injury with contractions of upper limb flexion and one patient had arthritis of medial epicondylitis. Conclusion: The evidence from the present study indicates that the idiopathic cubital tunnel syndrome constituted the bulk of involvement on ulnar nerve in the patients. Job, obesity, and diabetes were the most important accompanying factors with cubital tunnel syndrome.http://tumj.tums.ac.ir/article-1-10381-en.htmlcubital tunnel syndromeetiologyretrospective studiessurgeryulnar nerve |
| spellingShingle | Mohammadreza Emamhadi Ashkan Asgari-Gashtroudkhani Roxana Emamhadi Samaneh Ghorbani-Shirkouhi Sasan Andalib Evaluation of etiologic findings in patients with surgery of cubital tunnel syndrome Tehran University Medical Journal cubital tunnel syndrome etiology retrospective studies surgery ulnar nerve |
| title | Evaluation of etiologic findings in patients with surgery of cubital tunnel syndrome |
| title_full | Evaluation of etiologic findings in patients with surgery of cubital tunnel syndrome |
| title_fullStr | Evaluation of etiologic findings in patients with surgery of cubital tunnel syndrome |
| title_full_unstemmed | Evaluation of etiologic findings in patients with surgery of cubital tunnel syndrome |
| title_short | Evaluation of etiologic findings in patients with surgery of cubital tunnel syndrome |
| title_sort | evaluation of etiologic findings in patients with surgery of cubital tunnel syndrome |
| topic | cubital tunnel syndrome etiology retrospective studies surgery ulnar nerve |
| url | http://tumj.tums.ac.ir/article-1-10381-en.html |
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