J At present,most surgeons use release and subcutaneous transposition of the ulnar nerve to treat cubital tunnel syndrome(CuTS).However,subcutaneous transposition of the ulnar nerve is not effective e-nough and leads to a high rate of recurrence in clinic when CuTS is complicated with elbow osteoarthritis(EOA).Therefore,an appropriate surgical treatment should be adopted as early as possible if the symptoms are not relieved by a conservative treatment in cases of EOA complicated with CuTS.Different surgical methods lead to different physiological environments of the ulnar nerve,resulting in different outcomes.As a result,the recurrence rate of subcutaneous transposition motion is higher in patients with EOA.Surgical submuscular transposition of the ulnar nerve under the muscle significantly reduces its angular formation during elbow flexion,provides it with a more fa-vorable biological environment and a better anatomical position,benefits the vascular reconstruction and regenera-tion of the injured nerve,and reduces its chance of secondary entrapment,leading to a better prognosis and a low-er recurrence rate.This literature review evaluates the surgical methods for patients with CuTS plus EOA in an at-tempt to provide helpful references for their treatment.
关键词
肘管综合征/骨关节炎/尺神经/肘外翻
Key words
Cubital tunnel syndrome/Osteoarthritis/Ulnar nerve/Cubitus valgus
维普
万方数据