RESUMO
As our understanding of the anatomy of the ulnar tunnel has increased, so too has our ability to clinically predict the specific sites of compression in ulnar tunnel syndrome. Anatomic studies have described in detail the course of the ulnar nerve as it passes through the ulnar tunnel and have helped correlate symptoms with anatomic location. Although the most common cause of compression is from a ganglion, other space-occupying lesions, such as tumors, anomalous muscles, or a thrombosed ulnar artery, are important to consider in the initial evaluation of the patient. While conservative management can sometimes be successful, the mainstay of treatment of this condition remains meticulous surgical exploration and decompression.
Assuntos
Síndromes de Compressão do Nervo Ulnar/etiologia , Síndromes de Compressão do Nervo Ulnar/terapia , Síndrome do Túnel Carpal/complicações , Descompressão Cirúrgica , Eletrodiagnóstico , Fraturas Ósseas/complicações , Traumatismos da Mão/complicações , Síndrome da Vibração do Segmento Mão-Braço/complicações , Humanos , Exame Neurológico , Artéria Ulnar/anatomia & histologia , Nervo Ulnar/anatomia & histologia , Síndromes de Compressão do Nervo Ulnar/classificação , Síndromes de Compressão do Nervo Ulnar/diagnóstico , Traumatismos do Punho/complicaçõesRESUMO
Cubital tunnel syndrome is a clinical entity that has been described for more than a century. Numerous conservative and surgical treatments have evolved to address this condition, but a consensus has yet to emerge regarding optimal treatment. Evidence suggests a limited but potentially valuable role for in situ decompression of the ulnar nerve at the cubital tunnel. Future research will undoubtedly clarify this role and contribute to the development of a standard treatment protocol.
