RESUMO
The untoward effects resulting from compression of the ulnar nerve have been recognized for almost 2 centuries. Initial treatment of cubital tunnel syndrome focused on complete transection of the nerve at the level of the elbow, resulting in initial alleviation of pain but significant functional morbidity. A number of subsequent techniques have been described including in situ decompression, subcutaneous transposition, submuscular transposition, and most recently, endoscopic release. This manuscript focuses on the historical aspects of each of these treatments and our current understanding of their efficacy.
Assuntos
Descompressão Cirúrgica/história , Procedimentos Neurocirúrgicos/história , Síndromes de Compressão do Nervo Ulnar/história , História do Século XIX , História do Século XX , História do Século XXI , Humanos , Síndromes de Compressão do Nervo Ulnar/cirurgiaRESUMO
Guyon canal refers to the ulnar tunnel at the wrist named for the French surgeon Jean Casimir Félix Guyon, who described this space in 1861. After Guyon's description, clinicians have focused their interest on symptoms caused by compression of structures occupying this canal (later named ulnar tunnel syndrome or Guyon syndrome). However, disagreement and confusion persisted over the correct anatomical boundaries and terminology used to describe the ulnar tunnel. Through anatomical investigation and evolving clinical case studies, the current understanding of the anatomy of the ulnar tunnel was established. This article examines the evolution of the anatomical description of the ulnar tunnel and its relevant clinical associations and casts light on the life and contributions of Guyon.
Assuntos
Síndromes de Compressão do Nervo Ulnar/história , Nervo Ulnar/anatomia & histologia , Punho/anatomia & histologia , Evolução Biológica , França , História do Século XIX , História do Século XX , HumanosRESUMO
The paper presents history of surgical treatment of ulnar nerve compression at the elbow. Chronological overview the history surgical techniques is presented. This article to provide information of history surgical treatment of ulnar nerve decompression in Poland.