Robertson Chad, Saratsiotis John
J Manipulative Physiol Ther. 2005 Jun;28(5):345. doi: 10.1016/j.jmpt.2005.04.005.
To review the anatomy, etiology, and symptoms associated with compressive ulnar neuropathy at the elbow and to discuss the diagnosis and treatment of this condition.
The following were searched for information relevant to cubital tunnel syndrome: MEDLINE, WorldCat, and Index to Chiropractic Literature.
Cubital tunnel syndrome is the second most common nerve compression syndrome of the upper extremity. Clinical features of this syndrome are described along with electrodiagnostic techniques that can be used to provide evidence concerning the probable location, character, and severity of the lesion affecting the ulnar nerve. Conservative treatment of cubital tunnel syndrome is recommended for patients with intermittent symptoms and without changes in cutaneous sensation or muscle atrophy.
A definitive diagnosis can best be made using clinical tests along with nerve conduction studies and electromyography, conservative treatment can be effective in treating this neuropathy in mild cases; in moderate or severe cases, surgery may be necessary.
回顾与肘部尺神经卡压相关的解剖结构、病因及症状，并探讨该疾病的诊断与治疗。
检索了以下与肘管综合征相关的信息来源：医学文献数据库（MEDLINE）、世界图书馆联机联合目录（WorldCat）以及脊椎按摩疗法文献索引。
肘管综合征是上肢第二常见的神经卡压综合征。描述了该综合征的临床特征以及可用于提供有关影响尺神经病变的可能位置、性质和严重程度证据的电诊断技术。对于有间歇性症状且无皮肤感觉改变或肌肉萎缩的肘管综合征患者，建议采用保守治疗。
结合临床检查以及神经传导研究和肌电图检查可做出明确诊断；保守治疗对轻度病例的这种神经病变可能有效；在中度或重度病例中，可能需要手术治疗。
