Zajonc Horst, Momeni Arash
Department of Plastic and Hand Surgery, University of Freiburg Medical Center, Hugstetter Strasse 55, 79106 Freiburg, Germany.
Hand Clin. 2014 Feb;30(1):55-62. doi: 10.1016/j.hcl.2013.08.021.
It is safe to say that in situ decompression of the ulnar nerve in cubital tunnel syndrome has been demonstrated to achieve equivalent functional results when compared with more elaborate techniques, such as decompression with nerve transposition. The evolution toward procedures associated with less patient morbidity is reflected by the introduction of endoscopic techniques for the treatment of cubital tunnel syndrome. The authors have incorporated the endoscopic approach as proposed by Hoffmann and Siemionow into their practice and have obtained favorable results. Although the skin incision can frequently be kept to a minimum (<2 cm), superior visualization associated with this approach allows for in situ decompression of the ulnar nerve along a distance of up to 30 cm. Despite the extent of decompression performed, operative morbidity is minimal, with return to full duty being the rule even in manual laborers within 10 to 14 days postoperatively.
可以肯定地说，与更复杂的技术（如神经转位减压术）相比，已证明肘管综合征尺神经原位减压术能取得相同的功能效果。向患者发病率更低的手术方法的演变体现在用于治疗肘管综合征的内镜技术的引入上。作者已将霍夫曼和西梅奥诺夫提出的内镜方法纳入他们的实践中，并取得了良好的效果。尽管皮肤切口通常可以保持在最小限度（<2 cm），但这种方法带来的更好的视野能对长达30 cm的尺神经进行原位减压。尽管减压范围较大，但手术发病率很低，即使是体力劳动者，术后10至14天也通常能恢复全职工作。
