Department of Musculoskeletal Research, University Hospitals of Leicester NHS Trust, Leicester, England.
Department of Orthopaedic Surgery, Sandwell and West Birmingham NHS Trust, Birmingham, United Kingdom.
J Hand Surg Asian Pac Vol. 2020 Dec;25(4):393-401. doi: 10.1142/S2424835520400032.
Cubital tunnel syndrome is the second most common nerve compression syndrome seen in the upper limb. Paresthesia and weakness are the two most common presentations in the hand. If left untreated, compression can lead to irreversible nerve damage, resulting in a loss of function of the forearm and hand. Therefore, recognizing the various clinical presentations of cubital tunnel syndrome can lead to early detection and prevention of nerve damage. Conservative management is usually tried first and involves supporting the elbow using a splint. If this fails and symptoms do not improve, surgical management is indicated. There are 3 main surgical techniques used to relieve compression of the nerve. These are simple decompression, anterior transposition and medial epicondylectomy. Studies comparing the techniques have demonstrated particular advantages to using one or another. However, the overall technique of choice is based on both the clinical scenario and the surgeon's digression. Following primary cubital tunnel surgery, recurrent symptoms can often occur due to a variety of pathological and non-pathological causes and revision surgery is usually warranted. This article provides a complete review of cubital tunnel syndrome.
肘管综合征是上肢第二常见的神经压迫综合征。手部最常见的两种表现是感觉异常和无力。如果不治疗，压迫会导致不可逆转的神经损伤，从而导致前臂和手部功能丧失。因此，认识到肘管综合征的各种临床表现可以早期发现并预防神经损伤。通常首先尝试保守治疗，包括使用夹板支撑肘部。如果失败且症状没有改善，则需要手术治疗。有 3 种主要的手术技术用于缓解神经压迫。这些是简单减压、前移位和内上髁切除术。比较这些技术的研究表明，使用一种或另一种技术有特定的优势。然而，选择哪种技术主要取决于临床情况和外科医生的偏好。初次肘管手术后，由于多种病理和非病理原因，常出现复发症状，通常需要进行翻修手术。本文全面回顾了肘管综合征。
