Poenaru Daniela, Ojoga Florina, Sandulescu Miruna, Cinteza Delia
Department of Rehabilitation, 'Carol Davila' University of Medicine and Pharmacy, Bucharest 052785, Romania.
Exp Ther Med. 2022 Jun 15;24(2):517. doi: 10.3892/etm.2022.11444. eCollection 2022 Aug.
Ulnar neuropathy at the elbow (UNE) is the second most frequent entrapment syndrome in the upper limb after carpal tunnel syndrome. Clinical features are validated through electromyographic and sonographic examination. Although the two aforementioned entrapment syndromes share common pathophysiological traits, the conservative treatment approach for mild and moderate cases of UNE differs from that for median nerve entrapment. The present study identified 23 different types of scientific articles aimed to address this issue. The research stressed the importance of patient education and activity modification. Night splinting offers clinical and functional improvement. Although corticosteroid injections play a role in selected cases, their utility remains to be validated. Physiotherapy trials evaluated ultrasound, low-level laser therapy, diathermy, extracorporeal shock wave therapy and dry cupping. Neurodynamic mobilization may add value to therapeutic approaches and should be a part of it.
肘部尺神经病变（UNE）是上肢继腕管综合征之后第二常见的卡压综合征。临床特征通过肌电图和超声检查得以验证。尽管上述两种卡压综合征具有共同的病理生理特征，但轻度和中度UNE病例的保守治疗方法与正中神经卡压的治疗方法不同。本研究确定了23种旨在解决该问题的不同类型的科学文章。该研究强调了患者教育和活动调整的重要性。夜间夹板固定可带来临床和功能改善。尽管皮质类固醇注射在特定病例中起作用，但其效用仍有待验证。物理治疗试验评估了超声、低强度激光治疗、透热疗法、体外冲击波疗法和火罐疗法。神经动力松动术可能会增加治疗方法的价值，应成为其中一部分。
