Endoscopically assisted submuscular transposition of the ulnar nerve for treatment of cubital tunnel syndrome
https://doi.org/10.56618/2071-2693_2023_15_4_117
EDN: CYAOUR
Abstract
Ulnar tunnel neuropathy at the level of the elbow joint is a common compression-ischemic neuropathy of the upper extremities. There are a large number of minimally invasive and endoscopic methods of decompression and subcutaneous relocation of the ulnar nerve, which are aimed at preventing the development of dislocation. In this article, we describe a method of endoscopically assisted axillary ulnar nerve transposition that avoids the negative side of subcutaneous nerve transposition.
PURPOSE OF THE STUDY — to present a new method of endoscopically assisted axillary repositioning of the ulnar nerve in cubital tunnel syndrome. The endoscopically-assisted axillary movement of the ulnar nerve in cubital tunnel syndrome using an endoscope with an external diameter of 4.0 mm and optics 300 (Richard Wolf, Germany) is described and illustrated in detail.
THE METHOD of axillary transposition of the ulnar nerve developed by us corresponds to the principles of minimally invasive surgery and allows us to significantly reduce intraoperative trauma, keep the muscles attached to the medial epicondyle of the humerus intact, perform decompression and neurolysis of the ulnar nerve at all possible levels of compression with a small skin incision.
Supporting agencies: The work was carried out within the framework of the state assignment Development of differentiated algorithms for the surgical treatment of neurogenic tumors of the spinal cord and nerve plexuses.
About the Authors
A. S. Nazarov
RNSI n. a. prof. A.L. Polenov — branch of NMRC n. a. V.A. Almazov
Russian Federation
Russian Federation
191014, St. Petersburg, st. Mayakovskogo d.12
A. Yu. Orlov
RNSI n. a. prof. A.L. Polenov — branch of NMRC n. a. V.A. Almazov
Russian Federation
Russian Federation
191014, St. Petersburg, st. Mayakovskogo d.12
D. A. Arhipovskiy
RNSI n. a. prof. A.L. Polenov — branch of NMRC n. a. V.A. Almazov
Russian Federation
Russian Federation
191014, St. Petersburg, st. Mayakovskogo d.12
Yu. V. Belyakov
RNSI n. a. prof. A.L. Polenov — branch of NMRC n. a. V.A. Almazov
Russian Federation
Russian Federation
191014, St. Petersburg, st. Mayakovskogo d.12
E. A. Oleynik
RNSI n. a. prof. A.L. Polenov — branch of NMRC n. a. V.A. Almazov
Russian Federation
Russian Federation
191014, St. Petersburg, st. Mayakovskogo d.12
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Review
For citations:
Nazarov A.S., Orlov A.Yu., Arhipovskiy D.A., Belyakov Yu.V., Oleynik E.A. Endoscopically assisted submuscular transposition of the ulnar nerve for treatment of cubital tunnel syndrome. Russian Neurosurgical Journal named after Professor A. L. Polenov. 2023;15(4):117-121. (In Russ.) https://doi.org/10.56618/2071-2693_2023_15_4_117. EDN: CYAOUR
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