Abstract
Aims: To share the 7-year experience of a single center in the application of regional intravenous anesthesia (RIVA) for surgical treatment of cubital tunnel syndrome (CTS) caused by compression of the ulnar nerve in the elbow region.
Methods: A total of 100 patients with CTS who were operated with the RIVA technique at a single center between 2012 and 2019 were retrospectively analyzed. In the RIVA technique, after providing venous drainage in the operated side arm, the double cuff tourniquet was inflated in the upper arm, and anesthesia was provided by administering a 30-40 mL solution of 2% lidocaine (3 mg/kg) diluted in 1% saline through the intravenous catheter. The surgical methods applied (transposition or internal neurolysis with external decompression), demographic data, preoperative and postoperative visual analog scale (VAS) scores for pain were compared.
Results: Out of 100 patients, 30 patients underwent surgical transposition (group 1) while internal neurolysis with external decompression was performed in 70 patients (group 2). The mean age of patients in groups 1 and 2 was 66.3±12.1 and 60.6±11.7 years, respectively. Women accounted for 73.3% of patients in group 1 and 87.1% of patients in group 2. The left side was affected in 18 (60%) patients in group 1 and 42 (60%) patients in group 2. In group 1, the mean postoperative 3rd-week VAS score (1.96±0.76) was significantly lower than the mean preoperative VAS score (7.46±0.93; p
Publisher
Anatolian Current Medical Journal
Reference41 articles.
1. Elhassan B, Steinmann SP. Entrapment neuropathy of the unlar nerve. J Am Acad Orthop Surg. 2007;15(11):672-681.
2. Filippou G, Mondelli M, Greco G, et al. Ulnar neuropathy at the elbow: how frequent is the idiopathic form? an ultrasonographic study in a cohort of patients. Clin Exp Rheumatol. 2010;28(1):63-67.
3. Calışaneller T, Özdemir O, Caner H, Altınörs N. Simple decompression of the ulnar nerve at the elbow via proximal and distal mini skin incisions. Turk Neurosurg. 2011;21(2):167-171.
4. Alp NB, Akdağ G. Epineural ganglion causing cubital tunnel syndrome: a case report. Jt Dis Relat Surg. 2020;31(1):154-158.
5. An TW, Evanoff BA, Boyer MI, Osei DA. The prevalence of cubital tunnel syndrome: a cross-sectional study in a U.S. Metropolitan cohort. J Bone Joint Surg Am. 2017;99(5):408-416.