Modern principles of diagnosis and treatment of ulnar nerve neuropathy at the cubital canal level-Reference-Cited by-同舟云学术

Modern principles of diagnosis and treatment of ulnar nerve neuropathy at the cubital canal level

Published:2023-10-10 Issue:9 Volume:34 Page:21-27
ISSN:2587-7305
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Author:

Yarikov A.¹,Baytinger A.²,Logutov A.³,Perlmutter О.⁴,Fraerman A.⁴,Baytinger V.²,Selianinov K.⁵,Tsybusov S.⁶,Pavlova E.⁷

Affiliation:

1. Volga District Medical Center, Federal Biomedical Agency of Russia, Nizhny Novgorod 2-City Clinical Hospital Thirty-Nine, Nizhny Novgorod 3-N.I. Lobachesky Nizhny Novgorod State Research University

2. Institute of Microsurgery, Tomsk 5-V.F. Voino-Yasenetsky Krasnoyarsk State Medical University, Ministry of Health of the Russia 6-Siberian State Medical University, Tomsk

3. Federal Siberian Research Clinical Center, Federal Biomedical Agency of Russia, Krasnoyarsk

4. City Clinical Hospital Thirty-Nine, Nizhny Novgorod

5. Institute of Microsurgery, Tomsk, iberian State Medical University, Tomsk

6. N.I. Lobachesky Nizhny Novgorod State Research University

7. Far Eastern District Medical Center, Federal Biomedical Agency of Russia, Vladivostok

Abstract

Cubital tunnel syndrome is manifested by sensory and motor disorders in the hand due to compression of the ulnar nerve in the canal. The diagnosis is based on anamnesis, complaints, neurological status, provocative tests and is confirmed by electroneuromyography, ultrasound examination. At an early stage and with a mild degree of cubital canal syndrome, conservative treatment is indicated: avoidance of certain poses and movements, immobilization of the elbow joint and rational pharmacotherapy. With the ineffectiveness of conservative treatment, the presence of objective weakness and atrophy of the hand muscles, surgical treatment is indicated. The article discusses the etiology, pathogenesis, risk factors of development, principles of clinical and instrumental diagnosis and treatment of patients with cubital canal syndrome.

Publisher

Russian Vrach, Publishing House Ltd.

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