INTEREST OF SURGICAL TREATMENT OF POST-TRAUMATIC ULNAR SYNDROME AT THE ELBOW.
- Service de traumatologie ?orthop?die I hopital militaire d?instruction Mohamed V ? Rabat- Maroc.
- Service de traumatologie-orthop?die, Centre Hospitalier Sud-Essonne ?Etampes france.
- Abstract
- Keywords
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- Corresponding Author
RÉSUME : Le syndrome ulnaire au coude se défini par la compression du nerf ulnaire au coude liée à un traumatisme comme une fracture, un hématome ou une mauvaise posture. Les premiers symptômes sont le plus souvent manifestations sensitives qui peuvent évoluer à déficit moteur de la main et du poignet, les explorations neurophysiologiques aident au diagnostic, la prise en charge est plus souvent chirurgicale, nous rapportant une série de trois cas opérés dans notre formation par une neurolyse ulnaire associée à une transposition antérieure sous cutanée du nerf, qui a donnée des bons résultats cliniques après un recul de trois mois , cette transposition du nerf en avant de l’épicondyle médial selon plusieurs auteurs semble être le traitement de choix pour éviter des complications à l’origine de souffrances chroniques. Mots clés : Syndrome du ulnaire au coude, transposition antérieure sous-cutanée, neurolyse. ABSTRACT : Ulnar-elbow syndrome is defined as compression of the ulnar nerve at the elbow due to trauma such as fracture, hematoma, or poor posture. The first symptoms are most often sensory manifestations that can evolve to motor deficit of the hand and wrist, neurophysiological explorations help in the diagnosis, the care is more often surgical, reporting us a series of three cases operated in our formation by ulnar neurolysis associated with anterior subcutaneous transposition of the nerve, which has given good clinical results after a retreat of three months, this transposition of the nerve in front of the medial epicondyle by several authors seems to be the treatment of choice to avoid complications causing chronic suffering. Key words: Elbow ulnar syndrome, anterior subcutaneous transposition, neurolysis
- McPherson SA, Meals RA. Cubital tunnel syndrome. Orthop Clin North Am 1992;23:111-23. 34.
- Jacob D, Creteur V, Courthaliac C, et al. Sonoanatomy of the ulnar nerve in the cubital tunnel: a multicentre study by the GEL. Eur Radiol 2004;14(10):1770-3.
- Beekman R, Schoemaker MC, Van Der Plas JP, et al. Diagnostic value of high-resolution sonography in ulnar neuropathy at the elbow. Neurology 2004;62(5):767-73.
- Wiesler ER, Chloros GD, Cartwright MS, Shin HW, Walker FO. Ultrasound in the diagnosis of ulnar neuropathy at the cubital tunnel. J Hand Surg [Am] 2006;31(7):1088-93.
- Manske PR, Johnston R, Pruitt DL, Strecker WB. Ulnar nerve decompression at the cubital tunnel. Clin Orthop Relat Res 1992; (274):231-7.
- Nathan PA, Myers LD, Keniston RC, Meadows KD. Simple decompression of the ulnar nerve: an alternative to anterior transposition. J Hand Surg [Br] 1992;17(3):251-4.
- Ahcan U, Zorman P. Endoscopic decompression of the ulnar nerve at the elbow. J Hand Surg [Am] 2007;32(8):1171-6.
- Desmoineaux P. Lib?ration endoscopique du nerf ulnaire au coude. In: Fontaine C, Liverneaux P, Masmejean E. Cours europ?en de pathologie chirurgicale du membre sup?rieur et de la main. Montpellier: Sauramps m?dical, 2008: 283-8.
- Le Nen D, Moineau G, Richou J. Neurolyse du nerf ulnaire: techniques ? ciel ouvert. In: Fontaine C, Liverneaux P, Masmejean E. Cours europ?en de pathologie chirurgicale du membre sup?rieur et de la main. Montpellier: Sauramps m?dical, 2008: 289-300.
- Roulot E, Charlez C. Le nerf ulnaire au coude. Chirurgie de la main 2004;23:110-27.
- Lim BH, Toh CL, Wong HP, Pho RW. Cadaveric study on the vascular anatomy of the ulnar nerve at the elbow--a basis for anterior transposition? Ann Acad Med [Singapore] 1992;21(5):689-93.
- Prevel CD, Matloub HS, Ye Z, Sanger JR, Yousif NJ. The extrinsicblood supply of the ulnar nerve at the elbow: an anatomic study.J Hand Surg [Am] 1993;18(3):433-8.
- Sugawara M. Experimental and clinical studies of the vascularized anterior transposition of the ulnar nerve for cubital tunnel syndrome. Nippon Seikeigeka Gakkai Zasshi 1988;62(8):755-66.
- Kleinman WB. Cubital tunnel syndrome: anterior transposition as a logical approach to complete nerve decompression. J Hand Surg [Am] 1999;24(5):886-97.
- Black BT, Barron OA, Townsend PF, Glickel SZ, Eaton RG. Stabilized subcutaneous ulnar nerve transposition with immediate range of motion. Long-term follow-up. J Bone Joint Surg [Am] 2000,82-A(11):1544-51.
- Weirich SD, Gelberman RH, Best SA, Abrahamsson SO, Furcolo DC, Lins RE. Rehabilitation after subcutaneous transposition of the ulnar nerve: immediate versus delayed mobilization. J Shoulder Elbow Surg 1998;7(3):244-9.
- American Association of Electrodiagnostic Medicine: Practice parameter for electrodiagnostic studies in ulnar neuropathy at the elbow: summary statement. Muscle Nerve 1999; suppl 8:171-4.
- Eisen A. Early diagnosis of ulnar nerve palsy. An electrophysiologic study. Neurology 1974;24(3):256-62
- G Cohen, E Masmejean Surgical treatment of cubital tunnel syndrome. About 50
- Cases ; e-m?moires de l'Acad?mie Nationale de Chirurgie, 2008, 7 (4) : 21-30
- Britz G. ulnar nerve entrapment at the elbo, Correlation of Magnetic resonance Imaging. Linical, Electrodignostic and Intraoperative finding .Neurosurgery 1996?; 38(3)?: 458-65.
[Badreddine DEHAYNI , Adam LARIBI, George SAAD mohamed ZAAF and Abdoiahab JAAFAR. (2018); INTEREST OF SURGICAL TREATMENT OF POST-TRAUMATIC ULNAR SYNDROME AT THE ELBOW. Int. J. of Adv. Res. 6 (May). 339-342] (ISSN 2320-5407). www.journalijar.com
Service de traumatologie orthopédie I , Hôpital Militaire D\'instruction Mohamed V , Rabat , MAROC