Study Shows Transposition Surgery Trending Better Than Decompression for Cubital Tunnel Syndrome
A study on cubital tunnel surgery published in October 2008 has some interesting results: 1. Transposition is better than decompression 2. Subcutaneous = submuscular The report is called “Simple Decompression Versus Anterior Subcutaneous and Submuscular Transposition of the Ulnar Nerve for Cubital Tunnel Syndrome: A Meta-Analysis” written by Sheina A. Macadam, MD and others. The study analyzed ten other studies involving a total of 449 simple decompressions, 342 subcutaneous transpositions, and 115 submuscular transpositions. The report indicates a need for additional studies that use reproducible pre- and post-operative measures to produce a more definitive conclusion on which types of surgery are best for cubital tunnel syndrome.
Odds of improvement with simple decompression versus anterior transposition were 0.751. This indicates a trend toward an improved clinical outcome with transposition of the ulnar nerve as opposed to simple decompression. In other words, transposition surgery has a slightly better success rate than decompression.
The type of transposition technique (subcutaneous or submuscular) did not render a statistically significant result. In other words, subcutaneous transposition surgery has about the same success rate as submuscular transposition.
Cell Phone Elbow or “Cellbow” Damages the Nerve in Your Arm
If your elbow aches, or your ring and little fingers tingle or feel numb, then you may have “cell phone elbow” or “cellbow.” Orthopedic doctors report a surge of cellbow cases in which patients pinch or damage the ulnar nerve in their arm by bending their elbows too tightly for too long. When cell phone users hold their small phone to their ears, they stretch the nerve that runs from the neck, through the shoulder, around the elbow and into the small fingers in the hand. When people talk for a long time in this position, it “chokes the blood supply to the nerves. It makes the nerves short-circuit. The next thing you know, there’s tingling in the ring and small finger,” said Dr. Peter J. Evans, Director of the Hand and Upper Extremity Center at the Cleveland Clinic in Ohio. Though the nerves are designed to stretch, it’s not normal for the nerve to be stretched this way for hours.
Athletics Pitcher Dan Giese Out with Ulnar Nerve Problems
Oakland Athletics relief pitcher Dan Giese was placed on the Disabled List with an irritated ulnar nerve. Lefty Gio Gonzalez has replaced him. “The nerve in my elbow jumped ship and it causes numbness down to my hand when it bounced around,” Giese said. “I’ve had it before, but not this bad.” Giese has had the problem on and off since 2007. The problem arose again during his last game and caused him to fall to his knees in pain after a pitch. He said it’s usually at least two weeks before he can pitch again. Giese suffers from Cubital Tunnel Syndrome (CuTS), a repetitive stress injury (RSI) that can result in moderate to severe pain and numbness in the elbow and ring & little fingers. Untreated, CuTS can result in extreme pain, surgery or an unusable hand. People suffering from CuTS can seek information and Surgery is sometimes the only solution to CuTS. Reliever Russ Springer had surgery to relocate his ulnar nerve. Though athletes usually require 4-6 months of rehab after ulnar nerve surgery, Springer only rested for 10 days. He said he returned to the mound so fast that his arm was still black and blue its entire length. “I don’t recommend it,” he said.
answers at the Cubital Tunnel Forums online.
Cubital Tunnel Diagram
Vanumu has created a helpful anatomical diagram that shows how the ulnar nerve can become pinched in the cubital tunnel groove on the elbow. The cubital tunnel is a fibro osseous canal, where ligaments and tendons attach to the bone. The tunnel is formed by the medial condyle (bony point on the elbow), ulnar collateral ligament, and flexor carpi ulnaris muscle. Bending the elbow stretches the nerve and decreases the volume of the channel, possibly entrapping the ulnar nerve and resulting in the pain and numbness of cubital tunnel syndrome.
Books About Cubital Tunnel Syndrome and the Ulnar Nerve
There are only a few books in print about cubital tunnel syndrome and the ulnar nerve: The Ulnar Nerve 
by Dan Zlolotow and Vincent Pellegrini
Despite much study devoted to the ulnar nerve, no consensus exists as to how to treat even the most frequent causes of ulnar nerve dysfunction. With a review of the anatomy and pathophysiology, we explore the rationale behind the most common techniques for treating pathology of the ulnar nerve via reflexions by both current thought leaders and emerging voices in the field.
Recovery Time from Cubital Tunnel Surgery
Cubital tunnel syndrome (CuTS) is a repetitive stress injury (RSI) that feels like you hit your funny bone. CuTS is caused when the ulnar nerve in your arm is irritated, pinched or damaged, typically at the bony point on the elbow. If left untreated, CuTS can result in extreme pain, surgery or an unusable hand. Most doctors recommend that patients undergo conservative treatment before rushing to surgery, except in cases of injury or severe CuTS. Conservative treatment includes wearing a splint to keep your arm straight while sleeping, physical therapy, change in work habits, using tools and technology to reduce repetitive motion, and taking medication to reduce pain. If surgery is required, one of the most common questions is: When can I return to work? The answer depends on many factors, such as:Recovery Depends on Many Factors
Top 10 Things You Need to Know About Cubital Tunnel Syndrome
If you have pain or numbness in your ring & little fingers or your elbow, it’s quite possible that you suffer from Cubital Tunnel Syndrome (CuTS). CuTS is a repetitive stress injury (RSI) that feels like you hit your funny bone. CuTS is caused when the ulnar nerve in your arm is irritated, pinched or damaged, typically at the bony point on the elbow. If left untreated, CuTS can result in extreme pain, surgery or an unusable hand. No doubt you have many questions and concerns and are visiting web sites such as cubital-tunnel.com for answers. The CuTS FAQ is a great place to start. And in this article we provide the ten most important things you need to know about Cubital Tunnel Syndrome:
Cardinals Star Albert Pujols has Ulnar Transposition Surgery
St. Louis Cardinals first baseman Albert Pujols had surgery on his right elbow to relieve severe cubital tunnel syndrome. Pujols’ operation was performed by Cardinals team physician Dr. George Paletta. The surgery included decompression and transposition of the ulnar nerve, but did not require reconstruction of the medial collateral ligament as was initially feared.
Study Questions Transposition Surgery for Cubital Tunnel Syndrome
A new study published in the September 2008 issue of Current Orthopaedic Practice indicates that ulnar nerve transposition surgery often does not provide additional benefit over simple decompression surgery for cubital tunnel syndrome.
Integra LifeSciences Develops EndoRelease for Cubital Tunnel Syndrome
Integra LifeSciences has introduced a new EndoRelease system that provides a minimally invasive approach to the treatment of cubital tunnel syndrome.
