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Cubital tunnel syndrome is an entrapment neuropathy, or nerve compression syndrome, a condition caused by compression, traction or friction, of the ulnar nerve at the elbow. [1] Nerve compression is also known as a trapped nerve. The ulnar nerve travels from the shoulder (brachial plexus) down the length of the arm to the hand.
Ulnar neuropathy at the cubital tunnel is diagnosed based on characteristic symptoms and signs. Intermittent or static numbness in the small finger and ulnar half of the ring finger, weakness or atrophy of the first dorsal interosseous, positive Tinel sign over the ulnar nerve proximal to the cubital tunnel, and positive elbow flexion test (elicitation of paresthesia in the small and ring ...
1878: first ulnar nerve decompression. [50] However, it did not gain much traction at the time. 1933: first published carpal tunnel surgery for post-traumatic compression [58] 1946: first carpal tunnel surgery for idiopathic compression [59] [49] 1958: cubital tunnel surgery described [60] [50] 1962: tarsal tunnel surgery described [52]
Obstructive sleep apnea or sleep apnea is defined as either cessation of breathing (apnea) for 10 seconds, or a decrease in normal breathing (hypopnea) with an associated desaturation in oxygen and arousal during sleep that lasts at least 10 seconds. In adults, it is typical to have up to 4.9 events per hour.
Nerve entrapment is caused primarily by two physical forces on soft tissue: compression and tension. [4] Compression will squeeze the nerve and impair its local microcirculatory environment which commonly happens in anatomic tunnels. Tension is a pulling force, often caused by scarring which impedes nerve mobility during limb movements.
Ulnar neuropathy is a disorder involving the ulnar nerve. Ulnar neuropathy may be caused by entrapment of the ulnar nerve with resultant numbness and tingling. [3] It may also cause weakness or paralysis of the muscles supplied by the nerve. Ulnar neuropathy may affect the elbow as cubital tunnel syndrome.
The operation is a common procedure but in the most extreme cases, children with severe OSA requires special precautions before, surgery (see "Surgery and obstructive sleep apnea syndrome" below). In some countries, a milder surgical procedure called tonsillotomy is used to remove the protruding tonsillar tissue, a method associated with less ...
The role of gloves which help protect the ulnar nerve from compression is unclear. Palsy of the ulnar motor nerve isolated to the wrist is treated with operative decompression, often with concomitant ganglion excision. The surgery is to divide the volar carpal ligament which forms the roof of Guyon's canal, thereby reducing compression on the ...
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