Cubital Tunnel Syndrome (Feat. Dr. Mackinnon)

Cubital Tunnel Syndrome
Authors: Mackinnon SE1, Yee A1
Published: May 15, 2016

AUTHOR INFORMATION
1 Division of Plastic and Reconstructive Surgery, Washington University, St. Louis, Missouri

DISCLOSURE
No authors have a financial interest in any of the products, devices, or drugs mentioned in this production or publication.

ABSTRACT
This presentation discusses cubital tunnel syndrome (CTS) and ulnar neuropathy in the context of compression neuropathies. In particular, this presentation details several topics that includes (1) controversy of management for CTS, (2) patient evaluation, (3) surgical management, (4) post-operative management, and (5) an in-depth review of the surgical procedures involved for management. Additionally, revision ulnar nerve surgery is discussed from the senior author’s experience with the appropriate management.

TABLE OF CONTENTS
00:00 Introduction
00:10 Cubital Tunnel Syndrome
00:40 Controversy on Management for Cubital Tunnel Syndrome
01:25 Meta-analysis of Simple Decompression vs Submuscular Transposition
01:50 Important Strategies for Improving Patient Outcomes for Cubital Tunnel Syndrome
03:51 PATIENT EVALUATION FOR CUBITAL TUNNEL SYNDROME
03:53 Pain Evaluation
04:21 Examination for Ulnar Nerve Compression
05:00 Localizing Neuropathy
08:51 SURGICAL MANAGEMENT FOR CUBITAL TUNNEL SYNDROME
08:56 Selection of Operative Procedures for Cubital Tunnel Syndrome
09:20 Simple Decompression and Osborne’s Ligament
10:30 Subluxation Following Simple Decompression
11:43 Vascularization in Transposition
12:00 Blood Flow in Mobilized Nerves in Rabbit Sciatic Nerve Model
13:02 Vascular Pedicle Preservation on Blood Flow and Clinical Outcome
13:52 Proximal and Distal Kinks Following Transposition
14:20 Intermuscular Septums
15:42 Surgical Management of Ulnar Neuropathy
16:48 POST-OPERATIVE MANAGEMENT FOR CUBITAL TUNNEL SYNDROME
16:54 Post-operative Management
17:27 PROCEDURES
17:32 Transmuscular Ulnar Nerve Transposition
22:58 Revision Transposition of the Ulnar Nerve
26:36 Management of MABC Neuromas
28:03 Anterior Interosseous to Ulnar Motor Supercharge End-to-side Nerve Transfer
28:06 Inductions for Supercharge Nerve Transfer
28:56 Experimental Research Premise for Supercharge Nerve Transfer
30:48 Clinical Procedure for Supercharge Nerve Transfer
32:56 Flexor Digitorum Profundus Tenodesis
34:27 Guyon’s Canal Release with Deep Motor Branch
37:00 Conclusion