Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft für Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft für Mikrochirurgie der Peripheren Nerven und Gefässe : Organ der Vereinigung der Deutschen Plastischen Chirurgen
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Handchir Mikrochir Plast Chir · Feb 2009
[The endoscopic management of the cubital tunnel syndrome--an anatomical study and first clinical results].
Besides the carpal tunnel syndrome, the cubital tunnel syndrome (CuTS) represents the second most frequent nerve entrapment syndrome. The current gold standard for surgical therapy consists of simple open decompression. Recently, an endoscopic procedure involving long-distance decompression of the ulnar nerve has been developed and this is the topic of the present study. ⋯ This was especially the case for the first 10 cm from the medial epicondyle In the second part we report our experiences with this endoscopic decompression procedure in 36 patients. With this endoscopic decompression we achieved good to very good results according to the Bishop classification in 28 patients (78%). On the basis of anatomic considerations and our current experience, the endoscopic procedure seems to represent a promising alternative to simple decompression.
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Handchir Mikrochir Plast Chir · Feb 2009
Review[Diagnosis and therapy of cubital tunnel syndrome--state of the art].
The cubital tunnel syndrome is one of the most widespread compression syndromes of a peripheral nerve. In German-speaking countries it is known as the sulcus ulnaris syndrome (retrocondylar groove syndrome), which is anatomically incorrect. The cubital tunnel consists of the retrocondylar groove, the cubital tunnel retinaculum (Lig. arcuatum or Osborne band), the humeroulnar arcade and the deep flexor/pronator aponeurosis. ⋯ In these cases revision surgery is necessary. The epicondylectomy is not common in our country. Recurrences may occur.
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Handchir Mikrochir Plast Chir · Feb 2009
[Results of endoscopic decompression of the ulnar nerve in the cubital tunnel syndrome].
Aim of this study was to evaluate our own results after endoscopic decompression of the ulnar nerve in cubital tunnel syndrome (CuTS) and to compare them with those in the literature. ⋯ In this study endoscopic decompression of the ulnar nerve in CuTS proved to be a patient-oriented and excellent method with very good, reproducible results, even in Dellon III patients.
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Handchir Mikrochir Plast Chir · Feb 2009
[Aspiration of flexor tendon sheath ganglion guided by ultrasonography. An alternative to blind aspiration or surgery?].
Surgery is generally thought to be the most successful treatment of flexor tendon sheath ganglions. Most previous investigators judge the blind percutaneous aspiration as unreliable. ⋯ We performed percutaneous aspiration under ultrasonographic control in 60 patients with flexor tendon sheath ganglions. Encouraged by our favourable results we can recommend this procedure instead of the blind percutaneous aspiration and even instead of surgery.