Applied Anatomical Study of the Vascularized Ulnar Nerve and Its Blood Supply for Cubital Tunnel Syndrome at the Elbow Region
Overview
Authors
Affiliations
Cubital tunnel syndrome is often accompanied by paresthesia in ulnar nerve sites and hand muscle atrophy. When muscle weakness occurs, or after failure of more conservative treatments, anterior transposition is used. In the present study, the ulnar nerve and its blood vessels were examined in the elbows of 18 adult cadavers, and the external diameter of the nutrient vessels of the ulnar nerve at the point of origin, the distances between the origin of the vessels and the medial epicondyle of the humerus, and the length of the vessels accompanying the ulnar nerve in the superior ulnar collateral artery, the inferior ulnar collateral artery, and the posterior ulnar recurrent artery were measured. Anterior transposition of the vascularized ulnar nerve was performed to treat cubital tunnel syndrome. The most appropriate distance that the vascularized ulnar nerve can be moved to the subcutaneous tissue under tension-free conditions was 1.8 ± 0.6 cm (1.1-2.5 cm), which can be used as a reference value during the treatment of cubital tunnel syndrome with anterior transposition of the vascularized ulnar nerve.
The anatomical variations of the cubital tunnel in a South African body donor sample.
Munro S, Mac Dermott K, Keet K Surg Radiol Anat. 2024; 46(6):777-785.
PMID: 38551675 PMC: 11161423. DOI: 10.1007/s00276-024-03327-8.
Deeg J, Mundel F, Loizides A, Gruber L, Gruber H Australas J Ultrasound Med. 2023; 26(3):175-183.
PMID: 37701776 PMC: 10493359. DOI: 10.1002/ajum.12334.
Modern Treatment of Cubital Tunnel Syndrome: Evidence and Controversy.
Graf A, Ahmed A, Roundy R, Gottschalk M, Dempsey A J Hand Surg Glob Online. 2023; 5(4):547-560.
PMID: 37521554 PMC: 10382899. DOI: 10.1016/j.jhsg.2022.07.008.
Surgical Approaches and Their Outcomes in the Treatment of Cubital Tunnel Syndrome.
Carlton A, Khalid S Front Surg. 2018; 5:48.
PMID: 30094236 PMC: 6071516. DOI: 10.3389/fsurg.2018.00048.
The zonal pattern of arterial supply to the brachial plexus and its clinical significance.
Gao A, Lv Y, Wang A, Zhong L, Tang M, Thomas B Surg Radiol Anat. 2018; 40(7):815-822.
PMID: 29737380 DOI: 10.1007/s00276-018-2024-2.