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Cubital tunnel syndrome

MedGen UID:
104813
•Concept ID:
C0206239
•
Disease or Syndrome
Synonyms: Cubital Tunnel Syndrome; Cubital Tunnel Syndromes; Syndrome, Cubital Tunnel; Syndromes, Cubital Tunnel; Tunnel Syndrome, Cubital; Tunnel Syndromes, Cubital; Ulnar Nerve Compression, Cubital Tunnel; Ulnar Nerve Entrapment, Elbow
SNOMED CT: Ulnar nerve entrapment at elbow (230631009); Cubital tunnel syndrome (230631009)
 
Monarch Initiative: MONDO:0043982

Definition

Compression of the ULNAR NERVE in the cubital tunnel, which is formed by the two heads of the flexor carpi ulnaris muscle, humeral-ulnar aponeurosis, and medial ligaments of the elbow. This condition may follow trauma or occur in association with processes which produce nerve enlargement or narrowing of the canal. Manifestations include elbow pain and PARESTHESIA radiating distally, weakness of ulnar innervated intrinsic hand muscles, and loss of sensation over the hypothenar region, fifth finger, and ulnar aspect of the ring finger. (Joynt, Clinical Neurology, 1995, Ch51, p43) [from MONDO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVCubital tunnel syndrome

Professional guidelines

PubMed

Cubital Tunnel Syndrome: Review of Diagnosis and Management.
Ferguson DP, Grewal R
Handchir Mikrochir Plast Chir 2022 Jun;54(3):253-262. Epub 2022 Jun 10 doi: 10.1055/a-1808-6973. PMID: 35688432
The Management of Cubital Tunnel Syndrome.
Boone S, Gelberman RH, Calfee RP
J Hand Surg Am 2015 Sep;40(9):1897-904; quiz 1904. Epub 2015 Aug 1 doi: 10.1016/j.jhsa.2015.03.011. PMID: 26243318
Cubital tunnel syndrome - a review and management guidelines.
Assmus H, Antoniadis G, Bischoff C, Hoffmann R, Martini AK, Preissler P, Scheglmann K, Schwerdtfeger K, Wessels KD, Wüstner-Hofmann M
Cent Eur Neurosurg 2011 May;72(2):90-8. Epub 2011 May 4 doi: 10.1055/s-0031-1271800. PMID: 21547883

Recent clinical studies

Etiology

The Effectiveness of Neural Mobilization for Neuromusculoskeletal Conditions: A Systematic Review and Meta-analysis.
Basson A, Olivier B, Ellis R, Coppieters M, Stewart A, Mudzi W
J Orthop Sports Phys Ther 2017 Sep;47(9):593-615. Epub 2017 Jul 13 doi: 10.2519/jospt.2017.7117. PMID: 28704626
Cubital Tunnel Syndrome.
Jarrett CD, Papatheodorou LK, Sotereanos DG
Instr Course Lect 2017 Feb 15;66:91-101. PMID: 28594491
Cubital tunnel syndrome - a review and management guidelines.
Assmus H, Antoniadis G, Bischoff C, Hoffmann R, Martini AK, Preissler P, Scheglmann K, Schwerdtfeger K, Wessels KD, Wüstner-Hofmann M
Cent Eur Neurosurg 2011 May;72(2):90-8. Epub 2011 May 4 doi: 10.1055/s-0031-1271800. PMID: 21547883
Do 'sliders' slide and 'tensioners' tension? An analysis of neurodynamic techniques and considerations regarding their application.
Coppieters MW, Butler DS
Man Ther 2008 Jun;13(3):213-21. Epub 2007 Mar 30 doi: 10.1016/j.math.2006.12.008. PMID: 17398140
Cubital tunnel syndrome.
Cutts S
Postgrad Med J 2007 Jan;83(975):28-31. doi: 10.1136/pgmj.2006.047456. PMID: 17267675Free PMC Article

Diagnosis

Ulnar neuropathy.
Hannaford A, Simon NG
Handb Clin Neurol 2024;201:103-126. doi: 10.1016/B978-0-323-90108-6.00006-5. PMID: 38697734
Ulnar neuropathy at the elbow.
Cambon-Binder A
Orthop Traumatol Surg Res 2021 Feb;107(1S):102754. Epub 2020 Dec 13 doi: 10.1016/j.otsr.2020.102754. PMID: 33321238
Nerve Entrapments.
Jacobson L, Dengler J, Moore AM
Clin Plast Surg 2020 Apr;47(2):267-278. doi: 10.1016/j.cps.2019.12.006. PMID: 32115052
Cubital tunnel syndrome.
Blevins MI, Parnes N
JAAPA 2019 Apr;32(4):44-45. doi: 10.1097/01.JAA.0000554233.94370.32. PMID: 30913149
Cubital tunnel syndrome - a review and management guidelines.
Assmus H, Antoniadis G, Bischoff C, Hoffmann R, Martini AK, Preissler P, Scheglmann K, Schwerdtfeger K, Wessels KD, Wüstner-Hofmann M
Cent Eur Neurosurg 2011 May;72(2):90-8. Epub 2011 May 4 doi: 10.1055/s-0031-1271800. PMID: 21547883

Therapy

Cubital Tunnel Syndrome: Current Concepts.
Staples JR, Calfee R
J Am Acad Orthop Surg 2017 Oct;25(10):e215-e224. doi: 10.5435/JAAOS-D-15-00261. PMID: 28953087
The Effectiveness of Neural Mobilization for Neuromusculoskeletal Conditions: A Systematic Review and Meta-analysis.
Basson A, Olivier B, Ellis R, Coppieters M, Stewart A, Mudzi W
J Orthop Sports Phys Ther 2017 Sep;47(9):593-615. Epub 2017 Jul 13 doi: 10.2519/jospt.2017.7117. PMID: 28704626
Cubital tunnel syndrome.
Kroonen LT
Orthop Clin North Am 2012 Oct;43(4):475-86. doi: 10.1016/j.ocl.2012.07.017. PMID: 23026463
Cubital tunnel syndrome - a review and management guidelines.
Assmus H, Antoniadis G, Bischoff C, Hoffmann R, Martini AK, Preissler P, Scheglmann K, Schwerdtfeger K, Wessels KD, Wüstner-Hofmann M
Cent Eur Neurosurg 2011 May;72(2):90-8. Epub 2011 May 4 doi: 10.1055/s-0031-1271800. PMID: 21547883
Repetitive strain injury.
van Tulder M, Malmivaara A, Koes B
Lancet 2007 May 26;369(9575):1815-1822. doi: 10.1016/S0140-6736(07)60820-4. PMID: 17531890

Prognosis

Misdiagnosis in Amyotrophic Lateral Sclerosis.
Thomson CG, Hutchinson PR, Stern PJ
J Hand Surg Am 2023 Aug;48(8):822-826. Epub 2023 May 16 doi: 10.1016/j.jhsa.2023.03.023. PMID: 37191604
Nerve Entrapments.
Jacobson L, Dengler J, Moore AM
Clin Plast Surg 2020 Apr;47(2):267-278. doi: 10.1016/j.cps.2019.12.006. PMID: 32115052
Nerve Compression in the Upper Limb.
Lee EY, Lim AYT
Clin Plast Surg 2019 Jul;46(3):285-293. Epub 2019 Apr 16 doi: 10.1016/j.cps.2019.03.001. PMID: 31103073
Cubital Tunnel Syndrome.
Jarrett CD, Papatheodorou LK, Sotereanos DG
Instr Course Lect 2017 Feb 15;66:91-101. PMID: 28594491
Cubital tunnel syndrome - a review and management guidelines.
Assmus H, Antoniadis G, Bischoff C, Hoffmann R, Martini AK, Preissler P, Scheglmann K, Schwerdtfeger K, Wessels KD, Wüstner-Hofmann M
Cent Eur Neurosurg 2011 May;72(2):90-8. Epub 2011 May 4 doi: 10.1055/s-0031-1271800. PMID: 21547883

Clinical prediction guides

Research reporting in cubital tunnel syndrome studies: an analysis of the literature.
Hug NF, Smith BW, Sakamuri S, Jensen M, Purger DA, Spinner RJ, Wilson TJ
Acta Neurochir (Wien) 2022 May;164(5):1337-1345. Epub 2022 Jan 7 doi: 10.1007/s00701-021-05102-9. PMID: 34993620
Diffusion tensor imaging in cubital tunnel syndrome.
Griffiths TT, Flather R, Teh I, Haroon HA, Shelley D, Plein S, Bourke G, Wade RG
Sci Rep 2021 Jul 22;11(1):14982. doi: 10.1038/s41598-021-94211-7. PMID: 34294771Free PMC Article
Nerve Entrapments.
Jacobson L, Dengler J, Moore AM
Clin Plast Surg 2020 Apr;47(2):267-278. doi: 10.1016/j.cps.2019.12.006. PMID: 32115052
Pain and Function Following Revision Cubital Tunnel Surgery.
Davidge KM, Ebersole GC, Mackinnon SE
Hand (N Y) 2019 Mar;14(2):172-178. Epub 2017 Nov 28 doi: 10.1177/1558944717743593. PMID: 29182019Free PMC Article
Endoscopic cubital tunnel release: a systematic review.
Smeraglia F, Del Buono A, Maffulli N
Br Med Bull 2015;116:155-63. Epub 2015 Nov 24 doi: 10.1093/bmb/ldv049. PMID: 26608457

Recent systematic reviews

Revision surgery for refractory cubital tunnel syndrome: A systematic review.
Kholinne E, Alsharidah MM, Almutair O, Aljasser S, Alhothali W, Kwak JM, Sun Y, Lee HJ, Koh KH, Jeon IH
Orthop Traumatol Surg Res 2019 Sep;105(5):867-876. Epub 2019 Jul 19 doi: 10.1016/j.otsr.2019.03.020. PMID: 31331798
A systematic review of medial epicondylectomy as a surgical treatment for cubital tunnel syndrome.
O'Grady EE, Vanat Q, Power DM, Tan S
J Hand Surg Eur Vol 2017 Nov;42(9):941-945. Epub 2017 Aug 31 doi: 10.1177/1753193417724351. PMID: 28856934
The Effectiveness of Neural Mobilization for Neuromusculoskeletal Conditions: A Systematic Review and Meta-analysis.
Basson A, Olivier B, Ellis R, Coppieters M, Stewart A, Mudzi W
J Orthop Sports Phys Ther 2017 Sep;47(9):593-615. Epub 2017 Jul 13 doi: 10.2519/jospt.2017.7117. PMID: 28704626
Open Versus Endoscopic Cubital Tunnel In Situ Decompression: A Systematic Review of Outcomes and Complications.
Toirac A, Giugale JM, Fowler JR
Hand (N Y) 2017 May;12(3):229-235. Epub 2016 Aug 2 doi: 10.1177/1558944716662018. PMID: 28453355Free PMC Article
Endoscopic cubital tunnel release: a systematic review.
Smeraglia F, Del Buono A, Maffulli N
Br Med Bull 2015;116:155-63. Epub 2015 Nov 24 doi: 10.1093/bmb/ldv049. PMID: 26608457

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