77th ASSH Annual Meeting - Back to Basics: Practice and Education-IC36: Management of Recalcitrant Cubital Tunnel Syndrome (AM22)

Video Transcription

Video Summary

In this video, the speaker discusses recalcitrant cubital tunnel syndrome, a condition characterized by compression of the ulnar nerve at the elbow. The speaker begins by providing an overview of the anatomy and pathophysiology of cubital tunnel syndrome. They emphasize the importance of understanding the anatomy and pathophysiology for effective treatment. Conservative management can be used, but surgical management is often necessary. The speaker explains that revision neuroplasty and neural lysis are critical surgical techniques for addressing recalcitrant cases. They also discuss the various etiologies of persistent, recurrent, and new symptoms in recalcitrant cubital tunnel syndrome. The speaker then goes on to explain the importance of accurate diagnosis and diagnostic workup in determining the underlying cause and best treatment approach. They discuss the use of nerve studies and ultrasound as diagnostic tools and provide examples of different diagnostic findings. The speaker concludes by discussing surgical management options, such as decompression, revision neuroplasty, and adjunctive procedures like nerve transfers and tenodesis. They emphasize the importance of individualizing treatment based on the specific needs of each patient.

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Session Tracks Nerve

Speaker Alexander Lauder, MD

Speaker Amy M. Moore, MD

Speaker Fraser J. Leversedge, MD

Speaker John R. Fowler, MD

Keywords

recalcitrant cubital tunnel syndrome

ulnar nerve

elbow

surgical management

revision neuroplasty

diagnosis

nerve studies

ultrasound

individualized treatment