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         Cubital Tunnel Syndrome:     more detail
  1. Cubital Tunnel Syndrome - A Medical Dictionary, Bibliography, and Annotated Research Guide to Internet References by ICON Health Publications, 2004-09-20
  2. 21st Century Complete Medical Guide to Cubital Tunnel Syndrome, Elbow Injuries and Disorders, Ergonomics and Workplace Musculoskeletal Disorders, Authoritative ... for Patients and Physicians (CD-ROM) by PM Medical Health News, 2004-04-01
  3. 21st Century Ultimate Medical Guide to Cubital Tunnel Syndrome - Authoritative Clinical Information for Physicians and Patients (Two CD-ROM Set) by PM Medical Health News, 2009-04-10
  4. New test helps detect carpal, cubital tunnel syndromes.(Rheumatology): An article from: Internal Medicine News by Patrice Wendling, 2006-04-15
  5. Overcome Carpal Tunnel Syndrome by Bourdin LeBock, 2010-03-12

41. Wheeless' Textbook Of Orthopaedics
externallinks cubital tunnel syndrome A modified surgical procedure for cubitaltunnel syndrome partial medial epicondylectomy; FA Kaempffe et al. J. hand.
http://www.ortho-u.net/o2/214.htm

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Cubital Tunnel Syndrome:
- See: Nerve Entrapment - Discussion: - cubital tunnel serves as major contraint for the ulnar nerve as it passes behind elbow; - the syndrome occurs most commonly between 30 to 60 years, and is exceptionally uncommon in children under 15 years; - inciting events: - symptoms may appear several years after trauma (hence tardy ulnar palsy) - common injures: fx of medial epicondyle, supracondylar fx w/ cubitus valgus deformity, exuberant callus, or dislocation of the elbow; - also consider prior iatrogenic injury from intraoperative positioning; effects of elbow flexion - neural anatomy: - the internal anatomy of the ulnar nerve can partially explain the predominace of hand symptoms from in cubital tunnel syndrome; - nerve fibers to the FCU and FDP are located centrally, where as sensory fibers and nerve fibers to the hand intrinsics are located peripherally; - generally, the peripheral nerve fibers are more sensitive to external compression, and this may explain why the hand intrinsics are often more involved than the FCU and FDP; - ulnar neuropathy following head injury;

42. The Hindu : Musicians, Artists Prone To Cubital Tunnel Syndrome
Musicians, artists prone to cubital tunnel syndrome. THE RIGORS encountered byperforming artists are similar to those endured by professional athletes.
http://www.hinduonnet.com/thehindu/seta/2001/12/27/stories/2001122700190400.htm
Online edition of India's National Newspaper
Thursday, Dec 27, 2001 Group Publications Business Line The Sportstar Frontline The Hindu
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Sci Tech Published on Thursdays Features: Magazine Literary Review Metro Plus Open Page ... Sci Tech Musicians, artists prone to cubital tunnel syndrome THE RIGORS encountered by performing artists are similar to those endured by professional athletes. They each undertake a vigorous regimen of training and conditioning, often eight to ten hours of practice daily. ``Musicians and other performing artists are exposed to tremendous amounts of stress in the upper extremities during practices and recitals,'' said Barry P. Simmons, professor of orthopaedic surgery at Harvard Medical School in Boston, at the American Academy of Orthopaedic Surgeons' Orthopaedic Update. In this arena of professional artists, demands of excellence, precision and endurance can be costly to the body of the artist, often leading to seriously debilitating conditions such as carpal tunnel or cubital tunnel syndrome. Carpal tunnel is caused by pressure exerted on the median nerve at the wrist and cubital tunnel is caused by repeated injury/pressure on the ulnar nerve at the elbow. The conditions and treatments discussed by Dr. Simmons are not limited to performing artists such as musicians, but may also occur in other artists, such as sculptors, painters who extensively use their hands and upper extremities.

43. Cubital Tunnel Syndrome
Top Health Conditions and Diseases C cubital tunnel syndrome (5). Wheeless'Textbook of Orthopaedics cubital tunnel syndrome.
http://www.foundhealth.com/Health/Conditions_and_Diseases/C/Cubital_Tunnel_Syndr
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44. The Treatment Of The Cubital Tunnel Syndrome
Foster WC. McDowell C. Title The treatment of the cubital tunnel syndrome.Source Journal of Hand Surgery American Volume. 9A(1)90-5, 1984 Jan.
http://www.worldortho.com/database/abstracts/u_limb/adelaar.html
Authors
Adelaar RS. Foster WC. McDowell C. Title
The treatment of the cubital tunnel syndrome. Source
Journal of Hand Surgery - American Volume. 9A(1):90-5, 1984 Jan. Abstract
© 1997, WorldOrtho Inc.

45. Wheeless' Textbook Of Orthopaedics
Main Menu Home Page cubital tunnel syndrome Discussion - cubital tunnel Aclinical test for the cubital tunnel syndrome. - EMG in Cubital
http://wheeless.orthoweb.be/o2/214.htm
Main Menu Home Page
Cubital Tunnel Syndrome:
- Discussion: - cubital tunnel serves as major contraint for the ulnar nerve as it passes behind elbow; - the syndrome occurs most commonly between 30 to 60 years, and is exceptionally uncommon in children under 15 years; - sx may appear several years after trauma (hence tardy ulnar palsy) - common injures: fx of medial epicondyle, supracondylar fx w/ cubitus valgus deformity, exuberant callus, or dislocation of the elbow; - effects of elbow movement: - w/ flexion the cubital tunnel becomes taunt, and with extension the cubital tunnel becomes lax; - sharp freee margin of aponeurosis is stretched tightly over nerve during flexion; - volume of the cubital tunnel decreases, and extrinsic pressure increases during flexion of the elbow; - as the elbow is flexed to 135 deg, mean cross sectional area of the tunnel decreases by about 35 %; - this is agravated if flexion of elbow is coupled with contraction of FCU to initiate active wrist movement, as occurs during hammering or shoveling; - in addition to decreases in the cross sectional area of the cubital tunnel which occur w/ flexion, there is also a decrease in the mean cross sectional anatomy of the ulnar nerve (about 35-40%) w/ elbow flexion; - this indicates that elbow flexion increases traction on the ulnar nerve, which is independent of any extrinsic traction; - during extension of the elbow, the bony points of attachment come closer together, relaxing the roof of the tunnel; - additional factor is the degree of tension in

46. Weiss Orthopaedics - Common Injuries - Elbow - Ulnar Nerve Neuritis / Cubital Tu
Ulnar Nerve Neuritis / cubital tunnel syndrome, Related Information AAOS Online Home Common Injuries Elbow Ulnar Nerve Neuritis / cubital tunnel syndrome,
http://www.weissortho.com/commoninjuries/elbow/cubitaltunnelsyndrome.html
Common Injuries
Elbow Injuries
Loose Bodies Tendonitis/Epicondylitis Ulnar Nerve Neuritis/Cubital Tunnel Syndrome Radial Nerve Neuritis/Radial Tunnel Syndrome
Ulnar Nerve Neuritis / Cubital Tunnel Syndrome
Description

Cubital tunnel syndrome is due to excessive pressure on one of the major nerves to the arm and hand (the ulnar nerve), as it crosses around the back of the inside of the elbow.
Common Causes
Repeated activities with a flexed elbow, including driving, sleeping, keyboarding, weightlifting etc.
Symptoms
Earliest symptoms are numbness, tingling, or pain in the ring and small fingers, at night or with the aggravating activity. Later on, weakness and coordination difficulties develop.
Physical Findings
History and physical examination, with a positive 'Tinel's sign', and 'Elbow Flexion Test'. Impaired function of the muscles innervated by the Ulnar nerve are found late. Workup Occasionally, electrodiagnostic studies (nerve conduction tests and electromyography) will be required to confirm the diagnosis, and its severity. Non-Operative Treatment Splinting, including nighttime elbow splints. Avoidance of specific activities. Anti-inflammatory medication. A single trial of a corticosteroid injection in the cubital tunnel may by quite helpful.

47. Orthopaedic Surgery - Cubital Tunnel Syndrome
Orthopaedic Surgery cubital tunnel syndrome. What is cubital tunnelsyndrome? Cubital What causes cubital tunnel syndrome? Cubital
http://www.mmhs.com/clinical/adult/english/orthopaedics/cubital.htm

English - Adult
English - Pediatric Spanish - Adult Spanish - Pediatric
Orthopaedic Surgery
Cubital Tunnel Syndrome
What is cubital tunnel syndrome?
Cubital tunnel syndrome feels similar to the pain that occurs from hitting the "funny" bone in your elbow. The "funny" bone in the elbow is actually the ulnar nerve, a nerve that crosses the elbow (the ulnar nerve begins in the side of the neck and ends in the fingers).
What causes cubital tunnel syndrome?
Cubital tunnel syndrome occurs when the ulnar nerve, which passes through the cubital tunnel (a tunnel of muscle, ligament, and bone) on the inside of the elbow, becomes irritated due to injury or pressure. The condition may occur when a person frequently bends the elbows (such as when pulling, reaching, or lifting), constantly leans on the elbow, or sustains a direct injury to the area.
What are the symptoms of cubital tunnel syndrome?

48. Diagnosis And Treatment Of Worker-Related Musculoskeletal Disorders Of The Upper
cubital tunnel syndrome. Question 1 What are the most effective methods and approachesfor the early identification and diagnosis of cubital tunnel syndrome?
http://www.ahcpr.gov/clinic/epcsums/musculo2.htm
Evidence Report/Technology Assessment: Number 62
Diagnosis and Treatment of Worker-Related Musculoskeletal Disorders of the Upper Extremity
Summary (continued)
Cubital Tunnel Syndrome
Question 1: What are the most effective methods and approaches for the early identification and diagnosis of cubital tunnel syndrome?
  • One test for cubital tunnel syndrome, ulnar motor nerve conduction velocity at the elbow, was commonly mentioned by reviewers. Three studies reported high specificity and low sensitivity for this test. Due to the small number of studies, however, one cannot draw quantitative conclusions about the effectiveness of the test. There are insufficient data to permit firm evidence-based conclusions about the effectiveness of this or any other tests for cubital tunnel syndrome.
Question 2: What are the specific indications for surgery for cubital tunnel syndrome?
  • Thirty-two studies of patients who received surgery for cubital tunnel syndrome were identified. The mean age of patients who received surgery for cubital tunnel syndrome was 46 years. The patients were slightly more likely to be male (62 percent male).

49. Cubital Tunnel Syndrome -- ECureMe.com
cubital tunnel syndrome, more about cubital tunnel syndrome, Cubital tunnelsyndrome refers to the pinched ulnar nerve at the elbow.
http://www.ecureme.com/emyhealth/data/Cubital_Tunnel_Syndrome.asp
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Cubital Tunnel Syndrome
more about Cubital Tunnel Syndrome

  • Cubital tunnel syndrome refers to the pinched ulnar nerve at the elbow. The ulnar nerve provides motor and sensory functions to parts of forearm and finger. The ulnar nerve passes through a narrow space at the elbow, called cubital tunnel.
    Numbness on the inside of hand, 4th and 5th finger, especially when bending the elbow

50. Orthopaedic Surgery - Cubital Tunnel Syndrome
Find a Physician, cubital tunnel syndrome. What is cubital tunnel syndrome?Cubital tunnel fingers). What causes cubital tunnel syndrome? Cubital
http://www.mccg.org/adulthealth/ortho/cubital.asp

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Cubital Tunnel Syndrome What is cubital tunnel syndrome?
Cubital tunnel syndrome feels similar to the pain that occurs from hitting the “funny” bone in your elbow. The “funny” bone in the elbow is actually the ulnar nerve, a nerve that crosses the elbow (the ulnar nerve begins in the side of the neck and ends in the fingers).

51. Cubital Tunnel Syndrome

http://www.greatermetroortho.com/id80.htm

52. Cubital Tunnel Syndrome
cubital tunnel syndrome. 1. What is cubital tunnel syndrome? Cubital tunnelsyndrome 2. What Causes cubital tunnel syndrome? In the majority
http://www.herrick-clinic.com/Cubital_Tunnel_Syndrome.htm
CUBITAL TUNNEL SYNDROME 1. What is cubital tunnel syndrome? Cubital tunnel syndrome is a medical condition that results from pressure or pinching of a nerve as it goes by the elbow to the hand. The nerve (which is called the ulnar nerve) provides for muscle action to the fingers and sensation in the little and one-half of the ring fingers. This nerve travels on the inside (medial side) of the elbow and through a long tunnel at that area call the cubital tunnel. Bone surrounds this canal on one side while a thick ligament covers the medial side. Pressure of the nerve within the cubital tunnel may result from two basic causes. One is an injury directly to the nerve which is softer than its surrounding structures. The second and most common cause is irritation of the nerve, sometimes producing a thickening or swelling around the nerve due to repetitious use of the arm, forearm and/or elbow. The symptoms associated with cubital tunnel syndrome are generally a numbness which may or may not be painful and which intermittently occurs in the ring and small fingers. The condition usually worsens at night. The characteristic symptoms of tingling or numbness or sleepiness in the hand results. Occasionally when the nerve pressure occurs at the elbow there may be associated sensa-tions of pain and numbness up the forearm which can extend into the arm, shoulder and even into the neck. Generally the hand symptoms are worst.

53. The Houston Hand & Upper Extremity Center - Cubital Tunnel Syndrome
cubital tunnel syndrome. Evaluation and Diagnosis. cubital tunnel syndromeis compression of the ulnar nerve at the level of the elbow.
http://www.houstonhand.com/ptInfo/conditions/cubitalTunnel.html
Cubital Tunnel Syndrome Selected Features of Our Program
  • Minimally invasive simple release option Immediate use of arm and hand encouraged Short incision technique for transposition option
Evaluation and Diagnosis Cubital tunnel syndrome is compression of the ulnar nerve at the level of the elbow. The condition is worsened by keeping the elbow bent for prolonged periods of time or leaning on it. As pressure builds up in the nerve, the fingers start to tingle and go numb. The hand gets weak; cramps, and can even start to drop things. Pain can run from the fingers, across the wrist, and up the forearm to the elbow or higher. These symptoms are often worse at night and wake patients up. This condition is often confused with carpal tunnel syndrome. Sorting out these differences is done by a specialist in nerve compression surgery and may include electrical nerve testing. Treatment and Recovery The entire non-surgical treatment program is based on two ideas: proper sleeping posture and correct daytime habits. Therapists teach patients ergonomically correct work habits, help to adjust workstations and equipment, and provide proper elbow padding. This works for most patients. If the measured nerve compression is severe enough, all non-surgical attempts have failed, or a special situation of excessive nerve mobility exists, then surgery is an option.

54. Florida State University College Of Medicine Digital Library
cubital tunnel syndrome Clinical Resources. cubital tunnel syndrome Access document.CliniWeb Homepage (includes links to targeted PubMed MEDLINE searches)
http://fsumed-dl.slis.ua.edu/clinical/orthopedics/upper/elbow/cubital-tunnel-syn
Clinical Resources by Topic: Orthopedics
Cubital Tunnel Syndrome Clinical Resources
Radiology Clinical Guidelines News Miscellaneous Resources See also:

55. Florida State University College Of Medicine Digital Library
cubital tunnel syndrome Patient/Family Resources. See also General OrthopedicsPatient/Family Resources; cubital tunnel syndrome Clinical Resources.
http://fsumed-dl.slis.ua.edu/patientinfo/orthopedics/upper/elbow/cubital-tunnel-
Patient/Family Resources by Topic: Orthopedics
Cubital Tunnel Syndrome Patient/Family Resources
Miscellaneous See also:

56. ASHT: Patient Information
cubital tunnel syndrome. What is cubital tunnel syndrome? cubital tunnel syndromeis the 2nd most common entrapment condition in the upper extremity.
http://www.asht.org/cubital_tunnel.html
Patient Education Cubital Tunnel Syndrome What is Cubital Tunnel Syndrome? Cubital Tunnel Syndrome occurs when the ulnar nerve in the elbow region is compressed, or it is under friction or traction. Cubital Tunnel Syndrome is the 2nd most common entrapment condition in the upper extremity. Treatment for the condition can vary from non-operative (conservative) treatment in less serious cases, to more advanced conditions that require surgery and post-operative rehabilitation. What Causes Cubital Tunnel Syndrome? Cubital Tunnel Syndrome is a condition that can be caused by a number of different factors. It may occur because of direct trauma to the elbow or displacement of the nerve. It may also occur due to stretching the nerve by performing certain repetitive tasks, such as doing a job that requires you to constantly reach above your head and flex your elbow for long periods of time. To find a hand therapist in your area, please click

57. Carpal Tunnel Syndrome
by 705. cubital tunnel syndrome (CBTS) Compression or injury of theulnar nerve in the cubital tunnel. Cubital tunnel Passageway
http://www.csa.com/hottopics/carpal/gloss.html
Released November 1999 Glossary
Anti-inflammatory agent: An agent that counteracts or suppresses the inflammatory process. Behavior change measures: Changing the protocol of high risk job tasks or occupations. Body Mass Index (BMI): A person's weight in pounds divided by height in inches squared, multiplied by 705. Cubital Tunnel Syndrome (CBTS): Compression or injury of the ulnar nerve in the cubital tunnel. Cubital tunnel: Passageway between the bony prominence of the inside of the elbow (medial epicondyle) and the tip of the elbow (olecranon process). Cumulative Trauma Disorder (CTD): Response to the repetitive motion and overuse of a muscle in an incorrect or static posture. Carpal Tunnel Syndrome (CTS): A condition caused by compression of a nerve where it passes through the wrist into the hand and characterized especially by weakness, pain, and disturbances of sensation in the hand. Dexamethasone: A synthetic glucocorticoid C H FO used especially as an anti-inflammatory agent. Ergonomics: The study of how the laws of nature affect you and your work environment. In an office environment, this includes interaction with workspace, computers, tools, and furniture. Iontophoresis: The introduction of an ionized substance (as a drug) through intact skin by the application of a direct electric current.

58. Orthopaedic Surgery - Cubital Tunnel Syndrome (La Cirugía Ortopédica - El Sín
Translate this page El Síndrome del Túnel Cubital. ¿Qué es el síndrome del túnel cubital?El dolor Qué causa el síndrome del túnel cubital? El síndrome
http://www.uuhsc.utah.edu/healthinfo/spanish/orthopaedics/cubital.htm
El dolor del síndrome del túnel cubital es similar al que se siente al golpearse el "huesito" del codo. El "huesito" del codo es en realidad el nervio cubital, un nervio que cruza el codo (se inicia en la parte lateral del cuello y se extiende hasta los dedos).
  • Dolor de la mano. Torpeza en el uso de la mano y del pulgar por debilidad muscular.
    E
    Su tolerancia a determinados medicamentos, procedimientos o terapias. Sus expectativas para la trayectoria
El tratamiento puede incluir lo siguiente:

  • Medicamentos antiinflamatorios.
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59. Cubital Tunnel Syndrome
cubital tunnel syndrome. Compression of the ulnar nerve in the cubital tunnel leads to a syndrome of cubital tunnel syndrome clinical presentation.
http://uscneurosurgery.com/glossary/c/cubital tunnel syndrome.htm
Cubital tunnel syndrome
Compression of the ulnar nerve in the cubital "tunnel" leads to a "syndrome" of: 1. pain 2. numbness 3. weakness Peripheral nerve palsies Cubital tunnel syndrome - clinical presentation Cubital tunnel syndrome - pathophysiology Cubital tunnel syndrome - workup ... Peripheral nerve Specialty Center Cubital Sensory distribution of ulnar nerve to hand Return to uscneurosurgery.com Homepage

60. Cubitaltunnelsyndrome
cubital tunnel syndrome AND THE PAINFUL UPPER EXTREMITY A. Marc Tetro, MD,FRCSC, and David R. Pichora, MD, FRCSC. What is cubital tunnel syndrome?
http://www.simmonsortho.com/literature/cubitaltunnelsyndrome/cubitaltunnelsyndro
Back to Physician Literature CUBITAL TUNNEL SYNDROME AND THE PAINFUL UPPER EXTREMITY
A. Marc Tetro, MD, FRCSC, and David R. Pichora, MD, FRCSC What is cubital tunnel syndrome? What is its relation to the painful upper extremity? What is its impact on the patient with a chronic pain syndrome? Cubital tunnel syndrome is the most common form of entrapment of the uInar nerve and the second most common nerve compression syndrome of the upper extremity. It classically presents with arm and hand pain and associated sensory and motor dysfunction, making it a common cause of upper-extremity pain.
Prior to 1957, uInar neuropathy was felt to be a "stretch neuritis" caused by cubitus valgus. In fact, the predominant cause of ulnar neuropathy was secondary to elbow injuries. Osborne proposed the concept of compression of the uInar nerve in 1957, with Feindel and Stratford defining the "cubital tunnel" the following year. Since the advent of more successful orthopedic management of complex elbow injuries, the more frequent cause of ulnar nerve entrapment has become idiopathic or related to a "susceptible" patient . Nonetheless, it appears that uInar nerve entrapment is increasing in prevalence (although no data are available), with pain often being a predominant morbidity.

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