Des traitements alternatifs comme l'acupuncture ou la thérapie par la chaleur peuvent être bénéfiques pour certains patients.
AcupunctureThérapie alternativeDouleur
Complications
5
#1
Quelles complications peuvent survenir ?
Des complications incluent une atrophie musculaire, une perte de fonction et des douleurs chroniques.
ComplicationsAtrophie musculaireDouleur chronique
#2
La neuropathie ulnaire peut-elle entraîner des handicaps ?
Oui, si non traitée, elle peut entraîner des handicaps fonctionnels dans la main et le bras.
HandicapFonctionNerf ulnaire
#3
Comment la neuropathie ulnaire affecte-t-elle la qualité de vie ?
Elle peut réduire la qualité de vie en limitant les activités quotidiennes et en provoquant des douleurs.
Qualité de vieDouleurActivités quotidiennes
#4
Y a-t-il un risque de récidive ?
Oui, sans modifications de style de vie ou traitement, le risque de récidive est élevé.
RécidivePréventionNerf ulnaire
#5
Les complications peuvent-elles être évitées ?
Oui, un traitement précoce et des mesures préventives peuvent réduire le risque de complications.
PréventionComplicationsTraitement précoce
Facteurs de risque
5
#1
Quels sont les principaux facteurs de risque ?
Les facteurs incluent des mouvements répétitifs, des blessures antérieures et des conditions médicales comme le diabète.
Facteurs de risqueDiabèteMouvements répétitifs
#2
Le diabète augmente-t-il le risque ?
Oui, le diabète peut endommager les nerfs et augmenter le risque de neuropathie ulnaire.
DiabèteNeuropathieFacteurs de risque
#3
Les positions de travail peuvent-elles influencer le risque ?
Oui, des positions de travail qui compressent le nerf ulnaire augmentent le risque de neuropathie.
Positions de travailNerf ulnaireFacteurs de risque
#4
L'âge est-il un facteur de risque ?
Oui, le risque de neuropathie ulnaire augmente avec l'âge en raison de la dégénérescence nerveuse.
ÂgeFacteurs de risqueNeuropathie
#5
Les antécédents familiaux jouent-ils un rôle ?
Oui, des antécédents familiaux de neuropathies peuvent augmenter le risque de développer cette condition.
Antécédents familiauxFacteurs de risqueNeuropathie
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"@type": "Question",
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"acceptedAnswer": {
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"@type": "Question",
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"position": 16,
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"@type": "Answer",
"text": "Les traitements incluent la physiothérapie, les médicaments anti-inflammatoires et, dans certains cas, la chirurgie."
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"@type": "Question",
"name": "La physiothérapie est-elle efficace ?",
"position": 17,
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"name": "Quand la chirurgie est-elle nécessaire ?",
"position": 18,
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"@type": "Question",
"name": "Quels médicaments sont souvent prescrits ?",
"position": 19,
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"@type": "Question",
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"position": 26,
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"@type": "Question",
"name": "Le diabète augmente-t-il le risque ?",
"position": 27,
"acceptedAnswer": {
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"text": "Oui, le diabète peut endommager les nerfs et augmenter le risque de neuropathie ulnaire."
}
},
{
"@type": "Question",
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"text": "Oui, des positions de travail qui compressent le nerf ulnaire augmentent le risque de neuropathie."
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},
{
"@type": "Question",
"name": "L'âge est-il un facteur de risque ?",
"position": 29,
"acceptedAnswer": {
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}
},
{
"@type": "Question",
"name": "Les antécédents familiaux jouent-ils un rôle ?",
"position": 30,
"acceptedAnswer": {
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Institute of Clinical Neurophysiology, Division of Neurology, University Medical Center Ljubljana, SI-1525 Ljubljana, Slovenia. Electronic address: simon.podnar@kclj.si.
Department of Neurology and Clinical Neurophysiology, Bay of Plenty District Health Board, Tauranga Hospital, Tauranga, New Zealand. Electronic address: pelosiluciana@gmail.com.
Department of Radiology, Chung-Ang University Hospital, Chung-Ang University College of Medicine, 102, Heukseok-ro, Dongjak-Gu, Seoul, 156-755, Republic of Korea.
Department of Radiology, Chung-Ang University Hospital, Chung-Ang University College of Medicine, 102, Heukseok-ro, Dongjak-Gu, Seoul, 156-755, Republic of Korea.
Physical Medicine and Rehabilitation Department and Research Center, Shohada-e-Tajrish Hospital, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Clinical Development Research Center of Shahid Modarres Hospital, Physical Medicine and Rehabilitation Department and Research Center, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Ulnar neuropathy at the elbow is commonly encountered in clinical practice and is the second most common entrapment neuropathy. Left untreated, ulnar neuropathy at the elbow can result in significant ...
Postoperative ulnar neuropathy (PUN) is an injury manifesting in the sensory or motor distribution of the ulnar nerve after anaesthesia or surgery. The condition frequently features in cases of allege...
Electronic databases were searched up to October 2022 for primary research, secondary research, or opinion pieces defining PUN and describing its incidence, predisposing factors, mechanism of injury, ...
We included 83 articles in the thematic analysis. PUN occurs after approximately 1 in 14 733 anaesthetics. Men aged 50-75 yr with pre-existing ulnar neuropathy are at highest risk. Preventative measur...
Postoperative ulnar neuropathy is rare and the incidence is probably decreasing over time with general improvements in perioperative care. Recommendations to reduce the risk of postoperative ulnar neu...
Given the relatively high false negative rate of electrodiagnostic studies (EDX) in patients with clinically diagnosed ulnar neuropathy at the elbow (UNE), we sought to determine whether an alternativ...
This was a retrospective study of patients presenting with symptomatic UNE. The performance characteristics of EDX versus ultrasound were calculated using the clinical diagnosis of UNE as the referenc...
Analysis was performed on 89 patients and 115 nerves with signs and symptoms of cubital tunnel syndrome. In total, 56 (49%) nerves were diagnosed as mild UNE, 32 (28%) nerves were diagnosed as moderat...
Ultrasound is an alternative to EDX that could be incorporated clinically in the diagnosis and management of UNE. Ultrasound was able to consistently detect clinically positive cubital tunnel syndrome...
Diagnostic IV....
To identify the incidence and the factors associated with a postoperative ulnar nerve neuropathy in patients who had undergone open reduction and internal fixation for intraarticular distal humerus fr...
We retrospectively reviewed 116 patients who had undergone surgery between January 2011 and December 2020. Age, sex, BMI, mechanism of injury, open or closed fracture, operation time, tourniquet time,...
Thirty-four patients (29.3%) had persistent neuropathy at the final follow-up. In the modified McGowan classification, 28 patients had grade 1 and 6 patients had grade 2 neuropathy. Olecranon osteotom...
Olecranon osteotomy was the only independent factor associated with preventing the occurrence of ulnar nerve neuropathy. Ulnar nerve transposition might not be associated with prevention of ulnar nerv...
Prognostic IV....
To evaluate whether DTI parameters of the ulnar nerve at the elbow are associated with clinical outcomes in patients receiving cubital tunnel decompression (CTD) surgery for ulnar neuropathy....
This retrospective study included 21 patients with cubital tunnel syndrome who received CTD surgery between January 2019 and November 2020. All patients underwent pre-operative elbow MRI, including DT...
After CTD, 16 patients showed improvement in symptoms, but five did not. ROC analysis of DTI parameters showed that AUCs of FA, AD, and MD were higher at level 1 than at levels 2 and 3, with FA showin...
In patients who underwent CTD surgery for ulnar neuropathy at the elbow, the DTI parameters of FA, AD, and MD above the cubital tunnel level were associated with clinical outcomes, with FA showing the...
• After CTD surgery for ulnar neuropathy at the elbow, persistent symptoms may be observed, depending on symptom severity. • DTI parameters of the ulnar nerve at the elbow showed differences in their ...
Ulnar neuropathy at the elbow (UNE) is the second most common entrapment neuropathy and presents with symptoms such as pain, paresthesia, and weakness in the elbow. Provocative tests and electrophysio...
Snapping of the triceps muscle occurs when a portion of the medial head dislocates over the medial epicondyle with elbow flexion. Resection or redirection of a portion of the triceps muscle is the mai...
A patient presented with a several year history of bilateral elbow pain, snapping, and ulnar nerve (UN) paresthesias. Previous staged bilateral subcutaneous UN transpositions were performed at another...
Intraoperative biceps/brachialis stimulation can potentially help determine how much triceps muscle should be resected/redirected to treat patients with snapping triceps....
An important mechanism of peripheral nerve motor and sensory dysfunction is conduction block (CB). However, recovery from mechanically induced CB has been rarely studied in humans. The aim of this stu...
We recruited a group of consecutive patients presenting to our EDx laboratory with UNE and >50% motor CB. Patients' histories were obtained and neurologic, EDx, and US examinations were repeated every...
We studied 10 patients (5 men), with a mean age of 63 y (range, 51-81 y). In all affected arms CB was localized to the retrocondylar groove. Following conservative management, myometrically measured i...
The resolution of CB after typical chronic compression may take longer than after acute compression. This should be considered by clinicians when estimating prognosis for discussions with patients....
To measure neuromagnetic fields of ulnar neuropathy patients at the elbow after electrical stimulation and evaluate ulnar nerve function at the elbow with high spatial resolution....
A superconducting quantum interference device magnetometer system recorded neuromagnetic fields of the ulnar nerve at the elbow after electrical stimulation at the wrist in 16 limbs of 16 healthy volu...
Based on the results in healthy volunteers, conduction velocity of 30 m/s or 50% attenuation in current amplitude was set as the reference value for conduction disturbance. Of the 21 patient limbs, 15...
Measuring the magnetic field after nerve stimulation enabled visualization of neurophysiological activity in patients with ulnar neuropathy at the elbow and evaluation of conduction disturbances....
Magnetoneurography may be useful for assessing lesion sites in patients with ulnar neuropathy at the elbow....
Ulnar neuropathy commonly causes hand paresthesia, often associated with mechanical compression or repetitive movements across the elbow or wrist. There are a few cases that document ulnar nerve injur...
