nnpNeurology, Neuropsychiatry, PsychosomaticsНеврология, нейропсихиатрия, психосоматика2074-27112310-1342"IMA-Press", LLC10.14412/2074-2711-2019-2S-89-97nnp-1126Research ArticleREVIEWSОБЗОРЫCubital tunnel syndrome: current principles of diagnosis and treatmentСиндром кубитального канала: современные принципы диагностики и леченияГоловачеваВ. А.GolovachevaV. A.

кафедра нервных болезней и нейрохирургии лечебного факультета,

119021, Москва, ул. Россолимо, 11, стр. 1

Department of Nervous System Diseases and Neurosurgery, Faculty of General Medicine,

11, Rossolimo St., Build. 1, Moscow 119021

xoxo.veronicka@gmail.comПарфеновВ. А.ParfenovV. A.

кафедра нервных болезней и нейрохирургии лечебного факультета,

 119021, Москва, ул. Россолимо, 11, стр. 1

Department of Nervous System Diseases and Neurosurgery, Faculty of General Medicine,

 11, Rossolimo St., Build. 1, Moscow 119021

ГоловачеваА. А.GolovachevaA. A.

кафедра нервных болезней и нейрохирургии лечебного факультета,

 119021, Москва, ул. Россолимо, 11, стр. 1

Department of Nervous System Diseases and Neurosurgery, Faculty of General Medicine,

 11, Rossolimo St., Build. 1, Moscow 119021

ЕвзиковГ. Ю.EvzikovG. Yu.

кафедра нервных болезней и нейрохирургии лечебного факультета,

 119021, Москва, ул. Россолимо, 11, стр. 1

Department of Nervous System Diseases and Neurosurgery, Faculty of General Medicine,

 11, Rossolimo St., Build. 1, Moscow 119021

ЮсуповаР. М.YusupovaR. M.

кафедра нервных болезней и нейрохирургии лечебного факультета,

 119021, Москва, ул. Россолимо, 11, стр. 1

Department of Nervous System Diseases and Neurosurgery, Faculty of General Medicine,

 11, Rossolimo St., Build. 1, Moscow 119021

ЩегловаН. С.ShcheglovaN. S.

клиника нервных болезней им. А.Я. Кожевникова,

119021, Москва, ул. Россолимо, 11, стр. 1

Ya.A. Kozhevnikov Clinic of Nervous System Diseases,

11, Rossolimo St., Build. 1, Moscow 119021

ЗоновМ. Г.ZonovM. G.

клиника нервных болезней им. А.Я. Кожевникова,

 119021, Москва, ул. Россолимо, 11, стр. 1

Ya.A. Kozhevnikov Clinic of Nervous System Diseases,

11, Rossolimo St., Build. 1, Moscow 119021

БашлачевМ. Г.BashlachevM. G.

клиника нервных болезней им. А.Я. Кожевникова,

 119021, Москва, ул. Россолимо, 11, стр. 1

Ya.A. Kozhevnikov Clinic of Nervous System Diseases,

11, Rossolimo St., Build. 1, Moscow 119021

ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» (Сеченовский Университет) Минздрава РоссииРоссияI.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of RussiaRussian Federation201922062019112SСпецвыпуск: боль в спине и конечностях8997Copyright © Golovacheva V.A., Parfenov V.A., Golovacheva A.A., Evzikov G.Y., Yusupova R.M., Shcheglova N.S., Zonov M.G., Bashlachev M.G., 20192019Головачева В.А., Парфенов В.А., Головачева А.А., Евзиков Г.Ю., Юсупова Р.М., Щеглова Н.С., Зонов М.Г., Башлачев М.Г.Golovacheva V.A., Parfenov V.A., Golovacheva A.A., Evzikov G.Y., Yusupova R.M., Shcheglova N.S., Zonov M.G., Bashlachev M.G.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://nnp.ima-press.net/nnp/article/view/1126

Cubital tunnel syndrome (CTS) is manifested as hand sensory and motor impairments due to ulnar nerve compression in the cubital tunnel. The diagnosis is based on clinical data and is confirmed by electroneuromyography and ultrasonography. Conservative treatment methods (avoiding certain postures and movements; elbow splinting or orthosis use; and special exercises) is indicated for early-stage and mild CTS. Surgical treatment is indicated when conservative treatment is ineffective and when a patient has objective hand muscle weakness and atrophy. The paper considers the etiology, pathogenesis, and risk factors of CTS, and principles of its clinical and instrumental diagnosis and treatment in patients with this condition.

Синдром кубитального канала (СКК) проявляется чувствительными и двигательными нарушениями в кисти вследствие компрессии локтевого нерва в канале. Диагноз основывается на клинических данных и подтверждается электронейромиографией, ультразвуковым исследованием. На ранней стадии и при легкой степени СКК показано консервативное лечение: избегание определенных поз и движений, шинирование или наложение ортеза на область локтя, специальная гимнастика. При неэффективности консервативного лечения, наличии объективной слабости и атрофии мышц кисти показано хирургическое лечение. Рассматриваются этиология, патогенез, факторы риска развития, принципы клинической и инструментальной диагностики и лечения пациентов с СКК.

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The authors declare that there are no conflicts of interest present.