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Neurology, Neuropsychiatry, Psychosomatics

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Cubital tunnel syndrome: current principles of diagnosis and treatment

https://doi.org/10.14412/2074-2711-2019-2S-89-97

Abstract

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.

About the Authors

V. A. Golovacheva
I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of Russia
Russian Federation

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

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



V. A. Parfenov
I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of Russia
Russian Federation

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

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


A. A. Golovacheva
I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of Russia
Russian Federation

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

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


G. Yu. Evzikov
I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of Russia
Russian Federation

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

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


R. M. Yusupova
I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of Russia
Russian Federation

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

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


N. S. Shcheglova
I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of Russia
Russian Federation

Ya.A. Kozhevnikov Clinic of Nervous System Diseases,

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



M. G. Zonov
I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of Russia
Russian Federation

Ya.A. Kozhevnikov Clinic of Nervous System Diseases,

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



M. G. Bashlachev
I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of Russia
Russian Federation

Ya.A. Kozhevnikov Clinic of Nervous System Diseases,

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



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ISSN 2074-2711 (Print)
ISSN 2310-1342 (Online)