Preview

Neurology, Neuropsychiatry, Psychosomatics

Advanced search

Cubital tunnel syndrome masked by spinal osteochondrosis

https://doi.org/10.14412/2074-2711-2020-4-79-83

Full Text:

Abstract

Cubital tunnel syndrome (CTS) is the second most common compression mononeuropathy that is effectively treated. The risk factors for CTS include repetitive arm flexion at the elbow joint and prolonged arm flexion with support on the elbow. The diagnosis of CTS is based on its clinical presentations, the data of neurological examinations, and the results of electroneuromyography and ultrasound examination. The symptoms of the disease progress quickly, therefore the early diagnosis of CTS and its timely treatment are of great importance for the patient's recovery. Unfortunately, patients with CTS are often observed to be erroneously diagnosed with degenerative and dystrophic spinal changes. The paper presents an observation of effective treatment in a young patient who has been suffering from CTS for a long time and been erroneously diagnosed with spinal osteochondrosis. Six months after surgical treatment (for decompression and neurolysis of the left ulnar nerve), the patient regained hand sensitivity and movement. It is concluded that further investigation is necessary to assess predictors of effective surgical treatment in patients with this disease.

About the Authors

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, Institute of Clinical Medicine

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



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

Veronika Aleksandrovna Golovacheva

Department of Nervous System Diseases and Neurosurgery, Institute of Clinical 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, Institute of Clinical 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

A.Ya. 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

A.Ya. 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

A.Ya. Kozhevnikov Clinic of Nervous System Diseases

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



References

1. Spies CK, Löw S, Langer MF, et al. Cubital tunnel syndrome: Diagnostics and therapy. Orthopade. 2017;46(8):717-26. doi: 10.1007/s00132-017-3453-z

2. Cutts S. Cubital tunnel syndrome. Postgrad Med J. 2007;83:28-31. doi: 10.1136/pgmj.2006.047456

3. Folberg CR, Weiss AP, Akelman E. Cubital tunnel syndrome. Part I: Presentation and diagnosis. Orthop Rev. 1994 Feb;23(2):136-44.

4. Gu Y. Current status and suggestion of clinical classification of carpal and cubital tunnel syndromes. Zhongguo. 2011;31:818-9.

5. Tang P. The blocking flap for ulnar nerve instability after in situ release: technique and a grading system of ulnar nerve in stability to guide treatment. Tech Hand Up Extrem Surg. 2017;21(4):137-42. doi: 10.1097/BTH.0000000000000168

6. Parfenov V, Isaykin A. Bol' v nizhney chasti spiny: mify i real'nost' [Low back pain: myths and reality]. Moscow: IMA-PRESS; 2016. 104 p. (In Russ.).

7. Golovacheva VA, Parfenov VA, Tabeeva GR, et al. Optimization of management of patients with chronic daily headache. Zhurnal nevrologii i psikhiatrii im. S.S. Korsakova. 2017;117(2):4-9. doi: 10.17116/jnevro2017117214-9 (In Russ.).

8. Gilveg AS, Parfenov VA, Evzikov GYu. Carpal tunnel syndrome: issues of diagnosis and treatment. Nevrologiya, neiropsikhiatriya, psikhosomatika = Neurology, Neuropsychiatry, Psychosomatics. 2019;11(Suppl. 2):46-51. doi: 10.14412/2074-2711-2019-2S-46-51 (In Russ.).

9. Antonenko LM, Parfenov VA. A specialized approach to diagnosing and treating vertigo Nevrologiya, neiropsikhiatriya, psikhosomatika = Neurology, Neuropsychiatry, Psychosomatics. 2016;(8)1:56-60. doi: 10.14412/2074-27112016-1-56-60 (In Russ.).

10. Parfenov VA, Golovacheva VA. Khronicheskaya bol' i ee lechenie v nevrologii [Chronic pain and its treatment in neurology]. Moskva: GEOTARMedia; 2018 (In Russ.).

11. Popelyanskiiy YaYu. Vertebrogennye zabolevaniya nervnoiy sistemy. T. 3: Vertebral'nye i tservikomembranal'nye sindromy sheiynogo osteokhondroza [Vertebrogenic diseases of the nervous system. T. 3: Vertebral and cervicomembrane syndromes of cervical osteochondrosis]. Kazan'; 1981. 366 p. (In Russ.).

12. Isaikin AI, Ivanova MA, Kavelina AV, Chernenko OA. Lumbar discogenic pain. Nevrologiya, neiropsikhiatriya, psikhosomatika = Neurology, Neuropsychiatry, Psychosomatics. 2016;8(3):88-94. doi: 10.14412/2074-2711-2016-3-88-94 (In Russ.).

13. International Statistical Classification of Diseases and Health Problems; Revision 10: Updates 1998–2012. Available at: http://www.who.int/classifications/icd/icd10updates/en/index.html.

14. Golovacheva VA, Golovacheva AA, Fateeva TG. Psychological methods in the treatment of chronic nonspecific low back pain. Nevrologiya, neiropsikhiatriya, psikhosomatika = Neurology, Neuropsychiatry, Psychosomatics. 2019;11(Suppl. 2):25-32. doi: 10.14412/20742711-2019-2S-25-32 (In Russ.).

15. Caliandro P, La Torre G, Padua R, et al. Treatment for ulnar neuropathy at the elbow. Cochrane Database Syst Rev. 2016 Nov 15;11:CD006839. doi: 10.1002/14651858.CD006839.pub4

16. Adelaar RS, Foster WC, McDowell C. The treatment of the cubital tunnel syndrome. J Hand Surg Am. 1984;9a(1):90-5. doi: 10.1016/S0363-5023(84)80193-8

17. Trehan SK, Parziale JR, Akelman E. Cubital tunnel syndrome: diagnosis and management. Med Health R I. 2012;95(11):349-52.

18. Boone S, Gelberman R, Calfee R. The management of cubital tunnel syndrome. J Hand Surg Am. 2015;40:1897-904. doi: 10.1016/j.jhsa.2015.03.011

19. Golovacheva VA, Parfenov VA, Golovacheva AA, et al. Cubital tunnel syndrome: current principles of diagnosis and treatment. Nevrologiya, neiropsikhiatriya, psikhosomatika = Neurology, Neuropsychiatry, Psychosomatics. 2019;11(2S):89-97. doi: 10.14412/2074-27112019-2S-89-97 (In Russ.).

20. Bartels RH, Verhagen WI, van der Wilt GJ, et al. Prospective randomized controlled study comparing simple decompression versus anterior subcutaneous transposition for idiopathic neuropathy of the ulnar nerve at the elbow: Part 1. Neurosurgery. 2005;56(3):522-30. doi: 10.1227/01.NEU.0000154131.01167.03


For citation:


Golovacheva A.A., Golovacheva V.A., Yusupova R.M., Shcheglova N.S., Zonov M.G., Bashlachev M.G. Cubital tunnel syndrome masked by spinal osteochondrosis. Neurology, Neuropsychiatry, Psychosomatics. 2020;12(4):79-83. (In Russ.) https://doi.org/10.14412/2074-2711-2020-4-79-83

Views: 56


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


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