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A.G. Fediakov

Kafedra neĭrokhirurgii GBOU DPO "Rossiĭskaia meditsinskaia akademiia poslediplomnogo obrazovaniia";
Gorodskaia klinicheskaia bol'nitsa im. S.P. Botkina, Moskva

O.N. Dubrovina

FGBU "Gorodskaia klinicheskaia bol'nitsa im. S.P. Botkina"

O.N. Dreval'

Rossiĭskaia meditsinskaia akademiia poslediplomnogo obrazovaniia, Moskva

A.V. Gorozhanin

FGBU "Gorodskaia klinicheskaia bol'nitsa im. S.P. Botkina";
FGBU DOP RMAPO, Moskva

E.N. Plastunenko

The use of intraoperative electrophysiological monitoring in patients with decompression of the ulnar nerve near the elbow joint

Authors:

A.G. Fediakov, O.N. Dubrovina, O.N. Dreval', A.V. Gorozhanin, E.N. Plastunenko

More about the authors

Journal: Burdenko's Journal of Neurosurgery. 2014;78(6): 43‑49

Read: 4548 times

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Table of contents

THE USE OF INTRAOPERATIVE ELECTROPHYSIOLOGICAL MONITORING IN PATIENTS WITH DECOMPRESSION OF THE ULNAR NERVE NEAR THE ELBOW JOINT
THE USE OF INTRAOPERATIVE ELECTROPHYSIOLOGICAL MONITORING IN PATIENTS WITH DECOMPRESSION OF THE ULNAR NERVE NEAR THE ELBOW JOINT

To cite this article:

Fediakov AG, Dubrovina ON, Dreval' ON, Gorozhanin AV, Plastunenko EN. The use of intraoperative electrophysiological monitoring in patients with decompression of the ulnar nerve near the elbow joint. Burdenko's Journal of Neurosurgery. 2014;78(6):43‑49. (In Russ., In Engl.)

Подписка 2025 Журнал «Вопросы нейрохирургии» имени Н.Н. Бурденко (Burdenko's Journal of Neurosurgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

At the elbow, the ulnar nerve may be compressed either in the retrocondylar groove, in the cubital tunnel, or compressed by Osborne's band. Optimal surgical therapy should be directed at the specific site of involvement. It is more difficult to identify the level of ulnar nerve compression. Anatomical variations may make it difficult to identify the causes of ulnar neuropathy at the elbow. The data obtained by inspection, probing, or electroneurography do not allow one to reliably identify the compression level. Intraoperative electroneuromyography performed in conjunction with 14 ulnar nerve explorations helped localize the precise site of compression in 12 cases. Intraoperative studies helped identify compression by Osborne band in 8 patients. We conclude that intraoperative electroneuromyography identifies compression levels of ulnar neuropathy more accurately than the conventional examination methods do.

Keywords:

Intraoperative electroneuromyography
cubital tunnel syndrome
ulnar nerve compression
peripheral nerve surgery

Authors:

A.G. Fediakov

Kafedra neĭrokhirurgii GBOU DPO "Rossiĭskaia meditsinskaia akademiia poslediplomnogo obrazovaniia";
Gorodskaia klinicheskaia bol'nitsa im. S.P. Botkina, Moskva

O.N. Dubrovina

FGBU "Gorodskaia klinicheskaia bol'nitsa im. S.P. Botkina"

O.N. Dreval'

Rossiĭskaia meditsinskaia akademiia poslediplomnogo obrazovaniia, Moskva

A.V. Gorozhanin

FGBU "Gorodskaia klinicheskaia bol'nitsa im. S.P. Botkina";
FGBU DOP RMAPO, Moskva

E.N. Plastunenko

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References:

  1. Dreval' O.N., Shevelev I.N., et al. Peripheral neuropathy. Clinical Neurology. In 3 volumes, Vol. 3 (part 2). Principles of neurosurgery. Ed. by A.N. Konovalov. Moscow: Meditsina 2004; 314-361. In Russian.
  2. Neurosurgery. Guidelines for medical practitioners. In 2 volumes. Ed. by O.N. Dreval’. Vol. 2. Lectures, seminars, clinical reviews. Moscow: Littera 2013; 724-725. In Russian.
  3. Fedyakov A.G., Dreval' O.N., Sevast'yanov V.I., Perova N.V., Kuznetsov A.V., Chapandze G.N. Experimental and clinical rationale for the use of biodegradable implants in surgical treatment of peripheral nerve injuries. Vopr neirokhir 2010; 3: 15-20. In Russian.
  4. Russell S.M. Examination of peripheral nerve injuries. Translated from English. Moscow: BINOM 2009. In Russian.
  5. Campbell W.W., Pridgeon R.M., Riaz G., Astruc J., Sahni K.S. Variations in anatomy of the ulnar nerve at the cubital tunnel: pitfalls in the diagnosis of ulnar neuropathy at the elbow. Muscle Nerve 1991; 14: 8: 733-738.
  6. Robertson C., Saratsiotis J. A Review of Compressive Ulnar Neuropathy at the Elbow. J Manipul Physiol Ther 2005; 28: Issue 5: 345.
  7. Dubrovina O.N., Fedyakov A.G., Dreval O.N., Gorozhanin A.V. IOM during decompression of nervusulnaris in the area of canaliscubitalis. The twelfth international conference: High medical technologies in XXI century. Spain (Benidorm) 2013.
  8. Feindel W., Stratford J. The role of the cubital tunnel in tardy ulnar palsy. Can its point of exit from the flexor carpi ulnaris muscle. Muscle Nerve 1988; 11: 467-470. J Surg 1958; 78: 351-353.
  9. Landau M.E., Campbell W.W. Clinical features and electrodiagnosis of ulnar neuropathies. Phys Med Rehabil Clin N Am 2013; 24: 1: 49-66.
  10. Osborne G. Spontaneous ulnar nerve paresis. Br Med J 1958; 1: 218.
  11. Robertson C., Saratsiotis J. A review of compressive ulnar neuropathy at the elbow. J Manipul Physiol Ther 2005; 28: 5: 345.
  12. Soltani A.M., Best M.J., Francis C.S., Allan B.J., Panthaki Z.J. Trends in the Surgical Treatment of Cubital Tunnel Syndrome: An Analysis of the National Survey of Ambulatory Surgery Database. J Hand Surg Am 2013.
  13. Vanderpool D.W., Chalmers J., Lamb D.W. et al. Peripheral compression lesions of the ulnar nerve. J Bone Joint Surg Br 1968; 50: 792-803.
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