Medial Brachial and Antebrachial Cutaneous Nerve Injuries: Effect on Outcome in Revision Cubital Tunnel Surgery

Ioannis Sarris; Felix Göbel; Michael Gainer; Dimitris G. Vardakas; Molly T. Vogt; Dean G. Sotereanos

doi:10.1055/s-2002-36497

Journal of Reconstructive Microsurgery, Table of Contents

J Reconstr Microsurg 2002; 18(8): 665-670
DOI: 10.1055/s-2002-36497

Medial Brachial and Antebrachial Cutaneous Nerve Injuries: Effect on Outcome in Revision Cubital Tunnel Surgery

Ioannis Sarris¹ , Felix Göbel¹ , Michael Gainer¹ , Dimitris G. Vardakas¹ , Molly T. Vogt² , Dean G. Sotereanos¹

¹Division of Hand and Upper Extremity Surgery, Department of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, PA
²Departments of Orthopaedic Surgery and Epidemiology, University of Pittsburgh, Pittsburgh, PA

Abstract

ABSTRACT

Twenty patients with persistent symptoms of medial elbow pain after previous cubital tunnel surgery were evaluated during reoperation, for injury of the medial antebrachial and medial brachial cutaneous nerves at the time of reoperation. Abnormalities of the medial cutaneous nerves were found in 65 percent of the patients. A neuroma was found in 40 percent of the patients. The neuromas were treated surgically by excision, stump cauterization, and relocation into muscle. All patients had revision release of the cubital tunnel. The results were analyzed after a mean follow-up of 26 months. The results of the 13 patients with injured cutaneous nerves tended to be worse (p=0.065) than the results of seven patients without such findings.

KEYWORD

Cutaneous nerve injuries - revision cubital tunnel surgery - medial antebrachial nerves - medial brachial nerves

Full Text

References

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