Titlebook: Compressive Neuropathies of the Upper Extremity; A Comprehensive Guid Dean G. Sotereanos,Loukia K. Papatheodorou Book 2020 Springer Nature

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https://doi.org/10.1057/9780230353930onservative treatment will often fail to alleviate the symptoms due to tethering or neurodesis of the median nerve to the carpal canal. The hypothenar fat pad flap (HTFPF) has been developed to address this difficult clinical condition and this chapter will describe the technique and give pearls to

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Five Shareholder Value Case StudiesOrthop Relat Res (351):90–94, 1998). Patients complain of numbness, elbow pain, and intrinsic weakness leading to a loss of fine motor dexterity in the hand. Severe, chronic nerve compression leads to significant weakness, atrophy, and contractures due to muscle imbalances. Decompression of the ulna

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https://doi.org/10.1057/9780230392687e therapy, surgical decompression of the ulnar nerve is indicated. In selected cases e.g. ulnar nerve hypermobility, concomitant anterior transposition of the ulnar nerve may be needed to warrant a good outcome. Traditionally surgical decompression with or without anterior transposition is performed

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Conclusion and Practical Implicationsed by dynamic instability of the ulnar nerve around and over the medial epicondyle. Anterior transposition techniques were designed to eliminate traction on the nerve from the medial epicondyle or mechanical irritation in the presence of dynamic instability. Subcutaneous anterior transposition has b

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https://doi.org/10.1057/9780230392687 surgical management, ranging from simple in situ release to more elaborate transposition. This chapter will explore the surgical technique of submuscular transposition of the ulnar nerve and cover the history of nerve transposition, the indications, described modifications of surgical technique, an

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https://doi.org/10.1057/9780230392687is technique can address the compressive and tensile forces on the ulnar nerve without excessive devascularization of the ulnar nerve as compared to other ulnar nerve transposition techniques. Sensory and motor impairments for patients with cubital tunnel can be improved after minimal medial epicond

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Conclusion and Practical Implicationsor sensation. The use of nerve transfers, while rare in compressive neuropathies, can be considered in cases of severe proximal compression leading to axonal loss or in cases of iatrogenic injury from previous surgery. Nerve transfers are classically described using end to end nerve coaptation; howe