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Le syndrome canalaire du nerf ulnaire au coude d'origine idiopathique

ALLAGUI M; HAMDI MF; EL FEKIH S; KOUBAA M; ALOUI I; ABID A
CHIR MAIN , 2013, vol. 32, n° 2, p. 74-79
Doc n°: 169068
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1016/j.main.2013.02.006
Descripteurs : DD561 - TRAITEMENT CHIRURGICAL - COUDE, AC232 - ATTEINTES DES NERFS RACHIDIENS

We report a retrospective study of 20 patients treated for idiopathic cubital
tunnel syndrome in a period of 10 years (2002-2011).
The average age was 46
years. A profession at risk was present in the majority of cases. The treatment
was surgical in all the cases. The indication for surgery was related to the
importance of sensory-motor deficit, the long duration of symptoms, and the
failure of conservative treatment. Two surgical techniques were used in this
work: isolated neurolysis and neurolysis with anterior transposition of the ulnar
nerve. There were no complications or recurrence of symptoms. After a mean
follow-up of 12 months, our results evaluated thanks to the classification of
Bishop were considered as excellent or good in 85% of cases and fair in 15% of
cases. Prognosis factors were advanced age (more than 60 years), severity of the
disease, and duration of symptoms (more than one year). The management of this
affection must go through a better knowledge of the disease, for early diagnosis
and appropriate treatment, only guarantees for a good result.
CI - Copyright (c) 2013 Elsevier Masson SAS. All rights reserved.

Langue : FRANCAIS

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