Simultaneous Compression of the Median and Ulnar Nerve at the Elbow: A Retrospective Study

Proximal Median Nerve Compression in the Differential Diagnosis of Carpal Tunnel Syndrome

Carpal tunnel syndrome (CTS) is the most common median nerve compression neuropathy. Its symptoms and clinical presentation are well known. However, symptoms at median nerve distribution can also be caused by a proximal problem. Pronator syndrome (PS) and anterior interosseous nerve syndrome (AINS) with their typical characteristics have been thought to explain proximal median nerve problems. Still, the literature on proximal median nerve compressions (PMNCs) is conflicting, making this classic split too simple. This review clarifies that PMNCs should be understood as a spectrum of mild to severe nerve lesions along a branching median nerve, thus causing variable symptoms. Clear objective findings are not always present, and therefore, diagnosis should be based on a more thorough understanding of anatomy and clinical testing. Treatment should be planned according to each patient's individual situation. To emphasize the complexity of causes and symptoms, PMNC should be named proximal median nerve syndrome.

Possible points of compression of the ulnar nerve: Tricks and traps that await clinicians from an anatomical point of view

The ulnar nerve can be subject to numerous types of compression. The most common are cubital tunnel and ulnar tunnel syndromes, but there are many others with more uncommon etiologies. The existence of additional communicating branches, median nerve involvement, various types of injuries, and unusual anatomical variations can be a challenge for both diagnosis and treatment. This review presents a comprehensive depiction of ulnar nerve entrapment syndromes with particular reference to their anatomical background, risk factors, and clinical evaluation. Even common disorders can result from atypical morphological changes. It is important to be familiar with them as it is a key ability in daily medical practice.

STUDY OF EFFICIENCY OF SURGICAL TREATMENT OF TUNNEL NEUROPATHY OF THE UPPER EXTREMITY AT ELDERLY PATIENTS

The research objective are the assessment and increase in efficiency of treatment of tunnel neuropathy of the upper extremities at patients aged from 60 years and also more senior.Material and methods - the examination and the subsequent treatment of 115 patients of age category 60 years and more senior with compression pathology of nerves of the upper extremity. Diagnostic process included clinical examination, an ultrasonography, an electroneuromyography (EMG).Results - total number of cases of neuropathy is 140 at 115 patients due to the multiple combined compression of nerves in several channels in 25 cases. All patients included in a research had performed open decompression of a nerve . The excellent result was received at 32 (27.8%) patients, good - in 68 (59.1%) cases, satisfactory - at 13 (11.3%) patients, unsatisfactory - at 2 (1.7%) patients.The conclusion - expeditious treatment of tunnel neuropathy at elderly patients allows to improve quality of life of patients and gives low level of complications.