Neurolysis combined with the application of a silastic envelope for ulnar nerve entrapment at the elbow.

Abstract

Sixty-six patients with ulnar nerve entrapment at the elbow underwent neurolysis and the application of a Silastic envelope in an attempt to prevent postoperative scarring and recurrence of symptoms. All patients were evaluated pre- and postoperatively using a numerical scoring system that included clinical, motor, and sensory evaluation as well as nerve conduction studies. The Silastic material was well tolerated in the 70 cases. The overall 66% score improvement was more closely related to clinical relief (64%) than to improvement in motor conduction velocities (45%). Our 10-year experience indicates that ulnar neurolysis with Silastic envelope interposition is a safe surgical method of treatment for ulnar nerve entrapment at the elbow.

• Authors: B G Benoit, D N Preston, D M Atack, V F Da Silva
• Journal: Neurosurgery (Neurosurgery) Vol. 20 Issue 4 Pg. 594-8 (Apr 1987) ISSN: 0148-396X [Print] United States
• PMID: 3587553 (Publication Type: Journal Article)

Chemical References

• Silicone Elastomers

Topics

• Adult
• Aged
• Elbow (surgery)
• Female
• Follow-Up Studies
• Humans
• Male
• Middle Aged
• Nerve Compression Syndromes (physiopathology, surgery)
• Neural Conduction
• Postoperative Complications (prevention & control)
• Recurrence
• Retrospective Studies
• Silicone Elastomers
• Ulnar Nerve (surgery)