У нас вы можете посмотреть бесплатно The Various Types of Surgery For Cubital Tunnel или скачать в максимальном доступном качестве, видео которое было загружено на ютуб. Для загрузки выберите вариант из формы ниже:
Если кнопки скачивания не
загрузились
НАЖМИТЕ ЗДЕСЬ или обновите страницу
Если возникают проблемы со скачиванием видео, пожалуйста напишите в поддержку по адресу внизу
страницы.
Спасибо за использование сервиса ClipSaver.ru
I wanted to make a video to answer a very common question I get about the various types of surgery for cubital tunnel and ulnar nerve compression. There are basically 3 types: decompression/release, medial epicondylectomy, and ulnar nerve transpositions; with various methods of each. The most simple surgery is a cubital tunnel release or also called a ulnar nerve decompression. In this the nerve is left in its anatomical location and various sites of compression are released above and below the elbow. This surgery can also be done with an endoscope which is called an endoscopic decompression. This surgery is usually best for people that have compression, but no subluxation of the ulnar nerve. Second is a partial medial epicondylectomy. In this surgery, the nerve is release just as in the decompression surgery then part of the medial epicondyle is shaved away so that if the nerve subluxates it doesn't become as irritated while it passes back and forth over the medial epicondyle bone. This surgery is not as widely used as decompression and transposition, likely because the shaving away of the bone can cause instability in the elbow and residual bone pain. I was cautioned by a few surgeons to avoid this one. Lastly we have subcutaneous and sub muscular ulnar nerve transpositions. In both transpositions, the nerve is first released at the various points of compression and then is transposed anterior to the medial epicondyle so that it does not pop back and forth over the bone anymore. In a subcutaneous transposition, the nerve is left above the muscle just under the skin protected by just the subcutaneous layer of fat. It is usually secured in its new location with some sort of fascial sling (some surgeons chose not to use a sling at all) to keep it from subluxating back to its original location. In a sub muscular ulnar nerve transposition, the nerve is also released at the various points of compression and transposed anterior to the medial epicondyle, but then the flexor pronator muscle tendon is cut and the nerve is placed below it with the muscle then reattached. This provides protection for the nerve and keeps it from moving from its new transposed location. This type of surgery also requires the longest recovery time because it is the most invasive due to the muscles being cut. Hope that helps clear up the differences between the surgeries. Use this knowledge to ask intelligent questions when discussing treatment options with your doctor and as always, please let me know if you have any questions. Aloha, Marc