Skip to main content

Tunnel Compression Syndromes of Median and Ulnar Nerves

  • Chapter
Practical Handbook of Neurosurgery
  • 3861 Accesses

Abstract

Entrapment means, “to be caught in a trap”. Nerve compression syndromes that are caused by entrapment may thus be treated by surgical decompression increasing the free space surrounding the nerve. In e.g. the carpal tunnel syndrome (CTS) it is believed that the median nerve is compressed in the carpal tunnel due to an increased pressure within the tunnel. Surgical decompression lowers this compression and thereby the entrapment of the median nerve. It is suggested in textbooks that almost any peripheral nerve can be compressed [1]. It is not the aim of this chapter to discuss all of these — often hypothetical — entrapments and their surgical treatment.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 349.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 449.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 599.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Similar content being viewed by others

References

  1. Al-Mefty O, Origitano TC, Harkey HL (eds) (1996) Controversies in neurosurgery. Thieme Medical Publishers, New York, chapter 35, pp 340–349

    Google Scholar 

  2. Assmus H, Antoniadis G, Bischoff C, Haussmann P, Maartini AK, Mascharka Z, Scheglmann K, Schwerdfeger K, Selbmann HK, Towfigh H, Vogt T, Wessels KD, Wüstner-Hofmann M (2007) Diagnosis and therapy of carpal tunnel syndrome. Handchir Mikrochir Plast Chir 39: 276–288

    Article  CAS  PubMed  Google Scholar 

  3. Atroshi I (1999) Carpal tunnel syndrome: prevalence, electrodiagnosis and outcome instruments. Thesis, Lund University, Sweden

    Google Scholar 

  4. Bartels RHMA (2001) History of the surgical treatment of ulnar compression at the elbow. Neurosurgery 49: 391–400

    Article  CAS  PubMed  Google Scholar 

  5. Haase J (2007) Carpal tunnel syndrome — a comprehensive review. Adv Tech Stand Neurosurg 32: 178–249

    Google Scholar 

  6. Hudson AR, Wissinger JP, Salazar JL, Kline DG, Yarzagary L, Danoff D, Fernandez E, Field EM, Gainsburg DB, Fabri RA, Mackinnon SE (1997) Carpal tunnel syndrome. Surgical Neurol 47: 105–114

    Article  CAS  Google Scholar 

  7. Kline D, Hudson A (eds) (1995) Nerve injuries. WB Saunders, Philadelphia

    Google Scholar 

  8. Krishnan KG, Pinzer T, Schackert G (2006) A novel endoscopic technique in treating single nerve entrapment syndromes with special attention to ulnar nerve transposition and tarsal tunnel release: clinical application. Neurosurgery 59(1 Suppl 1): ONS89–ONS100

    PubMed  Google Scholar 

  9. Lundborg G (2000) A 25-year perspective of peripheral nerve surgery: evolving neuroscientific concepts and clinical significance. J Hand Surg 25A: 391–414

    Google Scholar 

  10. Osborne GF (1970) Compression neuritis of the ulnar nerve at the elbow. Hand 2: 10–13

    Article  CAS  PubMed  Google Scholar 

  11. Pecina MM et al. (eds) (2001) Tunnel syndromes, 3rd edn. CRC Press, Boca Raton

    Google Scholar 

  12. Posner MA (1998) Compressive ulnar neuropathies at the elbow: I. Etiology and diagnosis. J Am Acad Orthop Surg 6(5): 282–288

    CAS  PubMed  Google Scholar 

  13. Sunderland S (1978) Nerve and nerve injuries. Churchill Livingston, New York

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2009 Springer-Verlag/Wien

About this chapter

Cite this chapter

Haase, J. (2009). Tunnel Compression Syndromes of Median and Ulnar Nerves. In: Sindou, M. (eds) Practical Handbook of Neurosurgery. Springer, Vienna. https://doi.org/10.1007/978-3-211-84820-3_95

Download citation

  • DOI: https://doi.org/10.1007/978-3-211-84820-3_95

  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-211-84819-7

  • Online ISBN: 978-3-211-84820-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics