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Progressieve uitval van de nervus ulnaris na een trauma

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Nederlands Tijdschrift voor Traumachirurgie

Samenvatting

Het cubitaletunnelsyndroom is na het carpaletunnelsyndroom de meest voorkomende compressieneuropathie van de bovenste extremiteit. Het syndroom wordt voornamelijk veroorzaakt door aanhoudende rek van of druk op de n. ulnaris, waardoor sensomotorische uitval ontstaat. Wanneer conservatieve therapie onvoldoende resultaat sorteert, is endoscopische decompressie de aangewezen behandeling. Met deze minimaal invasieve procedure kan de n. ulnaris over een langer traject worden vrijgelegd, wat bij ongeveer 60-80% van de patiënten tot goede resultaten leidt.

Abstract

The cubital tunnel syndrome is the second most common compression neuropathy of the upper limb following the carpal tunnel syndrome. It is mostly caused by persistent stretch or compression on the ulnar nerve, which results in paraesthesia and motor weakness. If conservative treatment fails patients can be treated with endoscopic ulnar nerve decompression. This minimal invasive endoscopic procedure enables to release the ulnar nerve over a long distance, leading to good results in approximately 60-80% of the patients.

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Authors and Affiliations

  1. Maasstad Ziekenhuis, Rotterdam, The Netherlands

    D.T. van Yperen,  L. Timmermans,  C.H. van der Vlies,  R. Saxena &  N.W.L Schep

Authors
  1. D.T. van Yperen
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  2. L. Timmermans
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  3. C.H. van der Vlies
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  4. R. Saxena
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  5. N.W.L Schep
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Additional information

1 coassistent chirurgie

2 aios chirurgie

3 traumachirurg

4 neuroloog

Alle auteurs zijn verbonden aan het Maasstad Ziekenhuis Rotterdam

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van Yperen, D., Timmermans, L., van der Vlies, C. et al. Progressieve uitval van de nervus ulnaris na een trauma. Ned Tijdschr Traumachir 24, 17–21 (2016). https://doi.org/10.1007/s12506-016-0035-3

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  • DOI: https://doi.org/10.1007/s12506-016-0035-3

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