FESSH prep Compressive neuropathies cubital tunnel syndrome — non operative and operative management
Management of cubital tunnel syndrome
Regarding the management of cubital tunnel syndrome, which of the following statements are true?
1.Routine internal (fascicular) neurolysis is not recommended during primary cubital tunnel decompression.
2.Mild to moderate cubital tunnel syndrome can respond to activity modification and rigid night splinting in approximately 45° of elbow extension.
3.Persistent or progressive intrinsic weakness or atrophy is an indication for surgical decompression.
4.Frank pre-operative dislocation of the ulnar nerve over the medial epicondyle on elbow flexion is an absolute contraindication to in-situ simple decompression.
5.Nerve conduction and electromyographic findings do not always correlate with the clinical severity of ulnar neuropathy at the elbow.
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