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Bartoletti, Domenick, Gupta, Aavni, Bohne, William, Gresham, Sean, Ghayyad, Kassem, Kachooei, Amir. (1404). Peripheral Nerve Syndromes at the Elbow: A Review of Current Treatments. , 13(12), 800-806. doi: 10.22038/abjs.2025.87645.3996
Domenick Bartoletti; Aavni Gupta; William Bohne; Sean Gresham; Kassem Ghayyad; Amir R. Kachooei. "Peripheral Nerve Syndromes at the Elbow: A Review of Current Treatments". , 13, 12, 1404, 800-806. doi: 10.22038/abjs.2025.87645.3996
Bartoletti, Domenick, Gupta, Aavni, Bohne, William, Gresham, Sean, Ghayyad, Kassem, Kachooei, Amir. (1404). 'Peripheral Nerve Syndromes at the Elbow: A Review of Current Treatments', , 13(12), pp. 800-806. doi: 10.22038/abjs.2025.87645.3996
Bartoletti, Domenick, Gupta, Aavni, Bohne, William, Gresham, Sean, Ghayyad, Kassem, Kachooei, Amir. Peripheral Nerve Syndromes at the Elbow: A Review of Current Treatments. , 1404; 13(12): 800-806. doi: 10.22038/abjs.2025.87645.3996

Peripheral Nerve Syndromes at the Elbow: A Review of Current Treatments

The Archives of Bone and Joint Surgery
مقاله 5، دوره 13، شماره 12، اسفند 2025، صفحه 800-806    اصل مقاله (671.71 K)
نوع مقاله: CURRENT CONCEPTS REVIEW
شناسه دیجیتال (DOI): 10.22038/abjs.2025.87645.3996
نویسندگان
Domenick Bartoletti* 1؛ Aavni Gupta2؛ William Bohne1؛ Sean Gresham1؛ Kassem Ghayyad3؛ Amir R. Kachooei3
1Wright State University Boonshoft School of Medicine, Dayton, OH, USA
2Florida State University College of Medicine, Tallahassee, FL, USA
3Rothman Orthopaedics Florida at AdventHealth, Orlando, FL, USA
چکیده
Peripheral nerve compression syndromes at the elbow include Cubital Tunnel Syndrome (CuTS), Radial Tunnel Syndrome (RTS), Posterior Interosseous Syndrome (PINS), Pronator Teres Syndrome (PTS), and Anterior Interosseous Nerve Syndrome (AINS). These conditions, though rare compared to carpal tunnel syndrome, can cause debilitating motor and sensory deficits. This review aims to consolidate the latest evidence about treatments to improve therapeutic outcomes and provide clinical recommendations. Conservative treatment is usually first-line and includes physical therapy, splinting, nonsteroidal anti-inflammatory drugs (NSAIDs), and corticosteroid injections. Despite limited evidence, NSAIDs remain widely used due to their cost-effectiveness. Corticosteroid injections offer potential short-term relief and diagnostic value, particularly in CuTS, where non-responders may require alternative diagnoses. Splinting shows variable success, with most patients reporting symptom improvement, while nerve glide exercises and patient education are essential for managing provocative movements. Surgical intervention is indicated when conservative treatments fail. The mainstay surgical therapy for elbow nerve entrapment is decompression. Still, new evidence suggests a difference between management for the various entrapments. Minimally invasive techniques have shown promising outcomes with reduced recovery times. Future research on elbow nerve entrapments should aim to establish a treatment algorithm and to advance minimally invasive techniques.
        Level of evidence: V
کلیدواژه‌ها
Conservative treatment؛ Cubital tunnel syndrome؛ Diagnosis؛ Peripheral nerve compression syndromes؛ Surgical decompression
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