Effective Surgical Treatment of Cubital Tunnel Syndrome Based on Provocative Clinical Testing Without Electrodiagnostics

The document discussed the effective surgical treatment of cubital tunnel syndrome using provocative clinical testing without relying on electrodiagnostics. It emphasized that the diagnosis of peripheral nerve compression syndromes primarily depended on history and physical examination rather than electrodiagnostics, radiographic studies, or MRI. Positive results from provocative pressure and flexion tests at the elbow were indicated by symptoms of pain or numbness within 30 seconds. Conservative management options included splints, counseling regarding sleep positions, vitamin B6, and NSAIDs, but not moist heat. The most common nerve compression syndrome in the upper extremity was carpal tunnel syndrome. The pathophysiology of entrapment neuropathy could involve compression, ischemia, metabolic derangement, but not stretch injury.