Background: The anconeus epitrochlearis muscle is an anatomical variant prevalent in amphibians but unusual in humans. In favorable cases, this muscle provides protection to the cubital nerve but can result in neuropathy due to compression of the cubital nerve.
Case Description: We present two cases with different clinical manifestations but both did not respond to conservative treatment. We opted for a surgical decompression where the anconeus epitrochlearis muscle was found intraoperatively, and the muscle fibers were dissected.
Conclusion: Considering the presence of the muscle variant is the key point to intraoperatively achieve a complete dissection of the muscle fibers of the anconeus epitrochlearis muscle variant and obtain the decompression of the cubital nerve with satisfactory postoperative results.
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http://dx.doi.org/10.25259/SNI_650_2023 | DOI Listing |
J Shoulder Elbow Surg
November 2024
Ziekenhuis Oost-Limburg, department of orthopaedic surgery and traumatology, Schiepse Bos 6, 3600 Genk, Belgium; University of Hasselt, faculty of rehabilitation sciences. Martelarenlaan 42, 3500 Hasselt, Belgium. Electronic address:
Background: The role of the anconeus epitrochlearis (AE) in cubital tunnel syndrome, either as protector or potential compressor of the ulnar nerve, as well as its prevalence in both symptomatic and asymptomatic patients are still unclear. This study aimed to assess the prevalence of the AE in a large cohort using 3-dimensional imaging and to investigate any association of the AE with preoperative or postoperative features of patients undergoing cubital tunnel surgery.
Methods: From a database of 1240 elbow MRIs, all patients with an AE were retrospectively screened for major criteria of cubital tunnel syndrome.
This case shows the feasibility of targeted muscle reinnervation (TMR) in a patient with a traumatic neuroma of the medial antebrachial cutaneous nerve (MABCN). TMR was performed by connecting the proximal stump of the MABCN to the branch innervating the accessory epitrochleoanconeus muscle. Postoperatively, the patient reported significantly less pain.
View Article and Find Full Text PDFSurg Radiol Anat
June 2024
Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.
Purpose: The ulnar nerve (UN) courses through the cubital tunnel, which is a potential site of entrapment. Anatomical variations of the cubital tunnel may contribute towards cubital tunnel syndrome (CuTS), however, these are not well described. The aim was to compare the range of variations and dimensions of the cubital tunnel and the UN between sexes and sides of the body.
View Article and Find Full Text PDFAnn Plast Surg
May 2024
From the Department of Plastic, Reconstructive and Hand Surgery, Martini Hospital, Groningen.
Folia Morphol (Warsz)
January 2024
Institute of Anatomy, Faculty of Medicine, Korytkova 2, 1000 LJUBLJANA, Slovenia.
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