Despite the burden to patients and society, there are no diagnostic criteria for cubital tunnel syndrome. Our survey shows that 93% of surgeons order preoperative tests (mostly electrodiagnostics only, which is discordant with expert consensus). Moreover, six in 10 still operate when test results are normal. The diagnostic pathway for cubital tunnel syndrome must be standardized.
ChongHSeeAKulkarniK, ELECTS Collaborators. National trends in the initial diagnosis and management of carpal tunnel syndrome: results from the ELECTS (ELEctrophysiology in Carpal Tunnel Syndrome) study. Ann R Coll Surg Engl. 2024, 106: 64–9.
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McEachanJEDahlinLBNgCYRingDRuettermannM. Round table discussion: the management of idiopathic cubital tunnel syndrome. J Hand Surg Eur. 2024, 49: 926–32.
3.
PelosiLArányiZBeekmanR, et al. Expert consensus on the combined investigation of ulnar neuropathy at the elbow using electrodiagnostic tests and nerve ultrasound. Clin Neurophysiol. 2021, 132: 2274–81.
4.
WadeRGGriffithsTTFlatherRBurrNETeoMBourkeG.Safety and outcomes of different surgical techniques for cubital tunnel decompression. JAMA Netw Open. 2020, 3: e2024352.