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Combined posterior approach brachioplasty and cubital tunnel release in massive weight loss patients

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Abstract

Cubital tunnel syndrome can present after massive weight loss due to the loss of protective adipose tissue around the elbow. However, surgical access to the cubital tunnel is challenging in this patient population due to severe upper arm skin excess. We present a novel surgical technique to address both excess upper arm skin and cubital tunnel syndrome in a post-bariatric surgery patient and review the literature on compressive neuropathies after massive weight loss.

Level of Evidence: Level V, therapeutic study.

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Funding

The authors declare that no funds, grants, or other support were received during the preparation of this manuscript.

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Authors and Affiliations

  1. Division of Plastic, Reconstructive, Maxillofacial, and Oral Surgery, Duke University Medical Center, Durham, NC, USA

    Hannah C. Langdell, Amanda R. Sergesketter & Detlev Erdmann

  2. Department of Orthopaedic Surgery, Duke University Medical Center, Durham, NC, USA

    Tyler S. Pidgeon

Authors
  1. Hannah C. Langdell
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  2. Amanda R. Sergesketter
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  3. Tyler S. Pidgeon
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  4. Detlev Erdmann
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Contributions

All authors contributed to the study conception and design. Material preparation, data collection and analysis were performed by Hannah Langdell, Amanda Sergesketter, Tyler Pidgeon, and Detlev Erdmann. The first draft of the manuscript was written by Hannah Langdell and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Hannah C. Langdell.

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Ethics approval

This is an observational study. The Duke University Research Ethics Committee has confirmed that no ethical approval is required.

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Informed consent was obtained from the individual participant included in the study.

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The authors affirm that the patient described in the case report provided informed consent for publication of all images. The participant has consented to the submission of the case report to the journal.

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The authors have no relevant financial or non-financial interests to disclose.

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Langdell, H.C., Sergesketter, A.R., Pidgeon, T.S. et al. Combined posterior approach brachioplasty and cubital tunnel release in massive weight loss patients. Eur J Plast Surg 47, 51 (2024). https://doi.org/10.1007/s00238-024-02201-5

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  • DOI: https://doi.org/10.1007/s00238-024-02201-5

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