The Quad City Area’s Only Group of All Board-Certified
Fellowship-Trained Orthopaedic Surgeons

The Quad City Area’s Only Group of All Board-Certified
Fellowship-Trained Orthopaedic Surgeons

Cubital Tunnel Syndrome

Dr. Tyson Cobb Speaks at Annual Meeting for American Society for Surgery of the Hand

Dr. Cobb ASSH SpeakerWe are proud to announce that our Director of Hand and Upper Extremity Surgery, Dr. Tyson Cobb, was invited to be a guest speaker at the annual meeting for the American Society for Surgery of the Hand (ASSH). This year’s theme was “Embracing Change: The Practice of Hand Surgery in the 21st Century.” The conference, which was held in Seattle, Washington, attracts an international assemblage of experienced physicians, orthopaedic surgeons, and researchers. The purpose of the event is to allow leading hand and upper extremity surgeons to review the latest techniques and technology, present unique patient cases, and develop innovative skills through special Instructional Course Lectures hosted by the association.

Dr. Cobb was invited to participate in the “Cubital Tunnel Syndrome — What To Do in 2015” symposium as a guest lecturer. His experience with minimally invasive surgical techniques for cubital tunnel syndrome—the second most common cause of compression-based nerve pain in the upper extremity after carpal tunnel syndrome—singled him out as an ideal presenter at this forum. While surgery for this condition used to entail a complex procedure, leaving a long, conspicuous scar, Dr. Cobb’s innovative approach allows for a faster recovery and a smaller, less noticeable incision. His lecture covered topics including emerging trends, best practices, and developments in minimally invasive treatment of cubital tunnel syndrome. In addition to these duties, Dr. Cobb also served as the ASSH International Guest Society Ambassador, and he lectured at a special event for the International Wrist Investigators Workshop (IWIW).

For more information about Dr. Cobb’s participation in the ASSH annual meeting, or if you would like to schedule a consultation with Dr. Cobb, please contact our office today.

The High Cost of Cubital Tunnel Syndrome: How Minimally Invasive Surgery Lessens the Cost Burden

high-cost-cubital-tunnel-ia-solutionsThe increasing cost of healthcare and the current state of our country’s healthcare system has made the importance of lower cost alternatives for care a hot topic. Cubital tunnel syndrome is the 2nd most common nerve compression occurring in the arm (carpal tunnel being the most common). There’s currently a lack of evidence linking cubital tunnel syndrome to workplace activities; nevertheless, this condition does have significant negative implications to both the employee and employer, and our physicians understand the unique nature of this problem. Let’s consider for a moment some of the costs associated with cubital tunnel syndrome.


Costs of Cubital Tunnel Syndrome to the EMPLOYEE

  • Indirect costs: lost wages, loss of fringe benefits at your current position, work and life disruption (hospital visits, rehab, pain, etc.), and loss of productivity outside of work (child care, home repairs, etc.) while injured or during the recovery phase
  • Direct costs: medical expenses and medications/rehab not covered by insurance

Costs of Cubital Tunnel Syndrome to the EMPLOYER

  • Indirect costs: time spent on replacing employees and employee retraining, accident/injury investigation, workplace disruption, lost productivity, absenteeism
  • Direct costs: higher insurance premiums, costs for legal services, medical expenses


Minimally Invasive Surgery for Cubital Tunnel Syndrome
A recent publication by Cobb, et al., (Cobb, Walden, Merrell, Lemke. Setting expectations following endoscopic cubital tunnel release. HAND, April 2014) demonstrated that patients are able to get back to full duty 63 days sooner following endoscopic cubital tunnel release compared to the older, gold standard open surgical approach of anterior transposition of the ulnar nerve. The indirect and direct cost benefit of the staggering return-to-work difference is substantial to both the employee and employer.

The faster return to work following the minimally invasive procedure results in an estimated $436,000,000 potential annual savings in the U.S. (This calculation is based on an estimated number of cubital tunnel cases in the U.S. per year of 73,673 multiplied by 63 days faster recovery multiplied by the estimated $94.00 per day disability cost). Given the current economic state of what some would consider a healthcare crisis in the United States, we should be sensitive to what many would consider negligible differences that obviously add up when taken collectively for the entire nation.

For more information about cubital tunnel syndrome, or if you wish to schedule a consultation with one of our doctors, please contact us today.

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