Outcome of Surgical Treated Isolated Pronator Teres Syndromes—A Retrospective Cohort Study and Complete Review of the Literature

Binder, Harald; Zadra, Armin; Popp, Domenik; Komjati, Micha; Tiefenboeck, Thomas M.

doi:10.3390/ijerph19010080

Cited by 4 publications

(1 citation statement)

References 23 publications

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“…The etiology of PTS primarily revolves around extended or repetitive forearm pronation, leading to swollen and inflamed structures around the elbow, with the deep fascia of the superficial head of the Pronator Teres Muscle (PTM) also potentially contributing to nerve compression. Additionally, trauma to the forearm, alongside bony abnormalities, tumors, or fibrous and scar tissue bands, can precipitate this condition (9). Importantly, Diabetes Mellitus and Hypothyroidism are identified as significant risk factors, with up to a third of diabetic patients experiencing an entrapment syndrome.…”

Section: Introductionmentioning

confidence: 99%

The Prevalence of Pronator Teres Syndrome among Male and Female with Type II Diabetes Mellitus

Pinky,

Devi,

Chaudary

et al. 2024

JHRR

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Background: Pronator Teres Syndrome (PTS) is a condition characterized by the entrapment of the median nerve at the elbow, often resulting in pain, numbness, and weakness in the forearm and hand. While the relationship between diabetes mellitus and peripheral neuropathies is well-established, the prevalence of PTS in individuals with Type II Diabetes Mellitus and its correlation with gender remains underexplored. Objective: The study aimed to determine the prevalence of PTS among patients with Type II Diabetes Mellitus and to investigate the potential correlation between PTS and gender. Methods: This cross-sectional study included 100 participants (50 males and 50 females) with Type II Diabetes Mellitus, recruited from a tertiary care facility in Sindh over a six-month period. Participants were subjected to the resisted pronation/supination test to diagnose PTS. Data were analyzed using SPSS version 25, with the Chi-square test applied to examine the correlation between PTS prevalence and gender. A p-value ≤ 0.05 was considered statistically significant. Results: Of the 100 participants, 45 tested positive for PTS, with a slightly higher prevalence among females (24) compared to males (21). However, the statistical analysis revealed no significant correlation between PTS prevalence and gender (p-value = 0.546). The age distribution of participants showed a broad range, with the highest frequency in the 40 to 45 years and more than 60 years age groups, each constituting 22% of the sample. Conclusion: The study concludes that there is no significant correlation between the prevalence of PTS and gender among patients with Type II Diabetes Mellitus. These findings suggest that PTS affects males and females with Type II Diabetes Mellitus equally, indicating that gender does not play a discernible role in the prevalence of PTS within this population.

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Section: Introductionmentioning

confidence: 99%

The Prevalence of Pronator Teres Syndrome among Male and Female with Type II Diabetes Mellitus

Pinky,

Devi,

Chaudary

et al. 2024

JHRR

View full text Add to dashboard Cite

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Lacertus syndrome: a ten year analysis of two hundred and seventy five minimally invasive surgical decompressions of median nerve entrapment at the elbow

Hagert

Jedeskog

Hagert

et al. 2023

International Orthopaedics (SICOT)

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Purpose This study aims to assess the clinical presentation and surgical outcomes of lacertus syndrome (LS) and concomitant median nerve entrapments. Methods A retrospective study of prospectively collected data was conducted on patients undergoing lacertus release (LR) from June 2012 to June 2021. Available DASH (Disability of the Arm Shoulder Hand questionnaire) scores and post-operative Visual Analogue Scale (VAS) of pain, numbness, subjective satisfaction with surgical outcome, and intra-operative return of strength were analyzed. Results Two-hundred-seventy-five surgical cases were identified of which 205 cases (74.5%) underwent isolated LR, and 69 cases (25.1%) concomitant lacertus and carpal tunnel release. The three most common presenting symptoms in LS patients were loss of hand strength (95.6%), loss of hand endurance/fatigue (73.3%), and forearm pain (35.4%). Numbness in the median nerve territory of the hand was found in all patients with combined LS and carpal tunnel syndrome. Quick-DASH significantly improved (pre-operative 34.4 (range 2.3–84.1) to post-operative 12.4 (range 0–62.5), p < 0.0001) as did work and activity DASH (p < 0.0001). The postoperative VAS scores were pain VAS 1.9 and numbness VAS 1.8. Eighty-eight percent of patients reported good/excellent satisfaction with the surgical outcome. Intra-operative return of strength was verified in 99.2% of cases. Conclusion LS is a common median nerve compression syndrome typically presenting with loss of hand strength and hand endurance/fatigue. Minimally invasive LR immediately restores hand strength, significantly improves DASH scores, and yields positive outcomes regarding VAS pain, numbness, and subjective satisfaction with surgery in patients with proximal median nerve entrapment at a minimum six month follow-up.

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The prevalence of double- and multiple crush syndromes in patients surgically treated for peripheral nerve compression in the upper limb

Kong,

Brutus,

et al. 2023

Hand Surgery and Rehabilitation

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Outcome of Surgical Treated Isolated Pronator Teres Syndromes—A Retrospective Cohort Study and Complete Review of the Literature

Cited by 4 publications

References 23 publications

The Prevalence of Pronator Teres Syndrome among Male and Female with Type II Diabetes Mellitus

The Prevalence of Pronator Teres Syndrome among Male and Female with Type II Diabetes Mellitus

Lacertus syndrome: a ten year analysis of two hundred and seventy five minimally invasive surgical decompressions of median nerve entrapment at the elbow

The prevalence of double- and multiple crush syndromes in patients surgically treated for peripheral nerve compression in the upper limb

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