Patient-Rated Outcome of Ulnar Nerve Decompression: A Comparison of Endoscopic and Open In Situ Decompression

Watts, Adam C.; Bain, Gregory I.

doi:10.1016/j.jhsa.2009.05.014

Cited by 107 publications

(84 citation statements)

References 29 publications

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“…ultrasonography and magnetic resonance imaging (MRI) have estimated the prevalence of nerve hypermobility to be in the range of 2% to 27% but have not correlated this finding with clinical symptoms [1][2][3] . As the utilization of in situ ulnar nerve decompression as a treatment for cubital tunnel syndrome has increased, concerns have arisen regarding the potential for worsening or creating symptomatic ulnar nerve hypermobility [6][7][8][9] . Consequently, the ability to accurately detect dynamic instability has become increasingly relevant during the clinical examination.…”

mentioning

confidence: 99%

Clinical Assessment of the Ulnar Nerve at the Elbow: Reliability of Instability Testing and the Association of Hypermobility with Clinical Symptoms

Calfee

Manske

Gelberman

et al. 2010

Journal of Bone and Joint Surgery

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mentioning

confidence: 99%

Clinical Assessment of the Ulnar Nerve at the Elbow: Reliability of Instability Testing and the Association of Hypermobility with Clinical Symptoms

Calfee

Manske

Gelberman

et al. 2010

Journal of Bone and Joint Surgery

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“…Most comparative studies demonstrate similar results and no particular technique has been demonstrated to be associated with statistical differences among the results obtained (14)(15)(16)(17)(18)(19)(20)(21)(22)(23) .…”

Section: Discussionmentioning

confidence: 90%

“…Several studies have shown the influence of factors such as the duration and severity of preoperative symptoms in the sensory and motor recovery of these patients (18,23,24,28,29) . Advanced age has also been suggested by some authors as a predictor (18,29) .…”

Section: Discussionmentioning

confidence: 99%

Tratamento da síndrome do túnel cubital pela técnica de transposição anterior subcutânea: será este método seguro e eficaz?

Lima¹,

Correia²,

Martins³

et al. 2012

Rev. bras. ortop.

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after surgery. According to the modified Bishop score, 21 patients (58.3%) had excellent results, seven (19.4%) good, six (16.7%) satisfactory and two (5.55%) poor. The satisfaction rate was 86% and 72% of the patients recovered their daily activities without limitations. Conclusion: The severity of neuropathy and preoperative duration of symptoms, but not age, had a negative influence on the outcome. The subcutaneous anterior transposition of the cubital nerve is safe and effective for treating CTS of different degrees of severity. Given the major prognostic factors identified, surgical treatment should be advised as soon as axonal loss has become clinically evident.

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“…[14,22]. Proponents of simple decompression in the absence of an anatomical lesion argue that transposition of ulnar nerve involves an unnecessary risk of nerve injury or devascularization, and extensive dissection.…”

Section: Resultsmentioning

confidence: 99%

Comparative Study of Outcome of Simple Decompression Versus Anterior Transposition of Ulnar Nerve in the Treatment of Cubital Tunnel Syndrome

Tawfik¹,

Khedr²,

Sakr³

2017

Natl. j. health sci.

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Background: Cubital tunnel syndrome (CuTS) is the second most common entrapment neuropathy in the upper limb, after the entrapment of the median nerve in the carpal tunnel. Different techniques of nerve decompression have been described, however, the idyllic surgical treatment and technique for CuTS remain controversial.Objective: Our aim is to compare the outcome of simple decompression with anterior subcutaneous transposition of ulnar nerve in the treatment of CuTS. Methods:The study included 20 patients that were surgically treated in the Neurosurgery department at Gamal Abdel Nasser Hospital -General Authority for Health Insurance between August 2014 and February 2015. These patients were randomly distributed into two equal groups, each consisting of 10 cases. In the first group, only simple decompression was performed while in the second group, anterior subcutaneous transposition was supplemented. All cases were followed for at least 6 months.Results: Seventy percent of the patients were females and the mean age was 45.35 ± 14.62. The duration of symptoms before surgery varied from 4 months to 2 years. Occupational repetitive elbow flexion and extension was the most common contributing factor. Seven out of ten patients, in the simple decompression group, showed clinical and electrophysiological improvement at 6 months interval. While in the second group, only six patients showed improvement 6 months after surgery. The difference was found to be statistically insignificant. There was no significant effect of the duration of symptoms or co-morbidities on the outcome. Conclusion:Long term follow up revealed no significant difference between simple decompression and anterior subcutaneous transposition. Simple decompression of the ulnar nerve, in our experience, is an effective and less invasive technique for patients with cubital tunnel syndrome.

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Patient-Rated Outcome of Ulnar Nerve Decompression: A Comparison of Endoscopic and Open In Situ Decompression

Cited by 107 publications

References 29 publications

Clinical Assessment of the Ulnar Nerve at the Elbow: Reliability of Instability Testing and the Association of Hypermobility with Clinical Symptoms

Clinical Assessment of the Ulnar Nerve at the Elbow: Reliability of Instability Testing and the Association of Hypermobility with Clinical Symptoms

Tratamento da síndrome do túnel cubital pela técnica de transposição anterior subcutânea: será este método seguro e eficaz?

Comparative Study of Outcome of Simple Decompression Versus Anterior Transposition of Ulnar Nerve in the Treatment of Cubital Tunnel Syndrome

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