Prospective evaluation of sleep improvement after cubital tunnel decompression surgery

Said, Joseph; Abboudi, Jack; Gallant, Gregory; Jones, Christopher M.; Kirkpatrick, William; Liss, Frederic; Rivlin, Michael; Takei, Robert; Wang, Mark; Silverman, Matthew; Foltz, Carol; Ilyas, Asif M.

doi:10.1016/j.jse.2018.11.046

Cited by 5 publications

(9 citation statements)

References 19 publications

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“…Earlier studies evaluated the association between the pathological condition of upper extremity disorder and the sleep quality. [12][13][14][15][16][17] Patel et al 12 studied 66 patients with CTS and found positive correlation between CTS symptoms and functional severity and sleep disturbance. Westhovens et al 15 demonstrated that disease activity of RA is correlated positively with worsening sleep symptoms.…”

Section: Discussionmentioning

confidence: 99%

“…10,11 Although sleep disturbance has been described for patients with musculoskeletal pain, quiet sleep can be hindered by clinical symptoms of numbness and tingling (even if not painful) that occur with entrapment neuropathies such as carpal tunnel syndrome (CTS) and cubital tunnel syndrome. [12][13][14] Reportedly, several severe upper extremity disorders are associated with sleep disturbance in patient populations. [12][13][14][15][16][17] Nevertheless, few reports of the relevant literature have described a relation between upper extremity dysfunction and sleep disturbance in an elderly general population.…”

Section: Association Between Upper Extremity Dysfunction and Sleep DImentioning

confidence: 99%

“…[12][13][14] Reportedly, several severe upper extremity disorders are associated with sleep disturbance in patient populations. [12][13][14][15][16][17] Nevertheless, few reports of the relevant literature have described a relation between upper extremity dysfunction and sleep disturbance in an elderly general population. This study was therefore conducted to evaluate the association between upper extremity-specific health status and sleep disturbance among an elderly population.…”

Section: Association Between Upper Extremity Dysfunction and Sleep Disturbance In An Elderly General Populationmentioning

confidence: 99%

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Association between upper extremity dysfunction and sleep disturbance in an elderly general population

et al. 2020

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Objective: Several upper extremity disorders are associated with sleep disturbance in patient populations. This study evaluated the relation between self-assessment of upper extremity function and sleep disturbance in an elderly general population. Methods: A total of 159 participants (56 men, 103 women, 38–88 years old, mean age of 66.4 years) completed a self-administered questionnaire including items for sex, weight, height, and dominant hand. Upper extremity dysfunction was investigated using Quick Disabilities of the Arm, Shoulder, and Hand of the Japanese Society for Surgery of the Hand. The sleep disturbance severity was evaluated using a Japanese version of the Athens Insomnia Scale. Quality of life was assessed using the EuroQol-5-dimension-3-level, Japanese version. We measured the bilateral hand grip as an indicator of hand muscle function. Statistical tests were applied to clarify the association between upper extremity dysfunction and screening results for sleep disturbance. Results: Of 159 participants, 45 (28.3%) had sleep disturbance as assessed using Japanese version of the Athens Insomnia Scale (11 men and 34 women; mean age of 68.1 years). Japanese version of the Athens Insomnia Scale scores correlated with the EuroQol index; EuroQol visual analog scale; and Quick Disabilities of the Arm, Shoulder, and Hand scores. The Quick Disabilities of the Arm, Shoulder, and Hand score and dominant grip strength of the participants with sleep disturbance were significantly higher than those of the no sleep disturbance group. The EuroQol index score and visual analog scale of those reporting a sleep disturbance were significantly lower than those of the no sleep disturbance group. Conclusion: Self-administered upper extremity health condition as assessed using Quick Disabilities of the Arm, Shoulder, and Hand correlated with sleep disturbance. Our results suggest a link between upper extremity conditions and sleep disturbance.

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Section: Discussionmentioning

confidence: 99%

Section: Association Between Upper Extremity Dysfunction and Sleep DImentioning

confidence: 99%

Section: Association Between Upper Extremity Dysfunction and Sleep Disturbance In An Elderly General Populationmentioning

confidence: 99%

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Association between upper extremity dysfunction and sleep disturbance in an elderly general population

et al. 2020

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“…Chronic severe neuropathic pain, for example, associated with ulnar nerve entrapment, affects almost all aspects of daily life, including the impact on life satisfaction, overall health status, mood and emotions, struggle with self-image, changes in life roles, and sexual life [74,75]. Sleeping disturbances are well-known in patients with chronic neuropathic pain, including patients with neuroma, as well as in patients with ulnar nerve entrapment and carpal tunnel syndrome [76][77][78]. Regaining the ability to sleep has been emphasized as the turning point to getting their lives back among patients with chronic pain in conjunction with surgery for ulnar nerve entrapment [74,78,79] Further on, the invisibility of pain is pointed out as frustrating and raising the emotion of not being believed [74].…”

Section: The Painful Ulnar Nervementioning

confidence: 99%

The Unpredictable Ulnar Nerve—Ulnar Nerve Entrapment from Anatomical, Pathophysiological, and Biopsychosocial Aspects

Nyman,

Dahlin

2024

Diagnostics

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Peripheral nerves consist of delicate structures, including a rich microvascular system, that protect and nourish axons and associated Schwann cells. Nerves are sensitive to internal and external trauma, such as compression and stretching. Ulnar nerve entrapment, the second most prevalent nerve entrapment disorder after carpal tunnel syndrome, appears frequently at the elbow. Although often idiopathic, known risk factors, including obesity, smoking, diabetes, and vibration exposure, occur. It exists in all adult ages (mean age 40–50 years), but seldom affects individuals in their adolescence or younger. The patient population is heterogeneous with great co-morbidity, including other nerve entrapment disorders. Typical early symptoms are paresthesia and numbness in the ulnar fingers, followed by decreased sensory function and muscle weakness. Pre- and postoperative neuropathic pain is relatively common, independent of other symptom severity, with a risk for serious consequences. A multimodal treatment strategy is necessary. Mild to moderate symptoms are usually treated conservatively, while surgery is an option when conservative treatment fails or in severe cases. The decision to perform surgery might be difficult, and the outcome is unpredictable with the risk of complications. There is no consensus on the choice of surgical method, but simple decompression is relatively effective with a lower complication rate than transposition.

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“…These symptoms are commonly aggravated with elbow flexion, e.g., when talking on the phone or leaning on the elbow at the table, or sleeping with the elbow bent more than 90 • . Due to neuropathic pain, sleep disturbance is common in patients presenting with cubital tunnel syndrome (34,35). Patients sometimes describe having difficulties with typing on a keyboard, buttoning buttons, and opening bottles.…”

Section: Diagnosis and Ultrasound Scanning Techniquesmentioning

confidence: 99%

Ulnar Neuropathy at the Elbow: From Ultrasound Scanning to Treatment

et al. 2021

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Ulnar neuropathy at the elbow (UNE) is commonly encountered in clinical practice. It results from either static or dynamic compression of the ulnar nerve. While the retroepicondylar groove and its surrounding structures are quite superficial, the use of ultrasound (US) imaging is associated with the following advantages: (1) an excellent spatial resolution allows a detailed morphological assessment of the ulnar nerve and adjacent structures, (2) dynamic imaging represents the gold standard for assessing the ulnar nerve stability in the retroepicondylar groove during flexion/extension, and (3) US guidance bears the capability of increasing the accuracy and safety of injections. This review aims to illustrate the ulnar nerve's detailed anatomy at the elbow using cadaveric images to understand better both static and dynamic imaging of the ulnar nerve around the elbow. Pathologies covering ulnar nerve instability, idiopathic cubital tunnel syndrome, space-occupying lesions (e.g., ganglion, heterotopic ossification, aberrant veins, and anconeus epitrochlearis muscle) are presented. Additionally, the authors also exemplify the scientific evidence from the literature supporting the proposition that US guidance is beneficial in injection therapy of UNE. The non-surgical management description covers activity modifications, splinting, neuromobilization/gliding exercise, and physical agents. In the operative treatment description, an emphasis is put on two commonly used approaches—in situ decompression and anterior transpositions.

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Prospective evaluation of sleep improvement after cubital tunnel decompression surgery

Cited by 5 publications

References 19 publications

Association between upper extremity dysfunction and sleep disturbance in an elderly general population

Association between upper extremity dysfunction and sleep disturbance in an elderly general population

The Unpredictable Ulnar Nerve—Ulnar Nerve Entrapment from Anatomical, Pathophysiological, and Biopsychosocial Aspects

Ulnar Neuropathy at the Elbow: From Ultrasound Scanning to Treatment

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