Simple Decompression or Anterior Subcutaneous Transposition for Ulnar Neuropathy at the Elbow: A Cost-minimization Analysis—Part 2

Bartels, Ronald H. M. A.; Termeer, Evelien; Wilt, Gert Jan van der; Rossum, L.G.M. van; Meulstee, J.; Verhagen, W. I. M.; Grotenhuis, J. André

doi:10.1227/01.neu.0000154132.40212.6e

Cited by 58 publications

(33 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…20 Overall, simple decompression was found to have the highest utility, and a cost analysis study also found it to be less expensive than subcutaneous transposition. 16 …”

Section: Analysis Of Results By Outcomes Measurementioning

confidence: 99%

Outcomes Measures Used to Assess Results After Surgery for Cubital Tunnel Syndrome: A Systematic Review of the Literature

Macadam

Bezuhly

Lefaivre

2009

The Journal of Hand Surgery

View full text Add to dashboard Cite

“…20 Overall, simple decompression was found to have the highest utility, and a cost analysis study also found it to be less expensive than subcutaneous transposition. 16 …”

Section: Analysis Of Results By Outcomes Measurementioning

confidence: 99%

Outcomes Measures Used to Assess Results After Surgery for Cubital Tunnel Syndrome: A Systematic Review of the Literature

Macadam

Bezuhly

Lefaivre

2009

The Journal of Hand Surgery

View full text Add to dashboard Cite

“…Interestingly, most randomized trials ultimately recommend simple decompression as the procedure of choice based either on technical simplicity [22] or lower complication rates and procedural cost [1]. The metaanalysis developed by Zlowodzki et al studied simple decompression versus all forms of transposition and found no statistical difference in outcome.…”

Section: Resultsmentioning

confidence: 99%

Surgical Options for Ulnar Nerve Entrapment: An Example of Individualized Decision Analysis

Gasco

2009

Hand (New York, N,Y.)

View full text Add to dashboard Cite

The decision-making process in the diagnosis and treatment of an ulnar nerve entrapment (UNE) at the elbow is presented from the viewpoint of the patient and from that of a physician who in this case, were the same individual. The problems of diagnosis and the selection of the appropriate therapy-conservative or surgical and the choice of a particular surgical approach are discussed in the light of recent evidence-based medicine (EMB) literature.

show abstract

“…Advantages of in situ decompression are smaller surgical incisions, less risk of medial antebrachial cutaneous nerve damage [100], no UN devascularisation [97], shorter operating time [101], smaller costs [99] and a faster recovery [102]. Transpositions need more surgical time, are more expensive and have more complications than in situ decompression [99], but can be used in the case of failure [102,103]. It is imperative to avoid damaging the medial antebrachial cutaneous nerve or its branches regardless of the technique, as injury will induce post-operative neuropathic pain in the elbow area [104][105][106].…”

Section: Ulnar Nerve Compression At the Elbowmentioning

confidence: 99%

Peripheral Nerve Entrapment and their Surgical Treatment

Vanaclocha‐Vanaclocha¹,

Saiz-Sapena²,

MaríaOrtiz‐Criado³

et al. 2017

Peripheral Nerve Regeneration - From Surgery to New Therapeutic Approaches Including Biomaterials and Cell-Based Therapies Deve

View full text Add to dashboard Cite

Nerves pass from one body area to another through channels made of connective tissue and/or bone. In these narrow passages, they can get trapped due to anatomic abnormalities, ganglion cysts, muscle or connective tissue hypertrophy, tumours, trauma or iatrogenic mishaps. Nearly all nerves can be affected. The clinical presentation is pain, paraesthesia, sensory and motor power loss. The specific clinical features will depend on the affected nerve and on the chronicity, severity, speed and mechanism of compression.Its incidence is higher under some occupations and is some systemic conditions: diabetes mellitus, hypothyroidism, acromegaly, alcoholism, oedema and inflammatory diseases. The diagnosis is suspected with the clinical presentation and provocative clinical test, being confirmed with electrodiagnostic and/or ultrasonographic studies. Magnetic Resonance Studies (MRI) rule out ganglion cysts or tumours. Conservative medical treatment is often sufficient. In refractory ones, surgical decompression should be performed before nerve damage and muscle atrophy are irreversible. The 'double crash' syndrome happens when a peripheral nerve is compressed at more than one point along its trajectory. In cases with marked muscle atrophy, a 'supercharge end-to-side' nerve transfer can be added to the decompression. After decompression in those few cases with refractory pain, a nerve neurostimulator can be applied.

show abstract

Simple Decompression or Anterior Subcutaneous Transposition for Ulnar Neuropathy at the Elbow: A Cost-minimization Analysis—Part 2

Cited by 58 publications

References 3 publications

Outcomes Measures Used to Assess Results After Surgery for Cubital Tunnel Syndrome: A Systematic Review of the Literature

Outcomes Measures Used to Assess Results After Surgery for Cubital Tunnel Syndrome: A Systematic Review of the Literature

Surgical Options for Ulnar Nerve Entrapment: An Example of Individualized Decision Analysis

Peripheral Nerve Entrapment and their Surgical Treatment

Contact Info

Product

Resources

About