Simple Decompression versus Anterior Submuscular Transposition of the Ulnar Nerve in Severe Cubital Tunnel Syndrome: A Prospective Randomized Study

Gervasio, Olga; Guglielmi, Giuseppe; Zaccone, C.; Branca, Damiano

doi:10.1227/01.neu.0000145854.38234.81

Cited by 222 publications

(142 citation statements)

References 15 publications

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“…This is similar to several other reports stating that younger age groups are more commonly affected. This could be attributed to the fact that these age groups are usually more physically active and more prone to trauma [25][26][27][28]. In our study, we found that females were more commonly affected than males (70%), and this predominance can be attributed to the longer duration of elbow flexion during household activities, and their increased propensity to develop rheumatic diseases.…”

Section: Resultssupporting

confidence: 46%

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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Section: Resultssupporting

confidence: 46%

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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“…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: 91%

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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“…Several studies have shown that after total epicondylectomy, patients experienced an overall subjective improvement of approximately 90% [9,14,16,25,40]. In studies of anterior transposition of ulnar nerve in patients with severe-stage cubital tunnel syndrome, the improvement percentages were reported as 72% to 100% [12,13,15,23].…”

Section: Discussionmentioning

confidence: 99%

Minimal Epicondylectomy Improves Neurologic Deficits in Moderate to Severe Cubital Tunnel Syndrome

Kim

Lee

Rhee

et al. 2012

Clinical Orthopaedics &Amp; Related Research

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Background Previous studies of minimal medial epicondylectomy for cubital tunnel syndrome included patients with mild disease, making it difficult to determine how much this procedure improved sensory and motor impairments in patients with moderate to severe disease. Questions/purposes We asked if minimal epicondylectomy improved sensory and motor impairments in patients with moderate to severe cubital tunnel syndrome. Methods We retrospectively reviewed 25 patients treated with minimal medial epicondylectomy for advanced cubital tunnel syndrome involving motor weakness between

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Simple Decompression versus Anterior Submuscular Transposition of the Ulnar Nerve in Severe Cubital Tunnel Syndrome: A Prospective Randomized Study

Abstract: No statistically significant difference was found between the two groups with regard to the clinical or the electrophysiological outcome. The surgical treatment gains in Group A and B were 80% and 82.86%, respectively (good to excellent results).

Cited by 222 publications

References 15 publications

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

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

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

Minimal Epicondylectomy Improves Neurologic Deficits in Moderate to Severe Cubital Tunnel Syndrome

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