Trends in the Surgical Treatment of Cubital Tunnel Syndrome: An Analysis of the National Survey of Ambulatory Surgery Database

Soltani, Ali M.; Best, Matthew J.; Francis, Cameron S.; Allan, Bassan J.; Panthaki, Zubin J.

doi:10.1016/j.jhsa.2013.04.044

Cited by 92 publications

(75 citation statements)

References 28 publications

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“…It can be treated by different surgical procedures, most frequently with the cost-effective neurolysis as the primary procedure [1][2][3][4], while revision surgery usually involves more extensive procedures, such as subcutaneous or particularly submuscular ulnar nerve transposition. Ulnar nerve compression at the elbow has gained much less interest in the literature than carpal tunnel syndrome (CTS), i.e.…”

Section: Findings Introductionmentioning

confidence: 99%

Outcome of simple decompression of the compressed ulnar nerve at the elbow – influence of smoking, gender, and electrophysiological findings

Dahlin

Andersson

et al. 2016

Journal of Plastic Surgery and Hand Surgery

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Section: Findings Introductionmentioning

confidence: 99%

Outcome of simple decompression of the compressed ulnar nerve at the elbow – influence of smoking, gender, and electrophysiological findings

Dahlin

Andersson

et al. 2016

Journal of Plastic Surgery and Hand Surgery

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“…24 Recent data suggest that more than 50 000 cubital tunnel decompressions are performed per year in the United States. 20 Previous work has suggested anterior transposition as the gold standard; however, several studies showed no difference between anterior transposition techniques and open in situ decompression. 3,11,16,24 Endoscopic cubital tunnel release (ECUTR) has been proposed as an alternative to open cubital tunnel release (OCUTR).…”

Section: Introductionmentioning

confidence: 99%

Open Versus Endoscopic Cubital Tunnel In Situ Decompression: A Systematic Review of Outcomes and Complications

Toirac

Giugale

Fowler

2016

Hand (New York, N,Y.)

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“…Based on several meta-analyses, the results of these procedures are approximately equal; however, neurolysis is considered the first choice because of its less invasive character. 3,6,8,10,14,17,20 This surgical approach leads to a reduction of symptoms in most patients; however, persistent or recurrent symptoms are seen in …”

mentioning

confidence: 99%

Anterior subcutaneous transposition for persistent ulnar neuropathy after neurolysis

Gent¹,

Datema

Groen³

et al. 2017

FOC

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OBJECTIVE Little is known about optimal treatment if neurolysis for ulnar nerve entrapment at the elbow fails. The authors evaluated the clinical outcome of patients who underwent anterior subcutaneous transposition after failure of neurolysis of ulnar nerve entrapment (ASTAFNUE). METHODS A consecutive series of patients who underwent ASTAFNUE performed by a single surgeon between 2009 and 2014 was analyzed retrospectively. Preoperative and postoperative complaints in the following 3 clinical modalities were compared: pain and/or tingling, weakness, and numbness. Six-point satisfaction scores were determined on the basis of data from systematic telephonic surveys. RESULTS Twenty-six patients were included. The median age was 56 years (range 22–79 years). The median duration of complaints before ASTAFNUE was 23 months (range 8–78 months). The median interval between neurolysis and ASTAFNUE was 11 months (range 5–34 months). At presentation, 88% of the patients were experiencing pain and/or tingling, 46% had weakness, and 50% had numbness of the fourth and fifth fingers. Pain and/or tingling improved in 35%, motor function in 23%, and sensory disturbances in 19% of all the patients. Improvement in at least 1 of the 3 clinical modalities was found in 58%. However, a deterioration in 1 of the 3 modalities was noted in 46% of the patients. On the patient-satisfaction scale, 62% reported a good or excellent outcome. Patients with a good/excellent outcome were a median of 11 years younger than patients with a fair/poor outcome. No other factor was significantly related to satisfaction score. CONCLUSIONS A majority of the patients were satisfied after ASTAFNUE, even though their symptoms only partly resolved or even deteriorated. Older age is a risk factor for a poor outcome. Other factors that affect outcome might play a role, but they remain unidentified. One of these factors might be earlier surgical intervention. The modest results of ASTAFNUE should be mentioned when counseling patients after failure of neurolysis of ulnar nerve entrapment to manage their expectations. Patients, especially those who are elderly, might even consider not undergoing a secondary procedure. A randomized trial that includes a conservative treatment group and groups undergoing one of the several possible surgical procedures is needed to find the definitive answer for this clinical problem.

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Trends in the Surgical Treatment of Cubital Tunnel Syndrome: An Analysis of the National Survey of Ambulatory Surgery Database

Cited by 92 publications

References 28 publications

Outcome of simple decompression of the compressed ulnar nerve at the elbow – influence of smoking, gender, and electrophysiological findings

Outcome of simple decompression of the compressed ulnar nerve at the elbow – influence of smoking, gender, and electrophysiological findings

Open Versus Endoscopic Cubital Tunnel In Situ Decompression: A Systematic Review of Outcomes and Complications

Anterior subcutaneous transposition for persistent ulnar neuropathy after neurolysis

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