Comparative study of surgical treatment of ulnar nerve compression at the elbow
Φόρτωση...
Ημερομηνία
Συγγραφείς
Mitsionis, G. I.
Manoudis, G. N.
Paschos, N. K.
Korompilias, A. V.
Beris, A. E.
Τίτλος Εφημερίδας
Περιοδικό ISSN
Τίτλος τόμου
Εκδότης
Περίληψη
Τύπος
Είδος δημοσίευσης σε συνέδριο
Είδος περιοδικού
peer-reviewed
Είδος εκπαιδευτικού υλικού
Όνομα συνεδρίου
Όνομα περιοδικού
J Shoulder Elbow Surg
Όνομα βιβλίου
Σειρά βιβλίου
Έκδοση βιβλίου
Συμπληρωματικός/δευτερεύων τίτλος
Περιγραφή
HYPOTHESIS: The optimal surgical treatment for cubital tunnel syndrome remains unclear. We aim to evaluate the long-term outcome of surgical treatment by comparing the results of the different methods proposed. MATERIALS AND METHODS: We retrospectively reviewed 113 patients in whom 3 different surgical methods were used for cubital tunnel syndrome treatment. In situ decompression, partial epicondylectomy, and anterior subcutaneous transposition were performed from 1997 to 2007. RESULTS: Results were graded as excellent in 51 patients (45%), good in 34 (30%), fair in 8 (7%), and poor in 20 (18%). When we compared the results among the different surgical procedures, good and excellent results were achieved in 26 of 31 patients (84%) treated with in situ decompression, 36 of 45 (80%) treated with release and partial medial epicondylectomy, and 23 of 37 (62%) treated with release and anterior subcutaneous transposition of the nerve. CONCLUSIONS: Our results indicate that in situ decompression and partial epicondylectomy both represent efficient and safe methods for cubital tunnel syndrome management. In patients in whom anterior subcutaneous transposition was performed, although they had a significant improvement of their clinical signs and symptoms, they had an inferior outcome when compared with patients treated with the other 2 methods.
Περιγραφή
Λέξεις-κλειδιά
Adolescent, Adult, Aged, Decompression, Surgical/*methods, Elbow/physiology, Electromyography, Female, Follow-Up Studies, Humans, Male, Middle Aged, Orthopedic Procedures/*methods, Recovery of Function/physiology, Retrospective Studies, Treatment Outcome, Ulnar Nerve/physiology, Ulnar Nerve Compression Syndromes/diagnosis/physiopathology/*surgery, Young Adult
Θεματική κατηγορία
Παραπομπή
Σύνδεσμος
http://www.ncbi.nlm.nih.gov/pubmed/20149692
http://ac.els-cdn.com/S1058274609004637/1-s2.0-S1058274609004637-main.pdf?_tid=8de79fad1fadcc35dc4d39a4ddf734b6&acdnat=1333635539_194344cd5b94004abf580a04a384ec77
http://ac.els-cdn.com/S1058274609004637/1-s2.0-S1058274609004637-main.pdf?_tid=8de79fad1fadcc35dc4d39a4ddf734b6&acdnat=1333635539_194344cd5b94004abf580a04a384ec77
Γλώσσα
en
Εκδίδον τμήμα/τομέας
Όνομα επιβλέποντος
Εξεταστική επιτροπή
Γενική Περιγραφή / Σχόλια
Ίδρυμα και Σχολή/Τμήμα του υποβάλλοντος
Πανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικής