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Ulnar nerve stability-based surgery for cubital tunnel syndrome via a small incision: a comparison with classic anterior nerve transposition

Authors
 Ho-Jung Kang  ;  Il-Hyun Koh  ;  Yong-Min Chun  ;  Won-Taek Oh  ;  Kwang-Ho Chung  ;  Yun-Rak Choi 
Citation
 JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH, Vol.10 : 121, 2015 
Journal Title
 JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH 
Issue Date
2015
MeSH
Adult ; Aged ; Cubital Tunnel Syndrome/diagnosis* ; Cubital Tunnel Syndrome/surgery* ; Decompression, Surgical/methods ; Female ; Follow-Up Studies ; Hand Strength/physiology ; Humans ; Male ; Middle Aged ; Neurosurgical Procedures/methods* ; Ulnar Nerve/surgery* ; Young Adult
Keywords
Ulnar Nerve ; Medial Epicondyle ; Cubital Tunnel ; Pinch Strength Cubital Tunnel Syndrome
Abstract
OBJECTIVE: The purpose of this study was to compare the clinical outcomes of ulnar nerve stability-based surgery via a small incision with those of classic anterior transposition of the ulnar nerve for cubital tunnel syndrome. METHODS: From March 2008 to December 2013, 107 patients with cubital tunnel syndrome underwent simple decompression or anterior transposition via a small incision, according to an ulnar nerve stability-based decision based on an assessment of intraoperative ulnar nerve stability (group A, n = 51), or anterior transposition via a classic incision (group B, n = 56). Clinical outcome was assessed using grip and pinch strength, two-point discrimination, the mean of the disabilities of arm, shoulder, and hand (DASH) survey, and the modified Bishop scale. RESULTS: At the final follow-up, all outcome measures improved significantly in both groups and there were no significant differences between the two groups. However, there were fewer operation-related complications in group A (one revision surgery) than in group B (one superficial infection, two painful scars, and five cases of numbness at the medial elbow). CONCLUSIONS: Outcomes after the ulnar nerve stability-based approach and anterior transposition were similar, although more patients experienced operation-related complications after anterior transposition via a classic incision. Making an ulnar nerve stability-based decision to perform either simple decompression or anterior transposition via a small incision seems to be a better strategy for patients with cubital tunnel syndrome.
Files in This Item:
T201502899.pdf Download
DOI
10.1186/s13018-015-0267-8
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers
Yonsei Authors
Kang, Ho Jung(강호정) ORCID logo https://orcid.org/0000-0003-0273-1264
Koh, Il Hyun(고일현) ORCID logo https://orcid.org/0000-0001-9823-8516
Oh, Won Taek(오원택) ORCID logo https://orcid.org/0000-0003-1815-0851
Chun, Yong Min(천용민) ORCID logo https://orcid.org/0000-0002-8147-6136
Choi, Yun Rak(최윤락)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/140782
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