Cited 14 times in
Factors Influencing Outcomes after Ulnar Nerve Stability-Based Surgery for Cubital Tunnel Syndrome: A Prospective Cohort Study
DC Field | Value | Language |
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dc.contributor.author | 강호정 | - |
dc.contributor.author | 고일현 | - |
dc.contributor.author | 김성민 | - |
dc.contributor.author | 오원택 | - |
dc.contributor.author | 최윤락 | - |
dc.date.accessioned | 2017-02-24T07:53:07Z | - |
dc.date.available | 2017-02-24T07:53:07Z | - |
dc.date.issued | 2016 | - |
dc.identifier.issn | 0513-5796 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/146545 | - |
dc.description.abstract | PURPOSE: Simple decompression of the ulnar nerve has outcomes similar to anterior transposition for cubital tunnel syndrome; however, there is no consensus on the proper technique for patients with an unstable ulnar nerve. We hypothesized that 1) simple decompression or anterior ulnar nerve transposition, depending on nerve stability, would be effective for cubital tunnel syndrome and that 2) there would be determining factors of the clinical outcome at two years. MATERIALS AND METHODS: Forty-one patients with cubital tunnel syndrome underwent simple decompression (n=30) or anterior transposition (n=11) according to an assessment of intra-operative ulnar nerve stability. 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: Preoperatively, two patients were rated as mild, another 20 as moderate, and the remaining 19 as severe according to the Dellon Scale. At 2 years after operation, mean grip/pinch strength increased significantly from 19.4/3.2 kg to 31.1/4.1 kg, respectively. Two-point discrimination improved from 6.0 mm to 3.2 mm. The DASH score improved from 31.0 to 14.5. All but one patient scored good or excellent according to the modified Bishop Scale. Correlations were found between the DASH score at two years and age, pre-operative grip strength, and two-point discrimination. CONCLUSION: An ulnar nerve stability-based approach to surgery selection for cubital tunnel syndrome was effective based on 2-year follow-up data. Older age, worse preoperative grip strength, and worse two-point discrimination were associated with worse outcomes at 2 years. | - |
dc.description.statementOfResponsibility | open | - |
dc.format.extent | 455~460 | - |
dc.language | English | - |
dc.publisher | Yonsei University | - |
dc.relation.isPartOf | YONSEI MEDICAL JOURNAL | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Adult | - |
dc.subject.MESH | Cubital Tunnel Syndrome/diagnosis* | - |
dc.subject.MESH | Cubital Tunnel Syndrome/physiopathology | - |
dc.subject.MESH | Cubital Tunnel Syndrome/surgery* | - |
dc.subject.MESH | Decompression, Surgical/methods* | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Follow-Up Studies | - |
dc.subject.MESH | Hand/surgery | - |
dc.subject.MESH | Hand Strength | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Neurosurgical Procedures/methods* | - |
dc.subject.MESH | Prospective Studies | - |
dc.subject.MESH | Recovery of Function | - |
dc.subject.MESH | Surveys and Questionnaires | - |
dc.subject.MESH | Treatment Outcome | - |
dc.subject.MESH | Ulnar Nerve/physiopathology | - |
dc.subject.MESH | Ulnar Nerve/surgery* | - |
dc.subject.MESH | Young Adult | - |
dc.title | Factors Influencing Outcomes after Ulnar Nerve Stability-Based Surgery for Cubital Tunnel Syndrome: A Prospective Cohort Study | - |
dc.type | Article | - |
dc.publisher.location | Korea (South) | - |
dc.contributor.college | College of Medicine | - |
dc.contributor.department | Dept. of Orthopedic Surgery | - |
dc.contributor.googleauthor | Ho Jung Kang | - |
dc.contributor.googleauthor | Won Taek Oh | - |
dc.contributor.googleauthor | Il Hyun Koh | - |
dc.contributor.googleauthor | Sungmin Kim | - |
dc.contributor.googleauthor | Yun Rak Choi | - |
dc.identifier.doi | 10.3349/ymj.2016.57.2.455 | - |
dc.contributor.localId | A00098 | - |
dc.contributor.localId | A00141 | - |
dc.contributor.localId | A04528 | - |
dc.contributor.localId | A02391 | - |
dc.contributor.localId | A04136 | - |
dc.relation.journalcode | J02813 | - |
dc.identifier.eissn | 1976-2437 | - |
dc.identifier.pmid | 26847300 | - |
dc.subject.keyword | Cubital tunnel syndrome | - |
dc.subject.keyword | anterior transposition | - |
dc.subject.keyword | prognostic factor | - |
dc.subject.keyword | simple decompression | - |
dc.subject.keyword | ulnar nerve stability-based surgery | - |
dc.contributor.alternativeName | Kang, Ho Jung | - |
dc.contributor.alternativeName | Koh, Il Hyun | - |
dc.contributor.alternativeName | Kim, Sung Min | - |
dc.contributor.alternativeName | Oh, Won Taek | - |
dc.contributor.alternativeName | Choi, Yun Rak | - |
dc.contributor.affiliatedAuthor | Kang, Ho Jung | - |
dc.contributor.affiliatedAuthor | Koh, Il Hyun | - |
dc.contributor.affiliatedAuthor | Kim, Sung Min | - |
dc.contributor.affiliatedAuthor | Oh, Won Taek | - |
dc.contributor.affiliatedAuthor | Choi, Yun Rak | - |
dc.citation.volume | 57 | - |
dc.citation.number | 2 | - |
dc.citation.startPage | 455 | - |
dc.citation.endPage | 460 | - |
dc.identifier.bibliographicCitation | YONSEI MEDICAL JOURNAL, Vol.57(2) : 455-460, 2016 | - |
dc.date.modified | 2017-02-24 | - |
dc.identifier.rimsid | 45176 | - |
dc.type.rims | ART | - |
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