Severe ulnar nerve entrapment at the elbow: functional outcome after minimally invasive in situ decompression

被引：20

作者：

Karthik, K. ^{[2
]}

Nanda, R. ^{[1
]}

Storey, S. ^{[3
]}

Stothard, J. ^{[4
]}

机构：

[1] Univ Hosp N Tees, N Tees & Hartlepool NHS Trust, Stockton On Tees TS19 8PE, England

[2] Queen Elizabeth Hosp, Dept Orthopaed Surg, London, England

[3] Univ Teesside, Sch Hlth & Social Care, Middlesbrough, Tees Valley, England

[4] James Cook Univ Hosp, Middlesbrough, Cleveland, England

来源：

JOURNAL OF HAND SURGERY-EUROPEAN VOLUME | 2012年 / 37E卷 / 02期

关键词：

Cubital tunnel syndrome; ulnar nerve; severe ulnar nerve compression; minimally invasive surgery; simple decompression; in situ decompression; CUBITAL TUNNEL-SYNDROME; ANTERIOR SUBMUSCULAR TRANSPOSITION; VARUS DEFORMITY; MANAGEMENT; COMPRESSION; METAANALYSIS; PRESSURE;

D O I：

10.1177/1753193411416426

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

The role of in situ decompression in patients with severe ulnar nerve compression is still controversial. Thirty patients with severe ulnar nerve compression confirmed clinically and electrophysiologically underwent simple decompression. The mean age of the patients was 58 (range 26-87) years. Through incisions <= 4 cm the nerves were fully visualized and decompressed. Outcome was measured prospectively using Modified Bishop's score (BS), grip and pinch strengths and two-point discrimination (2PD). Significant improvement in power (p = 0.01) and pinch grip (p = 0.001) was noted at 1 year. The grip strength continued to improve up to 1 year. According to the BS, 24 patients (80%) had good to excellent results at 1 year. Minimally invasive in situ decompression is technically simple, safe and gives good results in patients with severe nerve compression. The BS and 2PD were more reliable than grip strength in assessing these patients at follow-up.

引用

页码：115 / 122

页数：8

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