INCIDENCE OF RE-OPERATION AND SUBJECTIVE OUTCOME FOLLOWING IN SITU DECOMPRESSION OF THE ULNAR NERVE AT THE CUBITAL TUNNEL

被引：60

作者：

Goldfarb, C. A. ^{[1
]}

Sutter, M. M. ^{[1
]}

Martens, E. J. ^{[1
]}

Manske, P. R. ^{[1
]}

机构：

[1] Washington Univ, Sch Med, Dept Orthopaed Surg, St Louis, MO 63110 USA

来源：

JOURNAL OF HAND SURGERY-EUROPEAN VOLUME | 2009年 / 34E卷 / 03期

基金：

美国国家卫生研究院;

关键词：

cubital tunnel syndrome; ulnar nerve; decompression; outcome; ANTERIOR SUBMUSCULAR TRANSPOSITION; SUBCUTANEOUS TRANSPOSITION; ELBOW; NEUROPATHY;

D O I：

10.1177/1753193408101467

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 purpose of this investigation was to determine the failure rate of in situ decompression for cubital tunnel syndrome as determined by the need for additional surgery. We performed a comprehensive chart review of 56 adult patients who had undergone ill situ decompression for cubital tunnel syndrome in 69 extremities with more than 1 year follow-up. The patients completed a comprehensive questionnaire concerning preoperative and postoperative pain, numbness, and weakness. After decompression, symptoms were improved substantially or resolved. Five limbs (7%) with persistent symptoms postoperatively were treated successfully with anterior submuscular transposition. These data suggest that in situ decompression of the ulnar nerve is a reliable treatment for cubital tunnel syndrome and has a low failure rate. The uncommon patient with continued symptoms after decompression can be treated effectively with transposition of the ulnar nerve.

引用

页码：379 / 383

页数：5

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