Volume 10, Issue 2 (In-Press 2023)
JROS 2023, 10(2): 0-0 |
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Najdmazhar F, Shariatzadeh H, Hamadiyan H, Ibrahim Hasasn A, Layeghi A. Comparison of Anterior Transposition of the Ulnar Nerve by Subcutaneous and Transmuscular Methods in the Treatment of Cubital Tunnel Syndrome. JROS 2023; 10 (2)
URL: http://jros.iums.ac.ir/article-1-2225-en.html
URL: http://jros.iums.ac.ir/article-1-2225-en.html
Farid Najdmazhar1 
, Hooman Shariatzadeh1 , Hosein Hamadiyan2 , Ahmad Ibrahim Hasasn1 , Abdorrasoul Layeghi 1
, Hooman Shariatzadeh1 , Hosein Hamadiyan2 , Ahmad Ibrahim Hasasn1 , Abdorrasoul Layeghi 1
1- Bone and Joint Reconstruction Research Center, Shafa Orthopedic Hospital, Iran University of Medical Sciences, Tehran, Iran.
2- Department of Orthopedic, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
2- Department of Orthopedic, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Abstract: (69 Views)
Background: Cubital tunnel syndrome is the second most common upper limb extremity compression neuropathy. Anterior transposition surgery of the ulnar nerve is a common method for treating cubital tunnel syndrome. Therefore, the aim of this study was to compare the therapeutic results of subcutaneous and transmuscular surgical methods in the anterior transposition of the ulnar nerve.
Methods: In this retrospective cohort study, patients with cubital tunnel syndrome who had undergone anterior transposition of the ulnar nerve (subcutaneous or transmuscular) between 2016 and 2022 were included in the study. Evaluation of the treatment result in the last follow-up was classified into four groups: excellent, good, acceptable, and poor According to the Wilson & Krout score.
Results: In this study, 102 upper limbs were evaluated, 58 patients were male and 40 patients were female. The average age of the patients was 50.43 ± 18.10 years. 54 upper limbs underwent transmuscular method surgery and others had undergone subcutaneous method surgery. No statistically significant relationship was found between the results of treatment with surgical method (P=0.617). Statistically significant relationship was found between treatment results with patient's chief complaint, clawing, Wartenberg, and severity of EMG_NCV. A statistically significant (P=0.004) relationship was found between the Duration of symptoms before surgery and the results of treatment.
Conclusion: The results were similar in the two surgical methods in the treatment of cubital tunnel syndrome, and the prolongation of symptoms before surgery and the presence of clinical findings such as clawing and Wartenberg sign suggest a poor prognosis.
Methods: In this retrospective cohort study, patients with cubital tunnel syndrome who had undergone anterior transposition of the ulnar nerve (subcutaneous or transmuscular) between 2016 and 2022 were included in the study. Evaluation of the treatment result in the last follow-up was classified into four groups: excellent, good, acceptable, and poor According to the Wilson & Krout score.
Results: In this study, 102 upper limbs were evaluated, 58 patients were male and 40 patients were female. The average age of the patients was 50.43 ± 18.10 years. 54 upper limbs underwent transmuscular method surgery and others had undergone subcutaneous method surgery. No statistically significant relationship was found between the results of treatment with surgical method (P=0.617). Statistically significant relationship was found between treatment results with patient's chief complaint, clawing, Wartenberg, and severity of EMG_NCV. A statistically significant (P=0.004) relationship was found between the Duration of symptoms before surgery and the results of treatment.
Conclusion: The results were similar in the two surgical methods in the treatment of cubital tunnel syndrome, and the prolongation of symptoms before surgery and the presence of clinical findings such as clawing and Wartenberg sign suggest a poor prognosis.
Keywords: Anterior transposition, ulnar nerve, subcutaneous, transmuscular, cubital tunnel syndrome, Wilson & Krout criteria
Type of Study: Research Article |
Subject:
Hand surgery / Elbow
Received: 2024/02/13 | Accepted: 2024/02/14 | Published: 2023/05/8
Received: 2024/02/13 | Accepted: 2024/02/14 | Published: 2023/05/8
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