지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2016.1
- 수록면
- 455 - 460 (6page)
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초록· 키워드
오류제보하기
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) simpledecompression or anterior ulnar nerve transposition, depending on nerve stability, would be effective for cubital tunnel syndromeand 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 anteriortransposition (n=11) according to an assessment of intra-operative ulnar nerve stability. Clinical outcome was assessed using gripand pinch strength, two-point discrimination, the mean of the disabilities of arm, shoulder, and hand (DASH) survey, and themodified Bishop Scale.
Results: Preoperatively, two patients were rated as mild, another 20 as moderate, and the remaining 19 as severe according to theDellon 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 patientscored good or excellent according to the modified Bishop Scale. Correlations were found between the DASH score at two yearsand 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 on2-year follow-up data. Older age, worse preoperative grip strength, and worse two-point discrimination were associated with worseoutcomes at 2 years.
목차
등록된 정보가 없습니다.
참고문헌 (26)
참고문헌 신청
Huang JH / 2004 / Ulnar nerve entrapment neuropathy at the elbow: simple decompression / Neurosurgery 55:1150~1153
Goldfarb CA / 2009 / Incidence of reoperation and subjective outcome following in situ decompression of the ulnar nerve at the cubital tunnel / J Hand Surg Eur Vol 34:379~383
Jiang S / 2012 / Endoscopy-assisted cubital tunnel release under carbon dioxide insuffation and anterior transposition / Ann Plast Surg 68:62~66
Yoshida A / 2009 / Endoscopic anatomical nerve observation and minimally invasive management of cubital tunnel syndrome / J Hand Surg Eur Vol 34:115~120
Caputo AE / 2000 / Subcutaneous anterior transposition of the ulnar nerve for failed decompression of cubital tunnel syndrome / J Hand Surg Am 25:544~551
Goldfarb CA / 2009 / Incidence of reoperation and subjective outcome following in situ decompression of the ulnar nerve at the cubital tunnel / J Hand Surg Eur Vol 34:379~383
Jiang S / 2012 / Endoscopy-assisted cubital tunnel release under carbon dioxide insuffation and anterior transposition / Ann Plast Surg 68:62~66
Yoshida A / 2009 / Endoscopic anatomical nerve observation and minimally invasive management of cubital tunnel syndrome / J Hand Surg Eur Vol 34:115~120
Caputo AE / 2000 / Subcutaneous anterior transposition of the ulnar nerve for failed decompression of cubital tunnel syndrome / J Hand Surg Am 25:544~551
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