TR
EN
Subcutaneous anterior transposition of the ulnar nerve in cubital tunnel syndrome
Abstract
Objective: The aim of this study was to present the mid- to long-term results of subcutaneous anterior transposition of the ulnar nerve in the treatment of cubital tunnel syndrome.
Methods: The study retrospectively evaluated 33 patients (24 males, 9 females; mean age: 48 years; range: 26 to 59 years) who underwent subcutaneous transposition of the ulnar nerve. Mean follow-up period was 4 years 9 months (range: 2 years 6 months to 8 years). Modified McGowan’s classification was used for preoperative scoring and the Wilson & Krout classification for postoperative clinical evaluation. Preoperatively 5 patients (15%) had Grade 1, 7 (21%) had Grade 2A, 9 (27%) had Grade 2B, and 12 (36%) had Grade 3 neuropathy.
Results: There were excellent results in 24 patients (73%), good in 7 (21%), fair in 1 (3%), and poor in one (3%). The patient with the poor result had developed neuropathy following a crush injury. There was a negative correlation between the preoperative McGowan grade and the postoperative Wilson & Krout score (p<0.05, r=-0.43). The success rate of the operation was significantly lower in patient groups as the time from symptom onset increased (p<0.05). There were no complications.
Conclusion: Subcutaneous anterior transposition of the ulnar nerve is an effective and reliable surgical method with a low complication rate for the treatment of cubital tunnel syndrome.
Methods: The study retrospectively evaluated 33 patients (24 males, 9 females; mean age: 48 years; range: 26 to 59 years) who underwent subcutaneous transposition of the ulnar nerve. Mean follow-up period was 4 years 9 months (range: 2 years 6 months to 8 years). Modified McGowan’s classification was used for preoperative scoring and the Wilson & Krout classification for postoperative clinical evaluation. Preoperatively 5 patients (15%) had Grade 1, 7 (21%) had Grade 2A, 9 (27%) had Grade 2B, and 12 (36%) had Grade 3 neuropathy.
Results: There were excellent results in 24 patients (73%), good in 7 (21%), fair in 1 (3%), and poor in one (3%). The patient with the poor result had developed neuropathy following a crush injury. There was a negative correlation between the preoperative McGowan grade and the postoperative Wilson & Krout score (p<0.05, r=-0.43). The success rate of the operation was significantly lower in patient groups as the time from symptom onset increased (p<0.05). There were no complications.
Conclusion: Subcutaneous anterior transposition of the ulnar nerve is an effective and reliable surgical method with a low complication rate for the treatment of cubital tunnel syndrome.
Keywords
Details
Primary Language
English
Subjects
Health Care Administration
Journal Section
Research Article
Publication Date
September 5, 2012
Submission Date
March 7, 2014
Acceptance Date
-
Published in Issue
Year 2012 Volume: 46 Number: 4
APA
Gokay, N., & Bagatur, A. E. (2012). Subcutaneous anterior transposition of the ulnar nerve in cubital tunnel syndrome. Acta Orthopaedica et Traumatologica Turcica, 46(4), 243-249. https://izlik.org/JA79HS69DM
AMA
1.Gokay N, Bagatur AE. Subcutaneous anterior transposition of the ulnar nerve in cubital tunnel syndrome. Acta Orthopaedica et Traumatologica Turcica. 2012;46(4):243-249. https://izlik.org/JA79HS69DM
Chicago
Gokay, Nevzat, and A. Erdem Bagatur. 2012. “Subcutaneous Anterior Transposition of the Ulnar Nerve in Cubital Tunnel Syndrome”. Acta Orthopaedica et Traumatologica Turcica 46 (4): 243-49. https://izlik.org/JA79HS69DM.
EndNote
Gokay N, Bagatur AE (September 1, 2012) Subcutaneous anterior transposition of the ulnar nerve in cubital tunnel syndrome. Acta Orthopaedica et Traumatologica Turcica 46 4 243–249.
IEEE
[1]N. Gokay and A. E. Bagatur, “Subcutaneous anterior transposition of the ulnar nerve in cubital tunnel syndrome”, Acta Orthopaedica et Traumatologica Turcica, vol. 46, no. 4, pp. 243–249, Sept. 2012, [Online]. Available: https://izlik.org/JA79HS69DM
ISNAD
Gokay, Nevzat - Bagatur, A. Erdem. “Subcutaneous Anterior Transposition of the Ulnar Nerve in Cubital Tunnel Syndrome”. Acta Orthopaedica et Traumatologica Turcica 46/4 (September 1, 2012): 243-249. https://izlik.org/JA79HS69DM.
JAMA
1.Gokay N, Bagatur AE. Subcutaneous anterior transposition of the ulnar nerve in cubital tunnel syndrome. Acta Orthopaedica et Traumatologica Turcica. 2012;46:243–249.
MLA
Gokay, Nevzat, and A. Erdem Bagatur. “Subcutaneous Anterior Transposition of the Ulnar Nerve in Cubital Tunnel Syndrome”. Acta Orthopaedica et Traumatologica Turcica, vol. 46, no. 4, Sept. 2012, pp. 243-9, https://izlik.org/JA79HS69DM.
Vancouver
1.Nevzat Gokay, A. Erdem Bagatur. Subcutaneous anterior transposition of the ulnar nerve in cubital tunnel syndrome. Acta Orthopaedica et Traumatologica Turcica [Internet]. 2012 Sep. 1;46(4):243-9. Available from: https://izlik.org/JA79HS69DM