In Situ Decompression in the Treatment of Cubital Tunnel Syndrome

Year 2018, , 132 - 138, 06.06.2018

Güray Altun , Tuhan Kurtulmuş , İsmail Oltulu Necdet Sağlam

https://doi.org/10.17343/sdutfd.334447

Abstract

Objective: We have evaluated the functional scores of in situ ulnar nerve decompressed cubital tunnel sendrome patients. Materials and Methods: Between january 2006 and december 2010, 32
cubital tunnel syndrome patients operated in our clinic with ulnar neuropathy were evaluated retrospectively from 43 patients. All patients were diagnosed with clinically and electromyography, follow up period was at least 3 years. And also any patient have surgical history about cubital tunnnel syndrome before. McGowan’s classification was used for preoperative scoring and the Wilson Krout classification for postoperative clinical evaluation.
Results: Preoperatively 24 patient were degree 2, 8 patients were degree 3. There were excellent results in 22 patients (%), good in 7 (%), fair in 2 (%), and poor in one (%). Any of patients re-opereted cause of complaints.
Conclusion: In situ decompression is an effective, simple and safe methode for cubital tunnel syndrome without ulnar nerve subluxation and with nöral continuity is intact.

Keywords

ulnar nerve, in situ decompression, neuropathy, cubital tunnel syndrome

Kubital Tünel Sendromu Tedavisinde in Situ Dekompresyon

Abstract

Giriş:
Bu
çalışmamızda, kübital tünel sendromu (KTS) tanısı ile in situ ulnar sinir
dekompresyonu yapılan hastaların fonksiyonel sonuçlarını değerlendirdik.

Gereç
ve Yöntem: Ocak 2006 ile Aralık 2010 tarihleri
arasında 43 hastadan yeterli takibi yapılan ve çağrıya cevap veren 32 hasta
geriye dönük olarak değerlendirildi. Hastaların ameliyat öncesi klinik durumları McGowan
derecelendirme sistemine göre ve ameliyat sonrası durumları ise Wilson&Krout
derecelendirme sistemine göre belirlendi. Çalışmaya muayene ve
elektromiyelografiyle (EMG) kübital tünel sendromu tanısı konulan, en az 6 ay
konservatif olarak tedaviye cevap vermeyen, in situ dekompresyon prosedürü
uygulanan, daha önce kübital tünel sendromu nedeniyle ameliyat edilmeyen
hastalar dahil edildi.

Bulgular:
Ameliyat
öncesi 24 hastada evre 2, 8 hastada evre 3 nöropati mevcuttu. Ameliyat sonrası
22 hastada mükemmel, 7 hastada iyi, 2 hastada makul, 1 hastada kötü sonuç elde
edildi. Kötü sonuç elde edilen tek hastanın ameliyat öncesi evre 3 nöropatisi mevcuttu.
Şikayetlerinin tekrarlaması sebebiyle hiçbir hastaya tekrar cerrahi tedavi
uygulanmadı.

Tartışma
Sonuçlar: Kübital tünel sendromunda in situ dekompresyon ulnar
sinir bütünlüğü korunmuş ve ulnar sinir subluksasyonu görülmeyen olgularda düşük
komplikasyon oranlarıyla etkili, basit, güvenilir bir yöntemdir. 

Keywords

ulnar sinir, in situ dekompresyon, nöropati, kubital tünel sendromu, kübital tünel sendromu

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