In Situ Decompression in the Treatment of Cubital Tunnel Syndrome

Öz

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.

Anahtar Kelimeler

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

Kubital Tünel Sendromu Tedavisinde in Situ Dekompresyon

Öz

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. 

Anahtar Kelimeler

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

Kaynakça

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