Subjective outcome, neurophysiological investigations, postoperative complications and recurrence rate of partial medial epicondylectomy in cubital tunnel syndrome

Publikation: Beitrag in FachzeitschriftForschungsartikelBeigetragenBegutachtung

Beitragende

  • Saskia M. Schnabl - , Friedrich-Alexander-Universität Erlangen-Nürnberg (Autor:in)
  • Franziska Kisslinger - , Friedrich-Alexander-Universität Erlangen-Nürnberg (Autor:in)
  • Axel Schramm - , Friedrich-Alexander-Universität Erlangen-Nürnberg (Autor:in)
  • Adrian Dragu - , UniversitätsCentrum für Orthopädie, Unfall - und Plastische Chirurgie, Universitätsklinikum der Friedrich-Alexander-Universität Erlangen-Nürnberg, Friedrich-Alexander-Universität Erlangen-Nürnberg (Autor:in)
  • Ulrich Kneser - , Friedrich-Alexander-Universität Erlangen-Nürnberg (Autor:in)
  • Frank Unglaub - , Friedrich-Alexander-Universität Erlangen-Nürnberg (Autor:in)
  • Raymund E. Horch - , Friedrich-Alexander-Universität Erlangen-Nürnberg (Autor:in)

Abstract

The aim of the study was to evaluate the clinical outcome with subjective and neurophysiological parameters following partial medial epicondylectomy (pME) and to evaluate complications and recurrence rates. A retrospective analysis was performed in 29 patients (18 males and 11 females) with cubital tunnel syndrome (CuTS) who underwent pME. Mean time follow-up was 41.4 months. For subjective parameters, DASH (Disabilities of Arm, Shoulder and Hand), a self-created questionnaire about postoperative satisfaction and a visual pain scale (VAS) have been used. All patients were classified according to the Mc Gowan Classification (McG) and Wilson & Krout Classification (WKC). The patients were examined by nerve conduction velocity. Total mean of the DASH score was 24.8 points. In a questionnaire with integrated pain score (1-5), 96% of the patients declared a postoperative improvement, whereas 41.4% patients of the latter group were very contented with the results, 37.9% were contented, 17.2% were less contented and 3.4% were discontented. The VAS for evaluation of postoperative pain showed an average of 2.36 (0-5.9) out of 10. Of the patients, 68.0% were classified as grade I according to McG and 68.0% as excellent or good according to WKC. Motor nerve conduction velocity improved from 34.8 m/s preoperatively to 48.2 m/s postoperatively. One patient developed a haematoma and three patients (10.3%) had to be classified as recurrence. High postoperative rates of patient satisfaction and improved neurophysiological results could be achieved by pME.

Details

OriginalspracheEnglisch
Seiten (von - bis)1027-1033
Seitenumfang7
FachzeitschriftArchives of orthopaedic and trauma surgery
Jahrgang131
Ausgabenummer8
PublikationsstatusVeröffentlicht - Aug. 2011
Peer-Review-StatusJa

Externe IDs

PubMed 21203767
ORCID /0000-0003-4633-2695/work/145698682

Schlagworte

Schlagwörter

  • Cubital tunnel syndrome, DASH, Neurophysiological results, Partial medial epicondylectomy, Recurrence rate