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Endoscopic Cubital Tunnel Recurrence Rates

Cubital tunnel syndrome is the second most common nerve entrapment in the upper extremity. There are no current publications concerning the recurrence rates after endoscopic cubital tunnel release. The purpose of this study is to evaluate the recurrence rate of endoscopic cubital tunnel release comp...

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Detalles Bibliográficos
Autores principales: Cobb, Tyson K., Sterbank, Patrick T., Lemke, Jon H.
Formato: Texto
Lenguaje:English
Publicado: Springer-Verlag 2009
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2880681/
https://www.ncbi.nlm.nih.gov/pubmed/19834772
http://dx.doi.org/10.1007/s11552-009-9227-2
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author Cobb, Tyson K.
Sterbank, Patrick T.
Lemke, Jon H.
author_facet Cobb, Tyson K.
Sterbank, Patrick T.
Lemke, Jon H.
author_sort Cobb, Tyson K.
collection PubMed
description Cubital tunnel syndrome is the second most common nerve entrapment in the upper extremity. There are no current publications concerning the recurrence rates after endoscopic cubital tunnel release. The purpose of this study is to evaluate the recurrence rate of endoscopic cubital tunnel release compared to published reports of recurrence following open cubital tunnel procedures. We reviewed 134 consecutive cases of endoscopic cubital tunnel release in 117 patients. There were 104 cases in 94 patients with greater than 3 months follow-up. The mean follow-up time was 736 days. They were grouped using Dellon’s classification. Two literature control groups were used from published reports of recurrence rate following open cubital tunnel release. A recurrence was identified if the patient was symptom-free following surgery but had symptoms reappear 3 months or more after surgery as defined in the literature. Of the 104 cases, 92.31% had more than a 4-month follow-up. One case (0.96%) met the criteria for recurrence at 4 months postprocedure. Data were then compared to the literature control groups used from published reports of recurrence rates following open cubital tunnel release. Pooled, the combined controls had 22 of 180 cases (12.22%) with recurrences. The percentage of procedure recurrence varied significantly with p value equal to 0.0004. It is recognized that there is a lack of common classification and comparative analysis of these studies, but they do classify preoperative grading and recurrence similarly. We are 95% confident that our true recurrence rate is between 0.02% and 5.24% and that endoscopic cubital tunnel release has a recurrence rate, which is not higher than open cubital tunnel release literature controls.
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spelling pubmed-28806812010-06-10 Endoscopic Cubital Tunnel Recurrence Rates Cobb, Tyson K. Sterbank, Patrick T. Lemke, Jon H. Hand (N Y) Original Article Cubital tunnel syndrome is the second most common nerve entrapment in the upper extremity. There are no current publications concerning the recurrence rates after endoscopic cubital tunnel release. The purpose of this study is to evaluate the recurrence rate of endoscopic cubital tunnel release compared to published reports of recurrence following open cubital tunnel procedures. We reviewed 134 consecutive cases of endoscopic cubital tunnel release in 117 patients. There were 104 cases in 94 patients with greater than 3 months follow-up. The mean follow-up time was 736 days. They were grouped using Dellon’s classification. Two literature control groups were used from published reports of recurrence rate following open cubital tunnel release. A recurrence was identified if the patient was symptom-free following surgery but had symptoms reappear 3 months or more after surgery as defined in the literature. Of the 104 cases, 92.31% had more than a 4-month follow-up. One case (0.96%) met the criteria for recurrence at 4 months postprocedure. Data were then compared to the literature control groups used from published reports of recurrence rates following open cubital tunnel release. Pooled, the combined controls had 22 of 180 cases (12.22%) with recurrences. The percentage of procedure recurrence varied significantly with p value equal to 0.0004. It is recognized that there is a lack of common classification and comparative analysis of these studies, but they do classify preoperative grading and recurrence similarly. We are 95% confident that our true recurrence rate is between 0.02% and 5.24% and that endoscopic cubital tunnel release has a recurrence rate, which is not higher than open cubital tunnel release literature controls. Springer-Verlag 2009-10-16 2010-06 /pmc/articles/PMC2880681/ /pubmed/19834772 http://dx.doi.org/10.1007/s11552-009-9227-2 Text en © The Author(s) 2009 https://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited.
spellingShingle Original Article
Cobb, Tyson K.
Sterbank, Patrick T.
Lemke, Jon H.
Endoscopic Cubital Tunnel Recurrence Rates
title Endoscopic Cubital Tunnel Recurrence Rates
title_full Endoscopic Cubital Tunnel Recurrence Rates
title_fullStr Endoscopic Cubital Tunnel Recurrence Rates
title_full_unstemmed Endoscopic Cubital Tunnel Recurrence Rates
title_short Endoscopic Cubital Tunnel Recurrence Rates
title_sort endoscopic cubital tunnel recurrence rates
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2880681/
https://www.ncbi.nlm.nih.gov/pubmed/19834772
http://dx.doi.org/10.1007/s11552-009-9227-2
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