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Current diagnostics and treatment of the cubital tunnel syndrome in Austria
According to the vote of the Austrian Society for Surgery of the Hand (ÖGH) an investigation to collect data on the current state of the treatment of cubital tunnel syndrome was initiated. Over one year a total of 875 patients with cubital tunnel syndrome were operated in Austria, this means an inci...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
German Medical Science GMS Publishing House
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4717296/ https://www.ncbi.nlm.nih.gov/pubmed/26816669 http://dx.doi.org/10.3205/iprs000082 |
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author | Harder, Kristina Diehm, Jens Fassola, Isabella Al khaled, Nesrin Doll, Dietrich Dunda, Sebastian E. Krapohl, Björn Dirk |
author_facet | Harder, Kristina Diehm, Jens Fassola, Isabella Al khaled, Nesrin Doll, Dietrich Dunda, Sebastian E. Krapohl, Björn Dirk |
author_sort | Harder, Kristina |
collection | PubMed |
description | According to the vote of the Austrian Society for Surgery of the Hand (ÖGH) an investigation to collect data on the current state of the treatment of cubital tunnel syndrome was initiated. Over one year a total of 875 patients with cubital tunnel syndrome were operated in Austria, this means an incidence of this nerve entrapment of 0.011%. Most of the operations were done by trauma surgeons (287; 33%). For diagnosis most of the centers rely on clinical symptoms, electroneurophysiology, and elbow X-ray. 40% of the institutions regard conservative therapy as useless and not indicated. If conservative treatment modalities are applied, physiotherapy (97%), non-steroidal anti-inflammatory medication (77%), and glucocorticoid injections (30%) are primarily used. In case of simple nerve entrapment most of the surgeons (72%) prefer simple nerve decompression. If there is additional pathology subcutaneous cubital nerve transposition is recommended (62%). Endoscopic techniques are only use by 3% of the surgeons. In the postoperative care, physiotherapy is favored in 51%, whereas 24% do not judge any postoperative care as beneficial. The three most often encountered complications were incomplete remission, scar contracture and hypertrophy, and postoperative bleeding. |
format | Online Article Text |
id | pubmed-4717296 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | German Medical Science GMS Publishing House |
record_format | MEDLINE/PubMed |
spelling | pubmed-47172962016-01-26 Current diagnostics and treatment of the cubital tunnel syndrome in Austria Harder, Kristina Diehm, Jens Fassola, Isabella Al khaled, Nesrin Doll, Dietrich Dunda, Sebastian E. Krapohl, Björn Dirk GMS Interdiscip Plast Reconstr Surg DGPW Article According to the vote of the Austrian Society for Surgery of the Hand (ÖGH) an investigation to collect data on the current state of the treatment of cubital tunnel syndrome was initiated. Over one year a total of 875 patients with cubital tunnel syndrome were operated in Austria, this means an incidence of this nerve entrapment of 0.011%. Most of the operations were done by trauma surgeons (287; 33%). For diagnosis most of the centers rely on clinical symptoms, electroneurophysiology, and elbow X-ray. 40% of the institutions regard conservative therapy as useless and not indicated. If conservative treatment modalities are applied, physiotherapy (97%), non-steroidal anti-inflammatory medication (77%), and glucocorticoid injections (30%) are primarily used. In case of simple nerve entrapment most of the surgeons (72%) prefer simple nerve decompression. If there is additional pathology subcutaneous cubital nerve transposition is recommended (62%). Endoscopic techniques are only use by 3% of the surgeons. In the postoperative care, physiotherapy is favored in 51%, whereas 24% do not judge any postoperative care as beneficial. The three most often encountered complications were incomplete remission, scar contracture and hypertrophy, and postoperative bleeding. German Medical Science GMS Publishing House 2016-01-18 /pmc/articles/PMC4717296/ /pubmed/26816669 http://dx.doi.org/10.3205/iprs000082 Text en Copyright © 2016 Harder et al. http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. |
spellingShingle | Article Harder, Kristina Diehm, Jens Fassola, Isabella Al khaled, Nesrin Doll, Dietrich Dunda, Sebastian E. Krapohl, Björn Dirk Current diagnostics and treatment of the cubital tunnel syndrome in Austria |
title | Current diagnostics and treatment of the cubital tunnel syndrome in Austria |
title_full | Current diagnostics and treatment of the cubital tunnel syndrome in Austria |
title_fullStr | Current diagnostics and treatment of the cubital tunnel syndrome in Austria |
title_full_unstemmed | Current diagnostics and treatment of the cubital tunnel syndrome in Austria |
title_short | Current diagnostics and treatment of the cubital tunnel syndrome in Austria |
title_sort | current diagnostics and treatment of the cubital tunnel syndrome in austria |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4717296/ https://www.ncbi.nlm.nih.gov/pubmed/26816669 http://dx.doi.org/10.3205/iprs000082 |
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