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Predictors of surgical outcomes after in situ ulnar nerve decompression for cubital tunnel syndrome

BACKGROUND: In the treatment of cubital tunnel syndrome (CuTS), in situ ulnar nerve decompression is commonly used. This study aims to investigate predictive factors for poor recovery and ulnar nerve instability following this procedure. METHODS: We enrolled 235 patients who underwent in situ ulnar...

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Autores principales: Kong, Lingde, Bai, Jiangbo, Yu, Kunlun, Zhang, Bing, Zhang, Jichun, Tian, Dehu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5757488/
https://www.ncbi.nlm.nih.gov/pubmed/29379297
http://dx.doi.org/10.2147/TCRM.S155284
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author Kong, Lingde
Bai, Jiangbo
Yu, Kunlun
Zhang, Bing
Zhang, Jichun
Tian, Dehu
author_facet Kong, Lingde
Bai, Jiangbo
Yu, Kunlun
Zhang, Bing
Zhang, Jichun
Tian, Dehu
author_sort Kong, Lingde
collection PubMed
description BACKGROUND: In the treatment of cubital tunnel syndrome (CuTS), in situ ulnar nerve decompression is commonly used. This study aims to investigate predictive factors for poor recovery and ulnar nerve instability following this procedure. METHODS: We enrolled 235 patients who underwent in situ ulnar nerve decompression for the treatment of CuTS from January 2010 to December 2014. All patients underwent >2 years’ follow-up. The primary outcome was postoperative recovery, which was assessed by Messina’s criteria, and the secondary outcome was postoperative ulnar nerve instability. Potential risk factors were collected from demographic data and electrodiagnostic test, which included age, gender, body mass index, history of tobacco or alcohol use, history of major medical comorbidities, disease duration, preoperative severity, motor conduction velocity, and sensory conduction velocity. RESULTS: A total of 208 patients (88.5%) had satisfactory outcomes, while the other 27 patients (11.5%) had not. There were 25 patients (10.6%) showing postoperative ulnar nerve instability during follow-up. The multivariate analysis showed that only severe preoperative symptom (odds ratio [OR], 3.06; 95% confidence interval [CI], 2.16–4.32) was associated with unsatisfactory postoperative outcomes in patients with CuTS (P<0.001). In the model investigating independent factors associated with postoperative ulnar nerve instability, we found that young age (OR, 2.41; 95% CI, 1.63–3.58) was associated with the incidence of postoperative ulnar nerve instability (P<0.001). CONCLUSION: We found that severe preoperative symptom was associated with unsatisfactory postoperative outcomes, and young age was a risk factor for the incidence of postoperative ulnar nerve instability. Patients with these risk factors should be informed of the possibility of worse surgical outcomes.
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spelling pubmed-57574882018-01-29 Predictors of surgical outcomes after in situ ulnar nerve decompression for cubital tunnel syndrome Kong, Lingde Bai, Jiangbo Yu, Kunlun Zhang, Bing Zhang, Jichun Tian, Dehu Ther Clin Risk Manag Original Research BACKGROUND: In the treatment of cubital tunnel syndrome (CuTS), in situ ulnar nerve decompression is commonly used. This study aims to investigate predictive factors for poor recovery and ulnar nerve instability following this procedure. METHODS: We enrolled 235 patients who underwent in situ ulnar nerve decompression for the treatment of CuTS from January 2010 to December 2014. All patients underwent >2 years’ follow-up. The primary outcome was postoperative recovery, which was assessed by Messina’s criteria, and the secondary outcome was postoperative ulnar nerve instability. Potential risk factors were collected from demographic data and electrodiagnostic test, which included age, gender, body mass index, history of tobacco or alcohol use, history of major medical comorbidities, disease duration, preoperative severity, motor conduction velocity, and sensory conduction velocity. RESULTS: A total of 208 patients (88.5%) had satisfactory outcomes, while the other 27 patients (11.5%) had not. There were 25 patients (10.6%) showing postoperative ulnar nerve instability during follow-up. The multivariate analysis showed that only severe preoperative symptom (odds ratio [OR], 3.06; 95% confidence interval [CI], 2.16–4.32) was associated with unsatisfactory postoperative outcomes in patients with CuTS (P<0.001). In the model investigating independent factors associated with postoperative ulnar nerve instability, we found that young age (OR, 2.41; 95% CI, 1.63–3.58) was associated with the incidence of postoperative ulnar nerve instability (P<0.001). CONCLUSION: We found that severe preoperative symptom was associated with unsatisfactory postoperative outcomes, and young age was a risk factor for the incidence of postoperative ulnar nerve instability. Patients with these risk factors should be informed of the possibility of worse surgical outcomes. Dove Medical Press 2018-01-04 /pmc/articles/PMC5757488/ /pubmed/29379297 http://dx.doi.org/10.2147/TCRM.S155284 Text en © 2018 Kong et al. This work is published and licensed by Dove Medical Press Limited The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.
spellingShingle Original Research
Kong, Lingde
Bai, Jiangbo
Yu, Kunlun
Zhang, Bing
Zhang, Jichun
Tian, Dehu
Predictors of surgical outcomes after in situ ulnar nerve decompression for cubital tunnel syndrome
title Predictors of surgical outcomes after in situ ulnar nerve decompression for cubital tunnel syndrome
title_full Predictors of surgical outcomes after in situ ulnar nerve decompression for cubital tunnel syndrome
title_fullStr Predictors of surgical outcomes after in situ ulnar nerve decompression for cubital tunnel syndrome
title_full_unstemmed Predictors of surgical outcomes after in situ ulnar nerve decompression for cubital tunnel syndrome
title_short Predictors of surgical outcomes after in situ ulnar nerve decompression for cubital tunnel syndrome
title_sort predictors of surgical outcomes after in situ ulnar nerve decompression for cubital tunnel syndrome
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5757488/
https://www.ncbi.nlm.nih.gov/pubmed/29379297
http://dx.doi.org/10.2147/TCRM.S155284
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