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Results of endoscopically-assisted cubital tunnel release without using any specific instrument

BACKGROUND: We aimed to report the clinical and electrophysiological results of patients who were treated with an endoscopically assisted in situ release technique for cubital tunnel syndrome and to show safety and efficacy of this procedure. MATERIALS AND METHODS: Twenty nine patients were included...

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Autores principales: Zengin, Çağatay, Tahta, Mesut, Güntürk, Özgür, Aslan, Cihan, Şener, Ufuk, Şener, Muhittin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Turkish Association of Orthopaedics and Traumatology 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6197398/
https://www.ncbi.nlm.nih.gov/pubmed/28262309
http://dx.doi.org/10.1016/j.aott.2017.02.012
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author Zengin, Çağatay
Tahta, Mesut
Güntürk, Özgür
Aslan, Cihan
Şener, Ufuk
Şener, Muhittin
author_facet Zengin, Çağatay
Tahta, Mesut
Güntürk, Özgür
Aslan, Cihan
Şener, Ufuk
Şener, Muhittin
author_sort Zengin, Çağatay
collection PubMed
description BACKGROUND: We aimed to report the clinical and electrophysiological results of patients who were treated with an endoscopically assisted in situ release technique for cubital tunnel syndrome and to show safety and efficacy of this procedure. MATERIALS AND METHODS: Twenty nine patients were included into the study. 13 patients (44.8%) were female, 16 patients (55.2%) were male. The mean age was 44.4 years (range; 22–66 years). Mean follow up period was 16.0 months (range; 7–42 months). We used Dellon classification for preoperative staging, and modified Bishop rating system for the evaluation of postoperative clinical results. Dynamometric and electromyographic measurements were obtained preoperatively and at final control. RESULTS: Preoperative Dellon's classification revealed 3 patients grade 1, 14 grade 2, and 12 grade 3. Modified Bishop score was very good for 21 patients (72.4%), good for 4 patients (13.8%), fair for 3 patient (10.3%), and poor for 1 patient (3.4%). At final control; the mean proportion of grip power and pinch strength of the affected hand to the contralateral normal hand was improved, and also nerve conduction velocity were improved in all patients. As complication, hematoma formation developed in two cases. CONCLUSION: Our study showed that endoscopically assisted decompression technique without using any special instruments can be performed successfully with a low complication rate. It is a safe and effective method in the treatment of cubital tunnel syndrome. LEVEL OF EVIDENCE: Level IV, Therapeutic study
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spelling pubmed-61973982018-10-24 Results of endoscopically-assisted cubital tunnel release without using any specific instrument Zengin, Çağatay Tahta, Mesut Güntürk, Özgür Aslan, Cihan Şener, Ufuk Şener, Muhittin Acta Orthop Traumatol Turc Research Article BACKGROUND: We aimed to report the clinical and electrophysiological results of patients who were treated with an endoscopically assisted in situ release technique for cubital tunnel syndrome and to show safety and efficacy of this procedure. MATERIALS AND METHODS: Twenty nine patients were included into the study. 13 patients (44.8%) were female, 16 patients (55.2%) were male. The mean age was 44.4 years (range; 22–66 years). Mean follow up period was 16.0 months (range; 7–42 months). We used Dellon classification for preoperative staging, and modified Bishop rating system for the evaluation of postoperative clinical results. Dynamometric and electromyographic measurements were obtained preoperatively and at final control. RESULTS: Preoperative Dellon's classification revealed 3 patients grade 1, 14 grade 2, and 12 grade 3. Modified Bishop score was very good for 21 patients (72.4%), good for 4 patients (13.8%), fair for 3 patient (10.3%), and poor for 1 patient (3.4%). At final control; the mean proportion of grip power and pinch strength of the affected hand to the contralateral normal hand was improved, and also nerve conduction velocity were improved in all patients. As complication, hematoma formation developed in two cases. CONCLUSION: Our study showed that endoscopically assisted decompression technique without using any special instruments can be performed successfully with a low complication rate. It is a safe and effective method in the treatment of cubital tunnel syndrome. LEVEL OF EVIDENCE: Level IV, Therapeutic study Turkish Association of Orthopaedics and Traumatology 2017-03 2017-03-03 /pmc/articles/PMC6197398/ /pubmed/28262309 http://dx.doi.org/10.1016/j.aott.2017.02.012 Text en © 2017 Turkish Association of Orthopaedics and Traumatology. Publishing services by Elsevier B.V. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Research Article
Zengin, Çağatay
Tahta, Mesut
Güntürk, Özgür
Aslan, Cihan
Şener, Ufuk
Şener, Muhittin
Results of endoscopically-assisted cubital tunnel release without using any specific instrument
title Results of endoscopically-assisted cubital tunnel release without using any specific instrument
title_full Results of endoscopically-assisted cubital tunnel release without using any specific instrument
title_fullStr Results of endoscopically-assisted cubital tunnel release without using any specific instrument
title_full_unstemmed Results of endoscopically-assisted cubital tunnel release without using any specific instrument
title_short Results of endoscopically-assisted cubital tunnel release without using any specific instrument
title_sort results of endoscopically-assisted cubital tunnel release without using any specific instrument
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6197398/
https://www.ncbi.nlm.nih.gov/pubmed/28262309
http://dx.doi.org/10.1016/j.aott.2017.02.012
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