Document Detail


Cubital tunnel release and medial epicondylectomy: effect of timing of mobilization.
MedLine Citation:
PMID:  9330146     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The effects of early versus late range of motion (ROM) following cubital tunnel decompression and medial epicondylectomy were evaluated in a randomized prospective study. Forty-five consecutive procedures were divided into 2 groups. The early mobilization group started rehabilitation at an average of 3 days after surgery and the late mobilization group started rehabilitation at an average of 14 days after surgery. Flexion contracture of more than 5 degrees degrees was observed in 5% of the early mobilization group, compared to 52% of the late mobilization group (p < .001). On average, patients in the early mobilization group returned to work twice as early as those in the late mobilization group and did not experience any adverse effects on their grip strength or other hand functions. Institution of ROM exercises immediately after surgery was found to be more effective in preventing elbow flexion contractures, obtaining a quicker recovery, and allowing return to work with no ill effects.
Authors:
H Seradge
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Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  The Journal of hand surgery     Volume:  22     ISSN:  0363-5023     ISO Abbreviation:  J Hand Surg Am     Publication Date:  1997 Sep 
Date Detail:
Created Date:  1997-12-02     Completed Date:  1997-12-02     Revised Date:  2009-06-08    
Medline Journal Info:
Nlm Unique ID:  7609631     Medline TA:  J Hand Surg Am     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  863-6     Citation Subset:  IM    
Affiliation:
Hand Center of Oklahoma, Oklahoma City 73109, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Decompression, Surgical / methods*
Elbow Joint / physiopathology,  surgery
Female
Humans
Male
Middle Aged
Physical Therapy Modalities
Postoperative Care
Postoperative Complications / physiopathology
Prospective Studies
Range of Motion, Articular / physiology
Treatment Outcome
Ulnar Nerve Compression Syndromes / physiopathology,  surgery*
Comments/Corrections
Comment In:
J Hand Surg Am. 1998 Jul;23(4):759-61   [PMID:  9708397 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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