Document Detail


Partial medial epicondylectomy for cubital tunnel syndrome: Outcome and complications.
MedLine Citation:
PMID:  12070497     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The results of partial medial epicondylectomy for cubital tunnel syndrome were evaluated in 60 elbows of 54 patients. Preoperatively, 8 patients were grade I, 24 grade IIA, 16 grade IIB, and 12 grade III according to the modified McGowan score (Goldberg BJ et al. JHand Surg [Am] 1989;14:182-8). Mean follow-up was 38.8 months. Special emphasis was placed on evaluation of 5 commonly reported drawbacks: medial elbow pain was related to the end result (P <.01), nerve vulnerability/subluxation might contribute to pain (P <.05), loss of force (approximately 15%) had no clinical implication, and flexion contracture and valgus instability were present in only 1 elbow. Eighty-three percent of our patients were better according to the Wilson and Krout score,(22) with 75% having excellent and good results. An improvement of at least 1 McGowan grade was obtained in 88.3%. The chance for complete recovery was inversely related to the initial neuropathy grade, as is consistently found throughout the literature for all types of cubital tunnel surgery. Partial medial epicondylectomy is a valuable surgical procedure for treating grade I to IIB ulnar neuropathy.
Authors:
Stÿn Muermans; Luc De Smet
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of shoulder and elbow surgery / American Shoulder and Elbow Surgeons ... [et al.]     Volume:  11     ISSN:  1058-2746     ISO Abbreviation:  J Shoulder Elbow Surg     Publication Date:    2002 May-Jun
Date Detail:
Created Date:  2002-06-18     Completed Date:  2002-09-20     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9206499     Medline TA:  J Shoulder Elbow Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  248-52     Citation Subset:  IM    
Affiliation:
Orthopaedic Department, University Hospital Pellenberg, Pellenberg, Belgium.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Biomechanics
Cubital Tunnel Syndrome / complications,  surgery*
Elbow
Female
Humans
Male
Middle Aged
Range of Motion, Articular
Treatment Outcome
Ulnar Nerve / surgery
Comments/Corrections
Comment In:
J Shoulder Elbow Surg. 2003 Mar-Apr;12(2):205; author reply 205   [PMID:  12728931 ]

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


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