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Management of cubital tunnel syndrome by anterior trans-muscular transposition of the ulnar nerve
Egyptian Journal of Neurosurgery ( IF 0.7 ) Pub Date : 2019-12-23 , DOI: 10.1186/s41984-019-0067-2
Ahmed Shawky Ammar , Mohamed Ahmed El Tabl , Dalia Salah Saif

Various surgical options are used for the treatment of ulnar nerve entrapment at the elbow. In this study, anterior trans-muscular transposition of the ulnar nerve was used for the treatment of cubital tunnel syndrome. To evaluate the surgical results of anterior trans-muscular transposition technique for the treatment of cubital tunnel syndrome with particular emphasis on clinical outcome. Forty patients with cubital tunnel syndrome were operated using anterior trans-muscular transposition technique. Patients were classified into post-operative clinical outcome grades according to the Wilson & Krout criteria, and they were followed up by visual analog scale (VAS), the Disability of Arm Shoulder and Hand (DASH) questionnaire, electrophysiological study, and post-operative clinical evaluation. Forty patients with cubital tunnel syndrome who underwent anterior trans-muscular transposition of the ulnar nerve show a significant clinical improvement at 24 months post-surgery regarding visual analog scale (VAS), the Disability of Arm Shoulder and Hand (DASH) questionnaire, electrophysiological study, and the Wilson & Krout grading as 87.5% of the patients recorded excellent and good outcome. Anterior transmuscular transposition of the ulnar nerve is a safe and effective treatment for ulnar nerve entrapment at the elbow.

中文翻译:

通过尺神经的经前肌移位治疗肘管综合征

多种外科手术方法可用于治疗肘部尺神经卡压。在这项研究中,尺神经的经前肌移位治疗了肘管综合征。评估前路肌肉移位技术治疗肘管综合征的手术效果,特别强调临床结果。40例肘管综合征患者采用前移肌移位术。根据Wilson&Krout标准,将患者分为术后临床结局等级,并通过视觉模拟量表(VAS),手臂肩膀和手部残疾(DASH)问卷,电生理研究和术后随访临床评估。40例肘管前交叉肌置换术的肘管综合征患者在术后24个月在视觉模拟量表(VAS),手腕和手部残疾(DASH)问卷,电生理研究方面显示出明显的临床改善,Wilson&Krout评分为87.5%的患者记录了良好和良好的预后。尺神经的经前肌移位治疗是肘部尺神经受压的一种安全有效的治疗方法。5%的患者记录了良好和良好的预后。尺神经的经前肌移位治疗是肘部尺神经受压的一种安全有效的治疗方法。5%的患者记录了良好和良好的预后。尺神经的经前肌移位治疗是肘部尺神经受压的一种安全有效的治疗方法。
更新日期:2019-12-23
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