PMID- 36728488
OWN - NLM
STAT- MEDLINE
DCOM- 20230703
LR  - 20231211
IS  - 1529-4242 (Electronic)
IS  - 0032-1052 (Linking)
VI  - 152
IP  - 1
DP  - 2023 Jul 1
TI  - Functional Outcomes of Cubital Tunnel Release in Patients with Negative 
      Electrodiagnostic Studies.
PG  - 110e-115e
LID - 10.1097/PRS.0000000000010185 [doi]
AB  - BACKGROUND: Cubital tunnel syndrome (CuTS) is the second most common compression 
      neuropathy of the upper extremity. Electrodiagnostic studies (EDSs) are often 
      used to confirm diagnosis. However, negative EDSs can present a difficult 
      clinical challenge. The purpose of this study was to determine the functional 
      outcomes and symptom improvement for patients with a clinical diagnosis of CuTS, 
      but with negative EDSs, who are treated surgically. METHODS: Patients who had 
      EDSs before ulnar nerve surgery were identified by means of database search. 
      Chart review was performed on 867 cases to identify those with negative EDSs. 
      Twenty-five ulnar nerve operations in 23 patients were included in analysis. 
      Chart review was performed to record preoperative and postoperative symptoms, 
      physical examination findings, and outcome measures (ie, Disabilities of the Arm, 
      Shoulder and Hand questionnaire and the Patient-Rated Ulnar Nerve Evaluation). 
      RESULTS: At a mean follow-up period of 20.7 +/- 14.9 months, 15 of 25 cases (60.0%) 
      had complete resolution of all preoperative symptoms. All 10 patients who had 
      residual symptoms endorsed improvement in their preoperative complaints. The 
      median preoperative Disabilities of the Arm, Shoulder and Hand score was 40.0 
      [interquartile range (IQR), 23.9 to 58.0], which significantly decreased to a 
      median of 6.8 (IQR, 0 to 22.7) at final follow-up ( P < 0.01). The median 
      postoperative Patient-Rated Ulnar Nerve Evaluation score was 9.5 (IQR, 1.5 to 
      19.5). CONCLUSIONS: Patients with CuTS and normal EDSs treated surgically can be 
      expected to have favorable outcomes with respect to symptoms and improvement in 
      functional outcome scores. After ruling out confounding diagnoses, the authors 
      continue to offer surgical intervention for these patients when nonoperative 
      treatment has failed. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV.
CI  - Copyright (c) 2023 by the American Society of Plastic Surgeons.
FAU - Townsend, Clay B
AU  - Townsend CB
AD  - From the Rothman Institute at Thomas Jefferson University.
FAU - Katt, Brian M
AU  - Katt BM
AD  - Department of Orthopaedic Surgery, Rutgers Robert Wood Johnson Medical School.
FAU - Tawfik, Amr
AU  - Tawfik A
AD  - From the Rothman Institute at Thomas Jefferson University.
FAU - DeMarco, Michael
AU  - DeMarco M
AD  - Philadelphia College of Osteopathic Medicine.
FAU - Lutsky, Kevin F
AU  - Lutsky KF
AD  - From the Rothman Institute at Thomas Jefferson University.
FAU - Matzon, Jonas L
AU  - Matzon JL
AD  - From the Rothman Institute at Thomas Jefferson University.
FAU - Rivlin, Michael
AU  - Rivlin M
AD  - From the Rothman Institute at Thomas Jefferson University.
FAU - Beredjiklian, Pedro K
AU  - Beredjiklian PK
AD  - From the Rothman Institute at Thomas Jefferson University.
LA  - eng
PT  - Journal Article
DEP - 20230629
PL  - United States
TA  - Plast Reconstr Surg
JT  - Plastic and reconstructive surgery
JID - 1306050
SB  - IM
MH  - Humans
MH  - *Ulnar Nerve/surgery
MH  - *Cubital Tunnel Syndrome/diagnosis/surgery
MH  - Neurosurgical Procedures/methods
MH  - Decompression, Surgical/methods
MH  - Hand/surgery
MH  - Retrospective Studies
MH  - Treatment Outcome
EDAT- 2023/02/03 06:00
MHDA- 2023/07/03 06:41
CRDT- 2023/02/02 09:06
PHST- 2023/07/03 06:41 [medline]
PHST- 2023/02/03 06:00 [pubmed]
PHST- 2023/02/02 09:06 [entrez]
AID - 00006534-202307000-00026 [pii]
AID - 10.1097/PRS.0000000000010185 [doi]
PST - ppublish
SO  - Plast Reconstr Surg. 2023 Jul 1;152(1):110e-115e. doi: 
      10.1097/PRS.0000000000010185. Epub 2023 Jun 29.