Clinics in Shoulder and Elbow

Korean Shoulder and Elbow Society (대한견·주관절의학회)
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Anterior Subcutaneous Ulnar Nerve Transposition for Cubital Tunnel Syndrome

주관 증후군에 대한 척골 신경 전방 피하 전위술

  • Pyun Young-Sik (Department of Orthopedic Surgery, School of medicine, Keimyung University) ;
  • Jeon Si-Hyun (Department of Orthopedic Surgery, School of medicine, Keimyung University) ;
  • Yeo Kyung-Ki (Department of Orthopedic Surgery, School of medicine, Keimyung University) ;
  • Bae Ki-Cheol (Department of Orthopedic Surgery, School of medicine, Keimyung University)
  • 편영식 (계명대학교 의과대학 정형외과학교실) ;
  • 전시현 (계명대학교 의과대학 정형외과학교실) ;
  • 여경기 (계명대학교 의과대학 정형외과학교실) ;
  • 배기철 (계명대학교 의과대학 정형외과학교실)
  • Published : 2005.06.01
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Abstract

Purpose: To evaluate the clinical results of anterior subcutaneous ulnar nerve transposition operation and the factors that influence the results for cubital tunnel syndrome. Materials and Methods: Seventeen cases of cubital tunnel syndrome were treated by anterior subcutaneous transposition between March 2001 and December 2003. The mean age was 56 years and mean follow up period was 20.4 months. All patients were reviewed retrospectively. The preoperative evaluation was done by Dellon's classification and the clinical results were evaluated by Messina’s classification. We analyzed the effect of the operation and the relations between the results and the preoperative factors, for example, duration of symptom, age, cause of illness, present of association with diabetes mellitus or preoperative flexion contracture of the elbow were analyzed. Results: The results according to Messina's classification were 4 cases of excellent, 9 cases of good, 3 cases of fair, and 1 case of poor. The preoperative factors like duration of symptom, age, cause of illness and flexion contracture of the elbow didn't show any statistical difference in the result of operation, but the cases which have diabetes mellitus were unsatisfactory with statistical difference (p=0.018). Conclusion: Anterior subcutaneous ulnar nerve transposition is relatively easy and good operative method in cubital tunnel syndrome.

Keywords

References

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