Postoperative clinical results in cubital tunnel syndrome.
This article reports on factors affecting the postoperative results in cubital tunnel syndrome. We evaluated 111 limbs of 107 patients who had been surgically treated for cubital tunnel syndrome. Average patient age was 43.9 years (range: 11-77 years). Postoperative follow-up ranged from 1 to 17 years (mean: 5.2 years). Causal diseases included cubitus valgus following fractures in childhood in 43 limbs, osteoarthritis in 45 limbs, and others in 23 limbs. Surgical treatment involved King's method for 66 limbs, anterior transposition for 41 limbs, and Osborne's method for 4 limbs. Preoperative severity and postoperative results were evaluated according to the critera for evaluation of ulnar nerve palsy of Yokohama City University. Preoperative severity was stage I in 19 limbs, stage II in 12 limbs, stage III in 41 limbs, and stage IV in 39 limbs. Postoperative results at final evaluation were excellent in 37 limbs, good in 39 limbs, fair in 26 limbs, and poor in 9 limbs. Age at surgery, duration of cubital tunnel syndrome, preoperative severity, and clinical symptom score and motor nerve conduction velocity in the early postoperative stage (one month after surgery) were found to be important prognostic factors of the syndrome.
Yamamoto
Kengo
K
Department of Orthopedic Surgery, Tokyo Medical University, Tokyo, Japan.
Shishido
Takaaki
T
Masaoka
Toshinori
T
Katori
Yoich
Y
Tanaka
Satoshi
S
D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D002648:Child; D020430:Cubital Tunnel Syndrome / Q000150:complications / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009431:Neural Conduction / Q000502:physiology; D012720:Severity of Illness Index; D013997:Time Factors; D016896:Treatment Outcome; D014459:Ulnar Nerve / Q000503:physiopathology