Taniguchi Y, Takami M, Takami T, Yoshida M
Department of Orthopaedic Surgery, Wakayama Medical University, Kimiidera, Japan.
J Hand Surg Br. 2002 Dec;27(6):559-62. doi: 10.1054/jhsb.2002.0821.
Eighteen elbows in 17 patients with cubital tunnel syndrome were treated by simple decompression using only a 1.5-2.5 cm skin incision with no endoscopic assistance. According to McGowan's criteria, three elbows were classified preoperatively as grade I, six as grade II and nine as grade III. The mean follow-up period was 14 months (range 3-25). Clinical results were evaluated as excellent for four elbows, good for ten and fair for four. Improvement of symptoms occurred in all patients and dislocation of the ulnar nerve was not observed. Simple decompression through a small skin incision can be recommended for the treatment of cubital tunnel syndrome, if the indication is appropriate.
17例患有肘管综合征的患者共18个肘部，仅通过1.5 - 2.5厘米的皮肤切口进行单纯减压治疗，未使用内镜辅助。根据麦高恩标准，术前三个肘部被分类为I级，六个为II级，九个为III级。平均随访期为14个月（范围3 - 25个月）。临床结果评估为四个肘部优，十个肘部良，四个肘部可。所有患者症状均有改善，未观察到尺神经脱位。如果适应证合适，可推荐通过小皮肤切口进行单纯减压治疗肘管综合征。
