Naran Sanjay, Imbriglia Joseph E, Bilonick Richard A, Taieb Aurele, Wollstein Ronit
Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Ann Plast Surg. 2010 Feb;64(2):177-9. doi: 10.1097/SAP.0b013e3181a2c63e.
Cubital tunnel syndrome (CUTS) is usually considered one entity. We suggest that CUTS is not homogeneous, and that patient presentation depends on age.A retrospective review of patients with CUTS was performed. Demographic information and characteristics of presentation were recorded. Logistic regression analysis evaluated the relationship between age and factors of CUTS presentation.Seventy-four patients were included. Average age was 55 (+/-12.5). A statistically significant relationship between age at presentation and interosseous muscle weakness P = 0.01 and muscle atrophy on presentation (P = 0015) was found. There was a trend towards an inverse relationship between age and signs of ulnar irritation such as a positive elbow flexion test.CUTS is typically evaluated as a homogenous pathology. Our results support a condition that presents differently in patients, correlating with age. This concept may be used for evaluation of the treatment approach for CUTS, since different pathologies may require different forms of treatment.
肘管综合征（CUTS）通常被视为一种单一疾病。我们认为肘管综合征并非同质化，且患者的表现取决于年龄。对肘管综合征患者进行了回顾性研究。记录了人口统计学信息和临床表现特征。逻辑回归分析评估了年龄与肘管综合征表现因素之间的关系。共纳入74例患者。平均年龄为55岁（±12.5岁）。发现就诊时年龄与骨间肌无力（P = 0.01）以及就诊时肌肉萎缩（P = 0.015）之间存在统计学显著关系。年龄与尺神经刺激体征（如阳性屈肘试验）之间存在负相关趋势，但未达统计学显著。肘管综合征通常被评估为一种同质化病理状态。我们的结果支持这样一种情况，即患者的表现不同，且与年龄相关。这一概念可用于评估肘管综合征的治疗方法，因为不同的病理状态可能需要不同的治疗形式。
