Neder Antonio Tufi, Alves Regina de Azevedo, Pardini Arlindo Gomes, Riberto Marcelo, Mazer Milton
. Hospital Lifecenter, Belo Horizonte, MG, Brazil.
. Hospital Ortopédico, Belo Horizonte, MG, Brazil.
Acta Ortop Bras. 2016 Jul-Aug;24(4):184-186. doi: 10.1590/1413-785220162404157171.
Retrospective clinical evaluation of 31 patients who underwent ulnar nerve decompression at the elbow and subcutaneous anterior transposition
From January 2000 to December 2013, 71 patients underwent subcutaneous anterior transposition of the ulnar nerve. Thirty-one patients returned for evaluation. The mean follow-up period was 60 months. Patients were evaluated for the degree of satisfaction after surgery, paresthesia, pain, Tinel sign, Froment test and sensitivity test by esthesiometer, muscle strength of the intrinsic muscles and deep flexor of the fifth digit, visual analogic pain scale (VAS) and were subjected to the QuickDash questionnaire
Thirty-nine per cent of patients had compression on the right side and 61% on the left side. Sixty-one percent were idiopathic, 35% post traumatic and 3% had Poems syndrome. Forty-eight per cent of patients were very much satisfied after surgery and 52% were satisfied. Forty-eight per cent had paresthesia after surgery and 52% did not
The ulnar neurolysis of the cubital tunnel with anterior subcutaneous transposition is a safe and effective technique for treating idiopathic or post-traumatic compressive neuropathy, with high success rate and excellent function for activities of daily living.
对31例行肘部尺神经减压及皮下前置术的患者进行回顾性临床评估
2000年1月至2013年12月，71例患者接受了尺神经皮下前置术。31例患者返回进行评估。平均随访期为60个月。通过感觉测量仪评估患者术后的满意度、感觉异常、疼痛、Tinel征、Froment试验和感觉测试，评估第五指固有肌和深屈肌的肌力，采用视觉模拟疼痛量表（VAS），并进行QuickDash问卷调查
39%的患者右侧受压，61%左侧受压。61%为特发性，35%为创伤后，3%患有POEMS综合征。48%的患者术后非常满意，52%满意。48%的患者术后有感觉异常，52%没有
肘管尺神经松解及皮下前置术是治疗特发性或创伤后压迫性神经病变的一种安全有效的技术，成功率高，对日常生活活动功能良好。
