Queen Margaret Hospital, Dunfermline. UK.
Glasgow Royal Infirmary, Glasgow, UK.
J Hand Surg Eur Vol. 2020 Jan;45(1):51-55. doi: 10.1177/1753193419882853. Epub 2019 Oct 30.
This prospective single-centre study describes the patient-reported outcomes following open in situ decompression for cubital tunnel syndrome. The Quick version of the Disabilities of the Arm, Shoulder and Hand questionnaire and patient satisfaction scores were collected over a 3-year period. Outcomes were available for 77 patients at a mean of 17 months (11-27 months) postoperatively. The mean scores improved significantly from 39 to 30 postoperatively. The score change correlated strongly and significantly with postoperative satisfaction. Sixty-six patients (86%) were satisfied. Patients with clinical evidence of weakness at presentation had significantly lower satisfaction scores than those without. By reporting functional improvement and high levels of patient satisfaction in a large series, this study supports the use of in situ decompression for cubital tunnel syndrome. The outcomes for the patients with weakness and atrophy of ulnar nerve innervated muscles before surgery are less satisfactory. III.
本前瞻性单中心研究描述了肘管综合征开放式原位减压术后患者报告的结局。在 3 年期间收集了手臂、肩部和手残疾问卷(Quick 版本)和患者满意度评分。术后平均 17 个月(11-27 个月)时,77 例患者的结局数据可用。术后评分从 39 分显著改善至 30 分。评分变化与术后满意度强烈且显著相关。66 例患者(86%)满意。术前有临床证据显示无力的患者满意度评分明显低于无无力的患者。通过在大系列中报告功能改善和高患者满意度,本研究支持将原位减压术用于肘管综合征。术前存在尺神经支配肌肉无力和萎缩的患者结局不太满意。 III.