内镜辅助下尺神经松解术后肘管综合征的长期功能预后
Long term functional outcome for the cubital tunnel syndrome after endoscopic assisted release of the ulnar nerve.
作者信息
Spies C K, Cavalcanti Kußmaul A, Heinz M, Bruckner T, Müller L P, Unglaub F, Ayache A
机构信息
Department of Orthopaedics, Traumatology, and Hand Surgery, Spital Langenthal, St. Urbanstraße 67, 4900, Langenthal, Switzerland.
Department of Orthopaedics, Traumatology, and Reconstructive Surgery, University Hospital Cologne, Kerpener Str. 62, 50937, Cologne, Germany.
出版信息
Arch Orthop Trauma Surg. 2024 Dec 21;145(1):72. doi: 10.1007/s00402-024-05694-8.
INTRODUCTION
The endoscopic assisted release for cubital tunnel syndrome (CuTS) gained popularity in recent years with unclear long-term results. This study aims to evaluate long term results regarding functional and subjective outcomes after endoscopic assisted release for the CuTS.
MATERIALS AND METHODS
Thirty one patients who have been treated by endoscopic assisted release for CuTS between 2006 and 2013 were followed up both clinically and with a questionnaire with a mean follow up of 152 months (range 120-204 months). Functional and subjective parameters were evaluated and statistically compared to the contralateral elbow. For statistical evaluation one-sample t-test and the McNemar test were defined as appropriate.
RESULTS
Pinch grip strength, two-point discrimination, application of Semmes-Weinstein monofilaments, Tinel's sign, grip and three-point pinch strength showed no significant difference. The DASH score was 14,2 with 96,6% of patients rating good/excellent results.
CONCLUSIONS
This study found the endoscopic assisted release of the ulnar nerve to be an efficacious and safe method for the treatment of CuTS.
引言
近年来，内镜辅助下松解治疗肘管综合征（CuTS）越来越受欢迎，但其长期效果尚不清楚。本研究旨在评估内镜辅助下松解治疗CuTS后功能和主观结果的长期疗效。
材料与方法
对2006年至2013年间接受内镜辅助下松解治疗CuTS的31例患者进行临床随访，并通过问卷调查进行随访，平均随访152个月（范围120 - 204个月）。评估功能和主观参数，并与对侧肘部进行统计学比较。为进行统计学评估，适当定义了单样本t检验和McNemar检验。
结果
捏力、两点辨别觉、Semmes-Weinstein单丝应用、Tinel征、握力和三点捏力均无显著差异。DASH评分为14.2，96.6%的患者对结果评价为良好/优秀。
结论
本研究发现内镜辅助下尺神经松解是治疗CuTS的一种有效且安全的方法。
Zotero 插件