Revision surgery for recurrent ulnar nerve compression following failed subcutaneous transposition : Author list
Recurrent ulnar nerve compression after primary anterior subcutaneous transposition is relatively rare, and revision surgery is challenging. This study retrospectively evaluated the clinical outcomes of revision anterior subcutaneous transposition for recurrent ulnar nerve compression. Eight patient...
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| Veröffentlicht in: | Acta neurochirurgica 2024-12, Vol.166 (1), p.362 |
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| creator | Zhu, Lingkang Yang, Fangjing Zhao, Xuanyu Shen, Yundong Qiu, Yanqun Xu, Wendong |
| description | Recurrent ulnar nerve compression after primary anterior subcutaneous transposition is relatively rare, and revision surgery is challenging. This study retrospectively evaluated the clinical outcomes of revision anterior subcutaneous transposition for recurrent ulnar nerve compression.
Eight patients who underwent revision anterior subcutaneous transposition for recurrent ulnar nerve compression were enrolled in this study. The outcomes were based on preoperative and postoperative symptoms, physical examination findings, and electromyographic evaluation.
Ulnar nerve enlargement was preoperatively found in all patients with a mean cross sectional area of 0.15 cm
(range, 0.14-0.18 cm
). Intraoperative findings showed that recurrent compression occurred in three areas, including the medial intermuscular septum (n = 5), the medial epicondyle (n = 6) and nerve entrance to forearm fascia (n = 1). Post-operation, significant improvements were observed in ring/little finger numbness (from severe to mild, p = 0.031), grip strength (from 48.00% to 80.38% of the intact side, p |
| doi_str_mv | 10.1007/s00701-024-06255-z |
| format | Article |
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Eight patients who underwent revision anterior subcutaneous transposition for recurrent ulnar nerve compression were enrolled in this study. The outcomes were based on preoperative and postoperative symptoms, physical examination findings, and electromyographic evaluation.
Ulnar nerve enlargement was preoperatively found in all patients with a mean cross sectional area of 0.15 cm
(range, 0.14-0.18 cm
). Intraoperative findings showed that recurrent compression occurred in three areas, including the medial intermuscular septum (n = 5), the medial epicondyle (n = 6) and nerve entrance to forearm fascia (n = 1). Post-operation, significant improvements were observed in ring/little finger numbness (from severe to mild, p = 0.031), grip strength (from 48.00% to 80.38% of the intact side, p < 0.001) and McGowan grade (from Grade III to Grade I, p = 0.049). Postoperative electromyography test also showed significant improvement in motor nerve conduction at elbow (velocity, 23.30 ± 9.598 vs. 35.30 ± 9.367, p = 0.012; amplitude, 3.40 ± 3.703 vs. 5.65 ± 2.056, p = 0.007) and sensory nerve conduction at wrist (velocity, 27.04 ± 22.450 vs. 36.45 ± 18.099, p = 0.139; amplitude, 1.44 ± 1.600 vs. 4.00 ± 2.642, p = 0.011). Seven of the eight patients reported satisfaction with the postoperative results.
Revision anterior subcutaneous transposition was an effective treatment for recurrent ulnar nerve compression from prior failed procedures.</description><identifier>EISSN: 0942-0940</identifier><identifier>DOI: 10.1007/s00701-024-06255-z</identifier><identifier>PMID: 39249132</identifier><language>eng</language><publisher>Austria</publisher><subject>Adult ; Aged ; Decompression, Surgical - methods ; Female ; Humans ; Male ; Middle Aged ; Recurrence ; Reoperation - methods ; Retrospective Studies ; Treatment Outcome ; Ulnar Nerve - surgery ; Ulnar Nerve Compression Syndromes - surgery</subject><ispartof>Acta neurochirurgica, 2024-12, Vol.166 (1), p.362</ispartof><rights>2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Austria, part of Springer Nature.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39249132$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zhu, Lingkang</creatorcontrib><creatorcontrib>Yang, Fangjing</creatorcontrib><creatorcontrib>Zhao, Xuanyu</creatorcontrib><creatorcontrib>Shen, Yundong</creatorcontrib><creatorcontrib>Qiu, Yanqun</creatorcontrib><creatorcontrib>Xu, Wendong</creatorcontrib><title>Revision surgery for recurrent ulnar nerve compression following failed subcutaneous transposition : Author list</title><title>Acta neurochirurgica</title><addtitle>Acta Neurochir (Wien)</addtitle><description>Recurrent ulnar nerve compression after primary anterior subcutaneous transposition is relatively rare, and revision surgery is challenging. This study retrospectively evaluated the clinical outcomes of revision anterior subcutaneous transposition for recurrent ulnar nerve compression.
Eight patients who underwent revision anterior subcutaneous transposition for recurrent ulnar nerve compression were enrolled in this study. The outcomes were based on preoperative and postoperative symptoms, physical examination findings, and electromyographic evaluation.
Ulnar nerve enlargement was preoperatively found in all patients with a mean cross sectional area of 0.15 cm
(range, 0.14-0.18 cm
). Intraoperative findings showed that recurrent compression occurred in three areas, including the medial intermuscular septum (n = 5), the medial epicondyle (n = 6) and nerve entrance to forearm fascia (n = 1). Post-operation, significant improvements were observed in ring/little finger numbness (from severe to mild, p = 0.031), grip strength (from 48.00% to 80.38% of the intact side, p < 0.001) and McGowan grade (from Grade III to Grade I, p = 0.049). Postoperative electromyography test also showed significant improvement in motor nerve conduction at elbow (velocity, 23.30 ± 9.598 vs. 35.30 ± 9.367, p = 0.012; amplitude, 3.40 ± 3.703 vs. 5.65 ± 2.056, p = 0.007) and sensory nerve conduction at wrist (velocity, 27.04 ± 22.450 vs. 36.45 ± 18.099, p = 0.139; amplitude, 1.44 ± 1.600 vs. 4.00 ± 2.642, p = 0.011). Seven of the eight patients reported satisfaction with the postoperative results.
Revision anterior subcutaneous transposition was an effective treatment for recurrent ulnar nerve compression from prior failed procedures.</description><subject>Adult</subject><subject>Aged</subject><subject>Decompression, Surgical - methods</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Recurrence</subject><subject>Reoperation - methods</subject><subject>Retrospective Studies</subject><subject>Treatment Outcome</subject><subject>Ulnar Nerve - surgery</subject><subject>Ulnar Nerve Compression Syndromes - surgery</subject><issn>0942-0940</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo1j8tKAzEYhYMgtlZfwIXkBaK5zkzcleINCoJ0XzKTPzUyzQy5VOrTO94252y-88FB6IrRG0ZpfZumoIxQLgmtuFLk8wTNqZacTEFn6Dyld0oZr6U4QzOhudRM8DkaX-Hgkx8CTiXuIB6xGyKO0JUYIWRc-mAiDhAPgLthP0ZIP7Qb-n748GGHnfE92GnediWbAENJOEcT0jgkn7_ZO7ws-W3S9j7lC3TqTJ_g8q8XaPNwv1k9kfXL4_NquSajFploZxxvWcss1F0juZEArW44KM6FVqqWrHGVBGZooywoIzpX1ay20FhtlRILdP2rHUu7B7sdo9-beNz-PxdfMH9dfA</recordid><startdate>20241201</startdate><enddate>20241201</enddate><creator>Zhu, Lingkang</creator><creator>Yang, Fangjing</creator><creator>Zhao, Xuanyu</creator><creator>Shen, Yundong</creator><creator>Qiu, Yanqun</creator><creator>Xu, Wendong</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope></search><sort><creationdate>20241201</creationdate><title>Revision surgery for recurrent ulnar nerve compression following failed subcutaneous transposition : Author list</title><author>Zhu, Lingkang ; Yang, Fangjing ; Zhao, Xuanyu ; Shen, Yundong ; Qiu, Yanqun ; Xu, Wendong</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p93t-9faf2b1b1de7c842a4eeb982e52239557418f64e1a085de5a3cf6717de8d9d553</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Decompression, Surgical - methods</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Recurrence</topic><topic>Reoperation - methods</topic><topic>Retrospective Studies</topic><topic>Treatment Outcome</topic><topic>Ulnar Nerve - surgery</topic><topic>Ulnar Nerve Compression Syndromes - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zhu, Lingkang</creatorcontrib><creatorcontrib>Yang, Fangjing</creatorcontrib><creatorcontrib>Zhao, Xuanyu</creatorcontrib><creatorcontrib>Shen, Yundong</creatorcontrib><creatorcontrib>Qiu, Yanqun</creatorcontrib><creatorcontrib>Xu, Wendong</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><jtitle>Acta neurochirurgica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zhu, Lingkang</au><au>Yang, Fangjing</au><au>Zhao, Xuanyu</au><au>Shen, Yundong</au><au>Qiu, Yanqun</au><au>Xu, Wendong</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Revision surgery for recurrent ulnar nerve compression following failed subcutaneous transposition : Author list</atitle><jtitle>Acta neurochirurgica</jtitle><addtitle>Acta Neurochir (Wien)</addtitle><date>2024-12-01</date><risdate>2024</risdate><volume>166</volume><issue>1</issue><spage>362</spage><pages>362-</pages><eissn>0942-0940</eissn><abstract>Recurrent ulnar nerve compression after primary anterior subcutaneous transposition is relatively rare, and revision surgery is challenging. This study retrospectively evaluated the clinical outcomes of revision anterior subcutaneous transposition for recurrent ulnar nerve compression.
Eight patients who underwent revision anterior subcutaneous transposition for recurrent ulnar nerve compression were enrolled in this study. The outcomes were based on preoperative and postoperative symptoms, physical examination findings, and electromyographic evaluation.
Ulnar nerve enlargement was preoperatively found in all patients with a mean cross sectional area of 0.15 cm
(range, 0.14-0.18 cm
). Intraoperative findings showed that recurrent compression occurred in three areas, including the medial intermuscular septum (n = 5), the medial epicondyle (n = 6) and nerve entrance to forearm fascia (n = 1). Post-operation, significant improvements were observed in ring/little finger numbness (from severe to mild, p = 0.031), grip strength (from 48.00% to 80.38% of the intact side, p < 0.001) and McGowan grade (from Grade III to Grade I, p = 0.049). Postoperative electromyography test also showed significant improvement in motor nerve conduction at elbow (velocity, 23.30 ± 9.598 vs. 35.30 ± 9.367, p = 0.012; amplitude, 3.40 ± 3.703 vs. 5.65 ± 2.056, p = 0.007) and sensory nerve conduction at wrist (velocity, 27.04 ± 22.450 vs. 36.45 ± 18.099, p = 0.139; amplitude, 1.44 ± 1.600 vs. 4.00 ± 2.642, p = 0.011). Seven of the eight patients reported satisfaction with the postoperative results.
Revision anterior subcutaneous transposition was an effective treatment for recurrent ulnar nerve compression from prior failed procedures.</abstract><cop>Austria</cop><pmid>39249132</pmid><doi>10.1007/s00701-024-06255-z</doi></addata></record> |
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| identifier | EISSN: 0942-0940 |
| ispartof | Acta neurochirurgica, 2024-12, Vol.166 (1), p.362 |
| issn | 0942-0940 |
| language | eng |
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| source | MEDLINE; SpringerLink Journals |
| subjects | Adult Aged Decompression, Surgical - methods Female Humans Male Middle Aged Recurrence Reoperation - methods Retrospective Studies Treatment Outcome Ulnar Nerve - surgery Ulnar Nerve Compression Syndromes - surgery |
| title | Revision surgery for recurrent ulnar nerve compression following failed subcutaneous transposition : Author list |
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