Is simple decompression enough for the treatment of idiopathic cubital tunnel syndrome: A prospective comparative study analyzing the outcomes of simple decompression versus partial medial epicondylectomy
This study aims to compare the clinical and functional outcomes of simple in-situ decompression and partial medial epicondylectomy for the treatment of idiopathic cubital tunnel syndrome (CuTS). Between March 2014 and December 2016, 71 patients (31 males, 40 females; mean age 46.7 years; range, 38 t...
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| Veröffentlicht in: | Joint diseases and related surgery 2020, Vol.31 (3), p.523-531 |
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| creator | Şahin, Orçun Haberal, Bahtiyar Şahin, Mehmet Şükrü Demirörs, Hüseyin Kuru, İlhami Tuncay, İsmail Cengiz |
| description | This study aims to compare the clinical and functional outcomes of simple in-situ decompression and partial medial epicondylectomy for the treatment of idiopathic cubital tunnel syndrome (CuTS).
Between March 2014 and December 2016, 71 patients (31 males, 40 females; mean age 46.7 years; range, 38 to 62 years) with CuTS scheduled to undergo simple in-situ decompression (group 1) or partial medial epicondylectomy (group 2) were prospectively reviewed. All patients were analyzed with clinical examination (Tinel sign, Froment's and Wartenberg's signs, elbow flexion test, subluxation), and McGowan scores before and after surgery. Final outcomes were reviewed with Wilson and Krout grading system.
There was no significant difference between the study groups in regard to Wilson and Krout grading and McGowan scores postoperatively. Group 1 had significantly better grip and key pinch strength values compared to group 2 at the final follow-up control.
In-situ decompression and partial medial epicondylectomy represent efficient and safe methods for the treatment of idiopathic CuTS. When their efficiency is compared, in-situ decompression had better grip and key pinch strength values and more excellent outcomes compared to partial medial epicondylectomy. |
| doi_str_mv | 10.5606/ehc.2020.74400 |
| format | Article |
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Between March 2014 and December 2016, 71 patients (31 males, 40 females; mean age 46.7 years; range, 38 to 62 years) with CuTS scheduled to undergo simple in-situ decompression (group 1) or partial medial epicondylectomy (group 2) were prospectively reviewed. All patients were analyzed with clinical examination (Tinel sign, Froment's and Wartenberg's signs, elbow flexion test, subluxation), and McGowan scores before and after surgery. Final outcomes were reviewed with Wilson and Krout grading system.
There was no significant difference between the study groups in regard to Wilson and Krout grading and McGowan scores postoperatively. Group 1 had significantly better grip and key pinch strength values compared to group 2 at the final follow-up control.
In-situ decompression and partial medial epicondylectomy represent efficient and safe methods for the treatment of idiopathic CuTS. When their efficiency is compared, in-situ decompression had better grip and key pinch strength values and more excellent outcomes compared to partial medial epicondylectomy.</description><identifier>ISSN: 2687-4784</identifier><identifier>EISSN: 2687-4792</identifier><identifier>DOI: 10.5606/ehc.2020.74400</identifier><identifier>PMID: 32962585</identifier><language>eng</language><publisher>Turkey: Bayçınar Medical Publishing</publisher><subject>Comparative Effectiveness Research ; Cubital Tunnel Syndrome - diagnosis ; Cubital Tunnel Syndrome - surgery ; Decompression, Surgical - methods ; Female ; Hand Strength ; Humans ; Male ; Middle Aged ; Original ; Osteotomy - methods ; Outcome Assessment, Health Care - methods ; Physical Examination - methods ; Pinch Strength ; Postoperative Period ; Prospective Studies ; Ulnar Nerve - physiopathology</subject><ispartof>Joint diseases and related surgery, 2020, Vol.31 (3), p.523-531</ispartof><rights>Copyright © 2020, Turkish Joint Diseases Foundation 2020 Turkish Joint Diseases Foundation</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3050-c623dce56a2bedd98bc02cd797f169dd513cdd1eafdf44fd73f6e5abb5afc8463</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7607960/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7607960/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,4010,27900,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32962585$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Şahin, Orçun</creatorcontrib><creatorcontrib>Haberal, Bahtiyar</creatorcontrib><creatorcontrib>Şahin, Mehmet Şükrü</creatorcontrib><creatorcontrib>Demirörs, Hüseyin</creatorcontrib><creatorcontrib>Kuru, İlhami</creatorcontrib><creatorcontrib>Tuncay, İsmail Cengiz</creatorcontrib><title>Is simple decompression enough for the treatment of idiopathic cubital tunnel syndrome: A prospective comparative study analyzing the outcomes of simple decompression versus partial medial epicondylectomy</title><title>Joint diseases and related surgery</title><addtitle>Jt Dis Relat Surg</addtitle><description>This study aims to compare the clinical and functional outcomes of simple in-situ decompression and partial medial epicondylectomy for the treatment of idiopathic cubital tunnel syndrome (CuTS).
Between March 2014 and December 2016, 71 patients (31 males, 40 females; mean age 46.7 years; range, 38 to 62 years) with CuTS scheduled to undergo simple in-situ decompression (group 1) or partial medial epicondylectomy (group 2) were prospectively reviewed. All patients were analyzed with clinical examination (Tinel sign, Froment's and Wartenberg's signs, elbow flexion test, subluxation), and McGowan scores before and after surgery. Final outcomes were reviewed with Wilson and Krout grading system.
There was no significant difference between the study groups in regard to Wilson and Krout grading and McGowan scores postoperatively. Group 1 had significantly better grip and key pinch strength values compared to group 2 at the final follow-up control.
In-situ decompression and partial medial epicondylectomy represent efficient and safe methods for the treatment of idiopathic CuTS. When their efficiency is compared, in-situ decompression had better grip and key pinch strength values and more excellent outcomes compared to partial medial epicondylectomy.</description><subject>Comparative Effectiveness Research</subject><subject>Cubital Tunnel Syndrome - diagnosis</subject><subject>Cubital Tunnel Syndrome - surgery</subject><subject>Decompression, Surgical - methods</subject><subject>Female</subject><subject>Hand Strength</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Original</subject><subject>Osteotomy - methods</subject><subject>Outcome Assessment, Health Care - methods</subject><subject>Physical Examination - methods</subject><subject>Pinch Strength</subject><subject>Postoperative Period</subject><subject>Prospective Studies</subject><subject>Ulnar Nerve - physiopathology</subject><issn>2687-4784</issn><issn>2687-4792</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNptkkFr3DAQhUVpacI21xyLjr3sVpZl2e6hEEKbBAK5JGchS6O1ii25krzg_Mb-qMqbdGmhpxnQ0zePmYfQZUF2FSf8M_RqRwklu5oxQt6gc8qbesvqlr499Q07Qxcx_iCE0JaWNSHv0VlJW06rpjpHv-4ijnacBsAalB-nADFa7zA4P-97bHzAqQecAsg0gkvYG2y19ZNMvVVYzZ1NcsBpdg4GHBengx_hC77CU_BxApXsAfBKlkEe-5hmvWDp5LA8W7c_4v2csgTiSv-vnQOEOEecIcnmcSPotcBklXd6GfIYPy4f0DsjhwgXr3WDnr5_e7y-3d4_3NxdX91vVUkqslWcllpBxSXtQOu26RShStdtbQreal0VpdK6AGm0YczoujQcKtl1lTSqYbzcoK8v3GnushOV1xLkIKZgRxkW4aUV_74424u9P4iak7rlJAM-vQKC_zlDTGK0UcEwSAd-joIyVrGy4flgG7R7kaq8zhjAnMYURKwpEDkFYk2BOKYgf_j4t7mT_M_Ny99asLgL</recordid><startdate>2020</startdate><enddate>2020</enddate><creator>Şahin, Orçun</creator><creator>Haberal, Bahtiyar</creator><creator>Şahin, Mehmet Şükrü</creator><creator>Demirörs, Hüseyin</creator><creator>Kuru, İlhami</creator><creator>Tuncay, İsmail Cengiz</creator><general>Bayçınar Medical Publishing</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>2020</creationdate><title>Is simple decompression enough for the treatment of idiopathic cubital tunnel syndrome: A prospective comparative study analyzing the outcomes of simple decompression versus partial medial epicondylectomy</title><author>Şahin, Orçun ; Haberal, Bahtiyar ; Şahin, Mehmet Şükrü ; Demirörs, Hüseyin ; Kuru, İlhami ; Tuncay, İsmail Cengiz</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3050-c623dce56a2bedd98bc02cd797f169dd513cdd1eafdf44fd73f6e5abb5afc8463</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Comparative Effectiveness Research</topic><topic>Cubital Tunnel Syndrome - diagnosis</topic><topic>Cubital Tunnel Syndrome - surgery</topic><topic>Decompression, Surgical - methods</topic><topic>Female</topic><topic>Hand Strength</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Original</topic><topic>Osteotomy - methods</topic><topic>Outcome Assessment, Health Care - methods</topic><topic>Physical Examination - methods</topic><topic>Pinch Strength</topic><topic>Postoperative Period</topic><topic>Prospective Studies</topic><topic>Ulnar Nerve - physiopathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Şahin, Orçun</creatorcontrib><creatorcontrib>Haberal, Bahtiyar</creatorcontrib><creatorcontrib>Şahin, Mehmet Şükrü</creatorcontrib><creatorcontrib>Demirörs, Hüseyin</creatorcontrib><creatorcontrib>Kuru, İlhami</creatorcontrib><creatorcontrib>Tuncay, İsmail Cengiz</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Joint diseases and related surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Şahin, Orçun</au><au>Haberal, Bahtiyar</au><au>Şahin, Mehmet Şükrü</au><au>Demirörs, Hüseyin</au><au>Kuru, İlhami</au><au>Tuncay, İsmail Cengiz</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Is simple decompression enough for the treatment of idiopathic cubital tunnel syndrome: A prospective comparative study analyzing the outcomes of simple decompression versus partial medial epicondylectomy</atitle><jtitle>Joint diseases and related surgery</jtitle><addtitle>Jt Dis Relat Surg</addtitle><date>2020</date><risdate>2020</risdate><volume>31</volume><issue>3</issue><spage>523</spage><epage>531</epage><pages>523-531</pages><issn>2687-4784</issn><eissn>2687-4792</eissn><abstract>This study aims to compare the clinical and functional outcomes of simple in-situ decompression and partial medial epicondylectomy for the treatment of idiopathic cubital tunnel syndrome (CuTS).
Between March 2014 and December 2016, 71 patients (31 males, 40 females; mean age 46.7 years; range, 38 to 62 years) with CuTS scheduled to undergo simple in-situ decompression (group 1) or partial medial epicondylectomy (group 2) were prospectively reviewed. All patients were analyzed with clinical examination (Tinel sign, Froment's and Wartenberg's signs, elbow flexion test, subluxation), and McGowan scores before and after surgery. Final outcomes were reviewed with Wilson and Krout grading system.
There was no significant difference between the study groups in regard to Wilson and Krout grading and McGowan scores postoperatively. Group 1 had significantly better grip and key pinch strength values compared to group 2 at the final follow-up control.
In-situ decompression and partial medial epicondylectomy represent efficient and safe methods for the treatment of idiopathic CuTS. When their efficiency is compared, in-situ decompression had better grip and key pinch strength values and more excellent outcomes compared to partial medial epicondylectomy.</abstract><cop>Turkey</cop><pub>Bayçınar Medical Publishing</pub><pmid>32962585</pmid><doi>10.5606/ehc.2020.74400</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Comparative Effectiveness Research Cubital Tunnel Syndrome - diagnosis Cubital Tunnel Syndrome - surgery Decompression, Surgical - methods Female Hand Strength Humans Male Middle Aged Original Osteotomy - methods Outcome Assessment, Health Care - methods Physical Examination - methods Pinch Strength Postoperative Period Prospective Studies Ulnar Nerve - physiopathology |
| title | Is simple decompression enough for the treatment of idiopathic cubital tunnel syndrome: A prospective comparative study analyzing the outcomes of simple decompression versus partial medial epicondylectomy |
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