Surgical Options in Treatment of Compressive Ulnar Neuropathy | ||||
| The Medical Journal of Cairo University | ||||
| Volume 92, Issue 12, December 2024, Page 1537-1542 PDF (572.48 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/mjcu.2024.411815 | ||||
 View on SCiNiTO | ||||
| Author | ||||
| AHMED Sh. ELAKHRAS, M.D.*; AHMED S. NADA, M.D.**; AHMED M. EL-SHERIF, M.D.*** and MOHAMED A. ABBAS, M.D.* | ||||
| The Department Neurosurgery, Faculty of Medicine, Kafr El-Sheikh*, Port Said** and Al-Azhar*** Universities | ||||
| Abstract | ||||
| Abstract Background: Ulnar nerve compression is a prevalent si-gnof neuropathy that involves the trapping of ulnar nerve of the upper extremities. The most effective surgical treatment for ulnar nerve compression is still a subject of debate. Aim of Study: This study aimed to evaluate the surgical outcomes of in situ ulnar nerve decompression versus transpo-sition as a treatment for compressive ulnar neuropathy. Patients and Methods: This randomized clinical trial was conducted on patients with compressive ulnar neuropathy, aged 18-60 years of both sexes. Patients were divided into two equal groups: Group A: Open in situ decompression; Group B: Sub-cutaneous transposition. Results: Visual analogue scale (VAS) and disabilities of the arm, shoulder, and hand (DASH) scoreswere significantly lower at 1y in group B than in group A (p=0.020 and 0.016 respectively). Motor conduction velocity (MCV) 1 and 2 scores were significantly higher at 1y in group B than in group A (p<0.05). Revision rate was significantly higher in group A by 4.5 times than group B (95% CI: 1.08-18.77) (p=0.037). Post-operative complications were insignificantly different among both groups. Conclusions: Subcutaneous transposition is more effi-cientthan in situ decompression in treating nerve compression syndrome as evidenced by notable reductions in pain, DASH scores, lower revision surgery rates, and increased motor con-duction velocities. | ||||
| Keywords | ||||
| In situ; Ulnar nerve; Decompression; Transpo-sition; Ulnar nerve compression | ||||
|
Statistics Article View: 86 PDF Download: 51 |
||||
