Luxation du nerf ulnaire lors du syndrome canalaire au coude. Influence sur le résultat chirurgical

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Anker, I.Lund University,Lunds universitet,Handkirurgi, Malmö,Forskargrupper vid Lunds universitet,Hand Surgery, Malmö,Lund University Research Groups,Skåne University Hospital (författare)

Luxation du nerf ulnaire lors du syndrome canalaire au coude. Influence sur le résultat chirurgical

Artikel/kapitelFranska2022

Förlag, utgivningsår, omfång ...

Elsevier BV,2022

Nummerbeteckningar

LIBRIS-ID:oai:lup.lub.lu.se:df46a15e-a52e-4922-9c68-89ace3e81765
https://lup.lub.lu.se/record/df46a15e-a52e-4922-9c68-89ace3e81765URI
https://doi.org/10.1016/j.hansur.2021.09.003DOI

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Språk:franska
Sammanfattning på:engelska

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Ämneskategori:art swepub-publicationtype
Ämneskategori:ref swepub-contenttype

Varianttitlar

Ulnar nerve dislocation in ulnar nerve entrapment at the elbow. Influence on surgical outcome

Anmärkningar

Our aim was to assess the incidence of symptomatic ulnar nerve dislocation and its influence on surgical outcome after primary and revision surgeries in ulnar nerve entrapment at the elbow (ulnar neuropathy at the elbow (UNE) or cubital tunnel syndrome). The influence of pre- or intra-operative ulnar nerve dislocation on postoperative outcome was assessed in 548 surgically treated cases (548 nerves) from two hand surgery departments reporting to the Swedish National Quality Registry for Hand Surgery, using QuickDASH, a patient-reported outcome measure (PROM), before surgery and at 3 and 12 months postoperatively, and a doctor-reported outcome measure (DROM), grading as “cured-improved “or “unchanged-worsened,” at a median follow-up of 3.0 months [IQR, 1.5–6.0]. 109 of the 548 cases (20%) showed documented pre- or intra-operative ulnar nerve dislocation; more often found at revision (35/75, 47%) than at primary surgery (74/473, 16%) (p < 0.0001). Cases with dislocation presented higher QuickDASH scores at 12 months (p = 0.026). A linear regression model, adjusted for age and gender, predicted higher QuickDASH scores at 12 months postoperatively for cases with dislocation (unstandardized B 11.3 [95% CI 0.4–22.2], p = 0.043). DROM grading as unchanged-worsened at a median 3 months predicted worse QuickDASH scores (p < 0.0001) than in cured-improved cases at 3 (unstandardized B, 18.4 [95% CI 9.4–27.3]) and 12 months (unstandardized B, 18.1 [9.1–27.0]). Primary surgeries had better DROM grading than revision surgeries (p = 0.033; cured-improved, 75% and 63%, respectively), but QuickDASH scores did not differ. Presence of a clinically relevant ulnar nerve dislocation resulted in worse outcome, perhaps due to more extensive surgery with transposition. Nerve dislocation needs attention when treating UNE patients.

Ämnesord och genrebeteckningar

MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Kirurgi hsv//swe
MEDICAL AND HEALTH SCIENCES Clinical Medicine Surgery hsv//eng
Cubital tunnel syndrome
QuickDASH score
Simple nerve decompression
Ulnar nerve dislocation
Ulnar nerve entrapment
Ulnar nerve transposition

Biuppslag (personer, institutioner, konferenser, titlar ...)

Zimmerman, M.Lund University,Lunds universitet,Handkirurgi, Malmö,Forskargrupper vid Lunds universitet,Hand Surgery, Malmö,Lund University Research Groups,Skåne University Hospital(Swepub:lu)med-mzm (författare)
Nyman, E.Linköping University,Linköping University Hospital(Swepub:lu)el0222ny (författare)
Dahlin, L. B.Linköping University,Lund University,Lunds universitet,Handkirurgi, Malmö,Forskargrupper vid Lunds universitet,Hand Surgery, Malmö,Lund University Research Groups,Skåne University Hospital(Swepub:lu)hand-lda (författare)
Handkirurgi, MalmöForskargrupper vid Lunds universitet (creator_code:org_t)

Sammanhörande titlar

Ingår i:Hand Surgery and Rehabilitation: Elsevier BV41:1, s. 96-1022468-1229

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Hand Surgery and Rehabilitation (Sök värdpublikationen i LIBRIS)

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Av författaren/redakt...: Anker, I.; Zimmerman, M.; Nyman, E.; Dahlin, L. B.

Om ämnet

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Kirurgi

Artiklar i publikationen: Hand Surgery and ...

Av lärosätet: Lunds universitet

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