SURGICAL OUTCOMES OF NERVE TRANSPOSITION IN THE TREATMENT OF ULNAR NERVE ENTRAPMENT AT THE ELBOW
Main Article Content
Abstract
Objective: To evaluate the outcomes of ulnar nerve transposition surgery in treating ulnar nerve entrapment syndrome at the cubital tunnel at Viet Tiep Friendship Hospital. Subjects and Methods: A study was conducted on 36 patients who had been definitively diagnosed with ulnar nerve entrapment syndrome at the cubital tunnel and underwent ulnar nerve transposition surgery for this condition at Viet Tiep Friendship Hospital between January 2022 and June 2025. Results: Among the 36 patients, 21 were female (58.3%), with a mean age of 47.2 ± 12.5 years (range 19–72). Significant post-operative improvements were observed more than 6 months after surgery in the Quick‑DASH score, BMRC grading, and two‑point discrimination tests when compared with pre-operative values (p < 0.05). The overall incidence of early and late complications was low, accounting for 8.33%. Conclusion: ulnar nerve transposition surgery for the treatment of ulnar nerve entrapment syndrome at the cubital tunnel — using an insitu decompression method — yielded favorable outcomes, with rapid recovery, few intraoperative injuries, and minimal post-operative complications.
Article Details
References
2. Li M., He Q., Hu Z. và cộng sự. (2015). Applied anatomical study of the vascularized ulnar nerve and its blood supply for cubital tunnel syndrome at the elbow region. Neural Regen Res, 10(1), 141-145.
3. Nakashian M.N., Ireland D., và Kane P.M. (2020). Cubital Tunnel Syndrome: Current Concepts. Curr Rev Musculoskelet Med,13(4),520-524.
4. Carlton A. và Khalid S.I. (2018). Surgical Approaches and Their Outcomes in the Treatment of Cubital Tunnel Syndrome. Front Surg, 5, 48.
5. Kelly B.J. và Hughes T. (2013). Treatment Options for Cubital Tunnel Syndrome. .
6. Wang Y., Sunitha M., và Chung K.C. (2013). How to Measure Outcomes of Peripheral Nerve Surgery. Hand Clin, 29(3), 349-361.
7. Schreuders T.A.R., Roebroeck M.E., Jaquet J.-B. và cộng sự. (2004). Long-term outcome of muscle strength in ulnar and median nerve injury: comparing manual muscle strength testing, grip and pinch strength dynamometers and a neW intrinsic muscle strength dynamometer. J Rehabil Med, 36(6), 273-27.
8. Dutzmann S., Martin K.D., Sobottka S. và cộng sự. (2013). Open vs retractor-endoscopic in situ decompression of the ulnar nerve in cubital tunnel syndrome: a retrospective cohort study. Neurosurgery, 72(4), 605-616; discussion 614-616.
9. Bacle G., Marteau E., Freslon M. và cộng sự. (2014). Cubital tunnel syndrome: comparative results of a multicenter study of 4 surgical techniques with a mean follow-up of 92 months. Orthop Traumatol Surg Res OTSR, 100(4 Suppl), S205-208.
10. Schmidt S., Kleist Welch-Guerra W., Matthes M. và cộng sự. (2015). Endoscopic vs Open Decompression of the Ulnar Nerve in Cubital Tunnel Syndrome: A Prospective Randomized Double-Blind Study. Neurosurgery, 77(6), 960- 970; discussion 970-971.