ISSN 2458-7834
 

Original Article 


Outcome and predictors in simple decompression of ulnar nerve entrapment at the elbow

Ilka Anker, Malin Zimmerman, Gert S Andersson, Helene Jacobsson, Lars B Dahlin.

Cited by (3)

Abstract
Objectives: Simple decompression is an accepted surgical treatment of ulnar nerve entrapment at the elbow (UNE). Our purpose was to evaluate the outcome and potential predictors for the outcome after simple decompression in UNE.
Methods: All surgically treated UNE cases (from 2004-2008) at our department were studied retrospectively. Out of 285 primary surgeries, 242 primary simple ulnar nerve decompressions were included. Medical records, including electrophysiologic protocols, were reviewed and postoperative outcome was graded: 1) cured/improved and 2) unchanged/worsened symptoms, based on surgeon-evaluated outcome.
Results: Of the 242 simple decompressions (122 males and 120 females; median age 50.5 years), 101 cases were students, retired, un-employed, or on a long-term sick-leave and 112 had manual, blue-collar type of careers. 189 cases were cured or improved, while 53 cases had no change in, or even worsened, symptoms. Gender, presence of smoking, or associated diseases did not affect outcome, while a tendency was observed for higher age, a manual occupation and constant symptoms. Out of 196 cases electrophysiologically examined,
155 cases showed signs of ulnar nerve affection (56 reduced conduction velocity; 19 conduction block; 80 axonal degeneration; latter two groups significantly worse outcome).
Conclusion: Patients with a preoperatively electrophysiologically diagnosed nerve conduction block or axonal degeneration have higher risk of not being cured or improved after simple decompression in UNE. Older patients, those with a manual profession, and constant symptoms of UNE tend to be less improved after surgery.

Key words: Decompression, electrophysiology, outcome, predictor, ulnar nerve


 
ARTICLE TOOLS
Abstract
PDF Fulltext
How to cite this articleHow to cite this article
Citation Tools
Related Records
 Articles by Ilka Anker
Articles by Malin Zimmerman
Articles by Gert S Andersson
Articles by Helene Jacobsson
Articles by Lars B Dahlin
on Google
on Google Scholar


This Article Cited By the following articles

Preoperative Electrophysiology in Patients With Ulnar Nerve Entrapment at the Elbow-Prediction of Surgical Outcome and Influence of Age, Sex and Diabetes
Front. Clin. Diabetes Healthc. 2022; 3(): .

1
 
Socioeconomic Differences between Sexes in Surgically Treated Carpal Tunnel Syndrome and Ulnar Nerve Entrapment
Epidemiologia 2022; 3(3): 353.

2
 
Carpal Tunnel Syndrome and Ulnar Nerve Entrapment Are Associated with Impaired Psychological Health in Adults as Appraised by Their Increased Use of Psychotropic Medication
JCM 2022; 11(13): 3871.

3
 
How to Cite this Article
Pubmed Style

Ilka Anker, Malin Zimmerman, Gert S Andersson, Helene Jacobsson, Lars B Dahlin. Outcome and predictors in simple decompression of ulnar nerve entrapment at the elbow. Hand Microsurg. 2018; 7(1): 24-32. doi:10.5455/handmicrosurg.266188


Web Style

Ilka Anker, Malin Zimmerman, Gert S Andersson, Helene Jacobsson, Lars B Dahlin. Outcome and predictors in simple decompression of ulnar nerve entrapment at the elbow. https://handmicrosurgeryjournal.com/?mno=266188 [Access: January 04, 2023]. doi:10.5455/handmicrosurg.266188


AMA (American Medical Association) Style

Ilka Anker, Malin Zimmerman, Gert S Andersson, Helene Jacobsson, Lars B Dahlin. Outcome and predictors in simple decompression of ulnar nerve entrapment at the elbow. Hand Microsurg. 2018; 7(1): 24-32. doi:10.5455/handmicrosurg.266188



Vancouver/ICMJE Style

Ilka Anker, Malin Zimmerman, Gert S Andersson, Helene Jacobsson, Lars B Dahlin. Outcome and predictors in simple decompression of ulnar nerve entrapment at the elbow. Hand Microsurg. (2018), [cited January 04, 2023]; 7(1): 24-32. doi:10.5455/handmicrosurg.266188



Harvard Style

Ilka Anker, Malin Zimmerman, Gert S Andersson, Helene Jacobsson, Lars B Dahlin (2018) Outcome and predictors in simple decompression of ulnar nerve entrapment at the elbow. Hand Microsurg, 7 (1), 24-32. doi:10.5455/handmicrosurg.266188



Turabian Style

Ilka Anker, Malin Zimmerman, Gert S Andersson, Helene Jacobsson, Lars B Dahlin. 2018. Outcome and predictors in simple decompression of ulnar nerve entrapment at the elbow. Hand and Microsurgery, 7 (1), 24-32. doi:10.5455/handmicrosurg.266188



Chicago Style

Ilka Anker, Malin Zimmerman, Gert S Andersson, Helene Jacobsson, Lars B Dahlin. "Outcome and predictors in simple decompression of ulnar nerve entrapment at the elbow." Hand and Microsurgery 7 (2018), 24-32. doi:10.5455/handmicrosurg.266188



MLA (The Modern Language Association) Style

Ilka Anker, Malin Zimmerman, Gert S Andersson, Helene Jacobsson, Lars B Dahlin. "Outcome and predictors in simple decompression of ulnar nerve entrapment at the elbow." Hand and Microsurgery 7.1 (2018), 24-32. Print. doi:10.5455/handmicrosurg.266188



APA (American Psychological Association) Style

Ilka Anker, Malin Zimmerman, Gert S Andersson, Helene Jacobsson, Lars B Dahlin (2018) Outcome and predictors in simple decompression of ulnar nerve entrapment at the elbow. Hand and Microsurgery, 7 (1), 24-32. doi:10.5455/handmicrosurg.266188





Most Viewed Articles
  • Giant intramuscular lipoma of arm: A case report and review of the literature
    Muzaffer Durmus, Ahmet Demirhan Dal, Abdul Kerim Yapici, Sedat Avsar, Yalcin Bayram
    Hand Microsurg. 2014; 3(3): 87-90
    » Abstract & References » doi: 10.5455/handmicrosurg.173820

  • Cubital tunnel syndrome due to heterotrophic ossification caused by radial head fracture: A case report
    Seyitali Gumustas, Haci Bayram Tosun, Ismail Agir, Abuzer Uludag
    Hand Microsurg. 2014; 3(1): 24-28
    » Abstract & References » doi: 10.5455/handmicrosurg.1577

  • Munchausen’s syndrome or pure self-mutilation? A case of self-inflicted tendon injury
    Burak Kaya, Servet Elcin Alpat, Mehmet Sonmez, Cem Cerkez, Savas Serel
    Hand Microsurg. 2014; 3(3): 83-86
    » Abstract & References » doi: 10.5455/handmicrosurg.172607

  • Radial nerve grafting in high energy humeral fractures
    Yusuf Gürbüz, Tahir Sadık Sügün, Kemal Özaksar, Murat Kayalar, Tulgar Toros, İbrahim Kaplan
    Hand Microsurg. 2012; 1(2): 60-64
    » Abstract & References » doi: 10.2399/emd.12.58077

  • The utility of onion extract gel containing topical allantoin and heparin after surgical treatment of upper extremity burn scars
    Mehmet Ihsan Okur, Alpagan Mustafa Yildirim, Bilsev Ince
    Hand Microsurg. 2014; 3(3): 74-79
    » Abstract & References » doi: 10.5455/handmicrosurg.172436

  • Most Downloaded
  • Bone island and hand involvement – A short review
    Ganesh Singh Dharmshaktu, Binit Singh
    Hand Microsurg. 2018; 7(2): 93-97
    » Abstract » doi: 10.5455/handmicrosurg.258665

  • Lipofibromatous hamartoma of the digital nerve: A case report
    Emin Sir, Alper Aksoy
    Hand Microsurg. 2018; 7(1): 45-48
    » Abstract » doi: 10.5455/handmicrosurg.255406

  • Love sign’s love for glomus tumor
    Ankit Shukla, Varun Verma, Roshni Shukla, Rajesh Chaudhary, Saurab Sharma, Sajid Mohammad
    Hand Microsurg. 2018; 7(2): 105-108
    » Abstract » doi: 10.5455/handmicrosurg.279749

  • Hand grip strength: Age and gender stratified normative data in Anatolian population
    Melih Unal, Ozkan Kose, Hasan Onur Arik, Ferhat Guler, Baver Acar, Halil Yalcin Yuksel
    Hand Microsurg. 2018; 7(1): 16-23
    » Abstract » doi: 10.5455/handmicrosurg.257058

  • The three bony point relationship of the elbow-Why is there still a lack of consensus?
    Supreeth Nekkanti, Dama Kondaiah Naidu, Jasmine Sebastin, Kamal Prasad, Mohan Yeshwanth, Archana Meka
    Hand Microsurg. 2018; 7(2): 79-82
    » Abstract » doi: 10.5455/handmicrosurg.291476

  • Most Cited Articles
  • The rise of wide awake hand surgery - Contribution from Turkey
    Egemen Ayhan, Emre Ozdemir, Ender Gumusoglu, Kadir Cevik, Metin M Eskandari
    Hand Microsurg. 2018; 7(3): 125-134
    » Abstract » doi: 10.5455/handmicrosurg.299709
    Cited : 7 times [Click to see citing articles]

  • Giant lipomas of the hand
    Gokce Yildiran, Osman Akdag, Mehtap Karamese, Muhammed Nebil Selimoglu, Zekeriya Tosun
    Hand Microsurg. 2015; 4(1): 8-11
    » Abstract & References » doi: 10.5455/handmicrosurg.175443
    Cited : 4 times [Click to see citing articles]

  • Hand grip strength: Age and gender stratified normative data in Anatolian population
    Melih Unal, Ozkan Kose, Hasan Onur Arik, Ferhat Guler, Baver Acar, Halil Yalcin Yuksel
    Hand Microsurg. 2018; 7(1): 16-23
    » Abstract » doi: 10.5455/handmicrosurg.257058
    Cited : 3 times [Click to see citing articles]

  • Upper extremity tumors
    Levent Eralp , Halil Buldu
    Hand Microsurg. 2013; 2(3): 105-114
    » Abstract & References » doi: 10.5455/handmicrosurg.164446
    Cited : 3 times [Click to see citing articles]

  • Flexor pollicis longus repair in a patient with Linburg-Comstock anomaly: A case report
    Mehmet Unal, Eren Cansu, Hakan Cift
    Hand Microsurg. 2016; 5(2): 88-91
    » Abstract » doi: 10.5455/handmicrosurg.193633
    Cited : 3 times [Click to see citing articles]