Cubital Tunnel Syndrome
Conditions
Keywords
Cubital tunnel,subcutaneous transposition,submuscular
Brief summary
The purpose of this study is to determine which surgical method is better for cubital tunnel syndrome in outcomes.
Detailed description
Compression of the ulnar nerve at the cubital tunnel is the most common cause of numbness on the ulnar side of the hand. We aimed to compare patient outcomes included pain, sensation, muscle strength and muscle atrophy in two methods of surgery contain Anterior Sub Cutaneous Transposition (ASCT) and Anterior Sub Muscular Transposition (ASMT) of the ulnar nerve in Cubital tunnel syndrome.
Interventions
PROCEDUREanterior subcutaneous transposition
transposition of ulnar nerve into subcutaneous bed
PROCEDUREAnterior submuscular transposition
transposition of ulnar nerve into muscular tissue
Sponsors
Isfahan University of Medical Sciences
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Healthy volunteers
Yes
Inclusion criteria
* patients with confirmed cubital tunnel syndrome
Exclusion criteria
* Significant cervical spine and shoulder disease * deformity or distortion of the cubital tunnel due to previous trauma to elbow * recurrent cubital tunnel syndrome after previous surgery.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain | at 6 months post-operatively | Visual Analogue Scale (VAS) with scores of zero to ten (0 for no pain and 10 intolerable pain) then scored as follows: 0, Sever (8-10); 1, Slight (4-7); 2, none (0-3) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Muscle atrophy | at 6 months post-operatively | Muscle atrophy was scored with one orthopedic surgeon as follows: 0, sever; 1, moderate; 2, none |
| sensation | at 6 months post-operatively | Sensory disturbance were tested with Semmes-Weinstein filaments and sensory deficits were categorized according to the Yale sensory scale. According to standard scoring system that designed, the severity of sensation and function of the ulnar nerve was scored as follows: 0, Abscent sensation; 1, Decrease or abnormal sensation; 2, Intact sensation. |
| Muscle strength | at 6 months post-operatively | Muscle strength was evaluated with the grading system from the Medical Research Council which is based upon a scale of zero to five: 0, No muscle contraction; 1,Flicker or trace of muscle contraction; 2,Limb or joint movement possible only with gravity eliminated; 3,Limb or joint movement against gravity only; 4,Power decreased but limb or joint movement possible against resistance; 5,Normal power against resistance. Then results were scored as follows: 0,Poor (0-1); 1,Moderate (2-3); 2,Good (4-5) |
Countries
Iran
Outcome results
None listed