nerve at elbow ulnar neuropathy
Conditions
Interventions
4.1 Surgical treatment
Surgical treatment of ulnar neuropathy will be simple decompression. In this
procedure a 6 to 8 cm curvilinear incision is made, overlying the course of the
ulnar nerve as it
Sponsors
Sint Elisabeth Ziekenhuis
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: a. Age 18 years or more. b. Clinical signs of an ulnar neuropathy (i.e., pain, numbness or paraesthesias in the area of the ulnar nerve, weakness or clumsiness of ulnar muscles). c. Duration of symptoms 16 (of a maximum score of 4 x 5 = 20). e. Electrophysiological * or sonographic ** evidence of localization of the lesion at the elbow. f. Informed written consent.
Exclusion criteria
Exclusion criteria: a. evidence of a coexistent polyneuropathy. b. History of hereditary neuropathy with liability to pressure palsies c. Traumatic origin of UNE. d. Malignancy. e. Previous or current use of chemotherapy. f. Unable to follow up
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 5.1.1 Main study parameter A. To evaluate the outcome patients will be asked to score the treatment result on a 6-point ordinal transition scale, which is subsequently dichotomized as 'improved' (*completely recovered* or *much improved*) and 'not improved' (*slightly improved*, *no change*, *slightly worse*, *much worse*). The scores at 3 months will be used to evaluate short time effects and the score after 12 months will be used to evaluate long term effects | — |
Secondary
| Measure | Time frame |
|---|---|
| 5.1.2 Secondary study parameters - VAS score for paresthesias - VAS score for pain at the hand - VAS score for numbness - Frequency of complications in the operated group - Number of patients that drop out in the conservative group because they needed surgery - Socio-economic parameters: work situation; sick leave, change in work/adapted function at work - Functional scales | — |
Countries
Netherlands
Outcome results
None listed