Journals / Turkish Neurosurgery / 2001 / Cilt: 11 - Sayı: 1
İlerlemiş kübital tünel sendromu olan hastalarda basit dekompresyon ve yüzeyel transpozisyon tekniklerinin karşılaştırılması
- Journal
- Turkish Neurosurgery
- Pages
- 51–55
- DOI
- —
Abstract
This retrospective study investigated the outcomes of surgical therapy in 14 patients with advanced ulnar neuropathy at the elbow. We evaluated patients clinically and electrophysiologically pre- and postoperatively. The mean follow-up was 43.8 months. The gender distribution in the group indicated that females might be affected more frequently than males (p<0.05). The most common preoperative complaint was pain (n=12; 86%), followed by motor weakness (n=11; 79%) and paresthesia (n=8; 57%). All patients exhibited varying degrees of muscle atrophy and motor deficits, and 10 individuals (71%) had sensory deficits. Electrophysiological testing demonstrated denervation potentials and slowing of motor and/or sensory nerve conduction in all cases. Simple decompression and superficial transposition techniques were performed in six and eight patients, respectively. Neurological status improved markedly after surgery, and long-term postoperative results were good or very good in 71% of the patients. However, there was no significant difference between the therapeutic effects of the two techniques in this patient group (p>0.05).
Özet
Bu geriye dönük çalışmada, dirsek düzeyinde ilerlemiş ulnar nöropatisi olan 14 hastamızdaki cerrahi tedavi sonuçlarımızı sunmaktayız. Hastalarımızı operasyon öncesi ve sonrası dönemde klinik ve elektrofizyolojik olarak değerlendirdik. Ortalama takip süremiz 43.8 aydı. Kadınlar erkeklerden daha fazla etkilenmiş göründü (p 0.05)