Central European Journal of Sport Sciences and Medicine


ISSN: 2300-9705     eISSN: 2353-2807    OAI    DOI: 10.18276/cej.2018.3-07
CC BY-SA   Open Access   DOAJ  DOAJ

Lista wydań / Vol. 23, No. 3/2018
Evaluation of the Results of Surgical Treatment and Rehabilitation of Cubital Tunnel Syndrome

Autorzy: Anna Deskur ORCID
Pomeranian Medical University, Szczecin, Poland

Zbigniew Deskur ORCID
Retired, Faculty of Physical Education and Health Promotion, University of Szczecin, Szczecin, Poland
Słowa kluczowe: cubital tunnel syndrome subcutaneous anterior transposition of the ulnar nerve
Data publikacji całości:2018-09
Liczba stron:5 (71-75)
Cited-by (Crossref) ?:

Abstrakt

The aim of this study was to evaluate the results of surgical treatment and rehabilitation of cubital tunnel syndrome patients. We treated 21 patients with cubital tunnel syndrome, comprising 12 women and 9 men aged 45 to 58. The syndrome affected 13 left and 8 right upper limbs. According to the modified McGowan classification patients experienced varying levels of change: 17 (81%) patients, grade 3; 3patients (14%), - 2B; 1patient (5%), - 2A. The following patients qualified for surgical treatment: those with pain in the medial side of the elbow joint, those with advanced dysaesthesia and weakness in the motor activity of the hand, and those with changes causing subluxation of the ulnar nerve. All patients were treated surgically through anterior transposition if necessary epineurotomy.The rehabilitation process included exercises involving stretching, relaxing and strengthening of muscle and improvement of the mobility of the elbow. Neuromobilisation and automobilisation exercises were conducted. Patients were taught the correct positioning of the upper limb during work and physical activity. After 12 months, the research results were rated according to the modified criteria of Wilson and Krout. In 16 (76.2%) patients the results were excellent; in 16 (19%) good and in 1 (4.8%) fair. It was found that the vast majority of patients with advanced changes caused by cubital tunnel syndrome and subluxation of the ulnar nerve can achieved excellent and good results from decompression and transposition of the ulnar nerve and competent rehabilitation treatment.
Pobierz plik

Plik artykułu

Bibliografia

1.Anderton, M., Webb, M. (2010). Cubital tunnel syndrome. Br J Hospital Medicine, 71 (11), 167–169.
2.Cemphe, J., Pieniążek, M., Pelczer-Pieniążek, M. (2007). Program i wyniki fizjoterapii u pacjentów po leczeniu operacyjnym urazowych uszkodzeń nerwu łokciowego. Ortopedia, Traumatologia, Rehabilitacja, 5 (6), 499–510.
3.Deskur, Z., Prowans, P. (2004). Late results after operative restoration of hand efficiency and rehabilitation in patients with irreparable injury of ulnar nerve. Traumatol. Ortop. Kezseb. Plasztikai Seb. Magy, 47, suppl. 2, 307.
4.Dziak, A., Tayara, S. (1999). Urazy i uszkodzenia w sporcie. Kasper.
5.Gokay, N.S., Bagatur, A.E. (2012). Subcutaneous anterior transposition of the ulnar nerve in cubital tunnel syndrome. Acta Orthop Traumatol Turc, 46 (4), 243–249.
6.Han, H.H., Kang, H.W., Lee, J.Y., Jung, S.N. (2014). Fascia wrapping technique: A modified method for the treatment of cubital tunnel syndrome. The Scientific Word Journal, 19, 1–6.
7.Jeon, I.H., Micić, I., Lee, B.W.., Lee, S.M., Kim, P.T., Stojilković, P. (2010). Simple in situ decompression for idiopathic cubital tunnel syndrome using minimal skin incision. Med. Pregl, 63 (9–10), 601–606.
8.Kamat, A.S., Jay, S.M., Benoiton, L.A., Correia, J.A., Woon, K. (2014). Comparative outcomes of ulnar nerve transposition versus neurolysis in patients with entrapment neuropathy at the cubital tunnel: a 20-year analysis. Acta Neurochir, 156, 153–157.
9.Kanat, A., Balik, M.S., Kirbas, S., Ozdemir, B., Koksal, V., Yazar, U., Kazdal, H., Kalaycioglu, A. (2014). Paradox in the cubital tunnel syndrome – frequent involvement of left elbow: first report. Acta Neurochir, 156, 163–168.
10.Kużdżał, A.: (2009). Atlas rehabilitacji ruchowej. Forum.
11.Nabhan, A., Kelm, J., Steudel, W.I., Shariat, K., Sova, L., Ahlhelm, F. (2007). Cubital tunnel syndromesimle nerve decompression or decompression with subcutaneous anterior transposition? Fortschr Neurol Psychiatr, 75 (3), 168–171.
12.Rokicki, R., Kędzierski, M., Majewski, M., Andrzejewski, M., Kot, J., Dudkiewicz, Z. (2013). Wyniki operacyjne leczenia zespołu rowka nerwu łokciowego dekompresją z małego cięcia. Kwart. Ortop., 3, 355–360.
13.Sreedharan, S., Yam, A., Tay, S. (2010). Self-reported outcome following anterior transposition of ulnar nerve in the elderly. Hand Surgery, 15 (3), 169–172.
14.Trehan, S.K., Parziale, J.R., Akelman, E. (2012). Cubital tunnel syndrome: diagnosis and management. Medicine & Health, 95 (11), 349–352.