RESUMEN
Ulnar nerve decompression with medial epicondylectomy was performed in 66 elbows between 1966 and 1986 for compressive ulnar neuropathy at the elbow. This study is an updated review that adds 36 cases to a previously published report on 30 cases. These elbows were graded preoperatively and postoperatively using McGowan's grading system. Eighty-three percent improved one or two grades, and 11% improved subjectively although they showed no objective improvement, 3% noted no change, and 3% were subjectively worse. One early case sustained damage to the ulnar collateral ligament with resultant instability. No other complications occurred. The best results were seen in the Grade I and II lesions, whereas those with Grade III lesions were the least predictable. The procedure is technically uncomplicated with minimal morbidity and reliable results.
Asunto(s)
Codo/inervación , Húmero/cirugía , Síndromes de Compresión Nerviosa/cirugía , Nervio Cubital/cirugía , Adolescente , Adulto , Anciano , Codo/anatomía & histología , Codo/cirugía , Femenino , Humanos , Masculino , Persona de Mediana Edad , Enfermedades del Sistema Nervioso Periférico/cirugía , Pronóstico , Nervio Cubital/anatomía & histologíaRESUMEN
Volar plate disruption of the proximal interphalangeal (PIP) joint is a common hand injury. Management of this injury must provide stability and motion to avoid disabling instability or stiffness. In this study, 40 patients with closed PIP joint volar plate injuries were treated with the figure-of-eight splint, a custom made, thermoplastic splint that allows protected joint motion. At two-year follow-up, 95% of these patients experienced good or excellent results. The figure-of-eight splint offers a simple and effective method of treatment for volar plate injuries of the PIP joint.