Ulnar neuropathy at the elbow: clinical and electrophysiological outcome of surgical and conservative treatment.
Scand J Plast Reconstr Surg Hand Surg
; 34(2): 145-8, 2000 Jun.
Article
de En
| MEDLINE
| ID: mdl-10900630
ABSTRACT
The objective was to evaluate and compare the clinical and electrophysiological outcome of treatment in patients with ulnar neuropathy at the elbow in 32 consecutive patients who were studied prospectively. Based on the electrophysiological findings 15 patients were treated by surgical decompression and 17 were treated conservatively. Sensory and motor nerve conduction studies across and below the elbow were done in all patients before treatment and again after one year. Postoperatively 10/15 patients (67%) improved clinically and 12 patients (80%) had improved nerve conduction results. There was clinical and electrophysiological agreement in eight patients in the surgically-treated group, all of whom improved both clinically and electrophysiologically. In the conservatively-treated group six patients (35%) showed clinical improvement, 10 patients had no improvement, and one patient was worse. The nerve conduction studies improved in six patients (35%), were unchanged in eight patients, and worse in three. There was clinical and electrophysiological agreement in 11 patients. We conclude that the electrophysiological examination was valuable in deciding which patients to operate on, and that most of the patients improved clinically or electrophysiologically postoperatively.
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Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Neuropathies ulnaires
/
Coude
Type d'étude:
Diagnostic_studies
/
Observational_studies
Limites:
Adolescent
/
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
Langue:
En
Journal:
Scand J Plast Reconstr Surg Hand Surg
Année:
2000
Type de document:
Article
Pays d'affiliation:
Danemark