Functional outcomes in young, active duty, military personnel after submuscular ulnar nerve transposition

The Journal of Hand Surgery
Brian T FitzgeraldAlexander Y Shin

Abstract

The purpose of this study was to report on the results of submuscular ulnar nerve transposition (SMUNT) for treatment of cubital tunnel syndrome in a young, active duty, military population. Twenty patients (20 extremities) were evaluated retrospectively a minimum of 12 months after surgery. Outcome analyses were performed using the Disability of the Arm, Shoulder, and Hand (DASH) questionnaire and the Bishop-Kleinman rating scales, physical examination, return-to-work analysis, evaluation of complication rate, and overall patient satisfaction. At an average follow-up evaluation of 24 months (range, 12-38 mo), 19 patients had returned to full military active duty work status. The average duration of limited work capacity after surgery was 4.8 months (range, 3-7 mo). The DASH scores improved from an average of 32.5 points before surgery to 6.2 points after surgery. In 19 patients the functional outcome evaluated with the Bishop-Kleinman rating system was excellent. There were no poor outcomes using this rating score. Statistically significant improvements in both key pinch and grip strength were noted. Complications included one permanent and 2 transient neuropraxias of the medial antebrachial cutaneous nerve. Overall 19 of 20 p...Continue Reading

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Citations

Feb 3, 2007·Postgraduate Medical Journal·Steven Cutts
Apr 18, 2014·Journal of Shoulder and Elbow Surgery·Yohei KawanishiKozo Shimada
Sep 18, 2014·The Journal of Hand Surgery·Heather BaltzerSteven J McCabe
Jun 18, 2009·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·A KrausH-E Schaller
Nov 5, 2013·The Journal of Hand Surgery·Ryan M ZimmermanJuan González del Pino
Jul 31, 2013·Hand Clinics·Yirong WangKevin C Chung
Jul 31, 2013·Hand Clinics·Peter C Chimenti, Warren C Hammert
Oct 3, 2012·The Orthopedic Clinics of North America·Leo T Kroonen
Nov 10, 2009·The Journal of Hand Surgery·Steve K LeeMichael R Hausman
Nov 11, 2006·The Journal of Hand Surgery·Mark Henry
Feb 1, 2012·Archives of Physical Medicine and Rehabilitation·Qiyun ShiThomas A Miller
Mar 1, 2017·Acta ortopedica brasileira·Hakan SarmanSule Aydin Turkoglu

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