Predicting Revision Following In Situ Ulnar Nerve Decompression for Patients With Idiopathic Cubital Tunnel Syndrome

The Journal of Hand Surgery
Michael P GasparA Lee Osterman

Abstract

To determine the incidence of revision and potential risk factors for needing revision surgery following in situ ulnar nerve decompression for patients with idiopathic cubital tunnel syndrome (CTS). We conducted a retrospective chart review of all patients treated at 1 specialty hand center with an open in situ ulnar nerve decompression for idiopathic CTS from January 2006 through December 2010. Revision incidence was determined by identifying patients who underwent additional surgeries for recurrent or persistent ulnar nerve symptoms. Bivariate analysis was performed to determine which variables had a significant influence on the need for revision surgery. Revision surgery was required in 3.2% (7 of 216) of all cases. Age younger than 50 years at the time of index decompression was the lone significant predictor of need for revision surgery. Other patient factors, including gender, diabetes, smoking history, and workers' compensation status were not predictive of the need for revision surgery. Disease-specific variables including nerve conduction velocities, McGowan grading, and predominant symptom type were also not predictive of revision. For patients with idiopathic CTS, the risk of revision surgery following in situ ulnar ...Continue Reading

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Citations

Oct 19, 2016·Journal of Shoulder and Elbow Surgery·Michael P GasparMark S Rekant
Mar 16, 2017·The Journal of Bone and Joint Surgery. American Volume·Sanjeev Kakar
May 17, 2017·The Journal of Hand Surgery Asian-Pacific Volume·Michael P GasparMark S Rekant
Apr 18, 2019·The Journal of Bone and Joint Surgery. American Volume·Hollie A PowerSusan E Mackinnon
May 26, 2018·Orthopaedic Journal of Sports Medicine·Christopher L CampBrian C Werner
May 23, 2020·Plastic and Reconstructive Surgery. Global Open·Malin ZimmermanLars B Dahlin
Jun 1, 2020·Current Reviews in Musculoskeletal Medicine·Michael N NakashianPatrick M Kane
May 18, 2021·The Journal of the American Academy of Orthopaedic Surgeons·Alexander LauderFraser J Leversedge

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