Clinical Study of Unsatisfactory Postoperative Prognosis in Cubital Tunnel Syndrome

  • Asami Akihiko
    Department of Orthopaedic Surgery, Saga Insurance Hospital, Saga, Japan
  • Shigematsu Masamori
    Department of Orthopaedic Surgery, Saga Insurance Hospital, Saga, Japan
  • Ishii Hideki
    Department of Orthopaedic Surgery, Saga Insurance Hospital, Saga, Japan
  • Tanaka Hirofumi
    Department of Orthopaedic Surgery, Saga Insurance Hospital, Saga, Japan
  • Tsunoda Kenji
    Department of Orthopaedic Surgery, Saga Insurance Hospital, Saga, Japan
  • Yoshihara Tomohito
    Department of Orthopaedic Surgery, Saga Insurance Hospital, Saga, Japan

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Other Title
  • 肘部管症候群術後の成績不良例についての検討

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Description

One hundred-forty two patients (156 elbows) who were treated by surgical methods were reviewed retrospectively for cubital tunnel syndrome. Results were graded as excellent in 58 elbows (37%), good in 73 (47%), fair in 25 (16%), and poor in 0 (0%). Of the 25 fair elbows, 17 patients (21 elbows) were reviewed in detail. All patients were rated as grade 3 according to McGowan's classification. Many of these patients were accompanied by osteoarthritis of the elbows, valgus deformity due to lateral epicondylar fracture or pseudoarthrosis of the humerus, pyogenic arthritis, diabetes mellitus, and cervical spondylosis. Minimal invasive surgery is recommended because cubital tunnel syndrome may occur post surgically in some cases.

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