In situ decompression vs conservative treatment for mild ulnar neuropathy at the elbow.
Action Potentials
Adult
Aged
Aged, 80 and over
Conservative Treatment
/ methods
Decompression, Surgical
/ methods
Elbow
Electrodiagnosis
Female
Humans
Hypesthesia
/ physiopathology
Male
Middle Aged
Muscle Weakness
/ physiopathology
Neural Conduction
Paresthesia
/ physiopathology
Severity of Illness Index
Time Factors
Treatment Outcome
Ulnar Neuropathies
/ diagnostic imaging
Ultrasonography
conservative treatment
decompression
neurolysis
randomized trial
surgery
treatment
ulnar neuropathy
Journal
Muscle & nerve
ISSN: 1097-4598
Titre abrégé: Muscle Nerve
Pays: United States
ID NLM: 7803146
Informations de publication
Date de publication:
08 2020
08 2020
Historique:
received:
17
05
2019
revised:
25
04
2020
accepted:
29
04
2020
pubmed:
6
5
2020
medline:
26
9
2020
entrez:
6
5
2020
Statut:
ppublish
Résumé
The best treatment strategy for mild ulnar neuropathy at the elbow (UNE) is not known, due to lack of trials comparing surgery vs conservative treatment. We recruited patients with clinical symptoms and signs of mild UNE and an electrophysiologically or sonographically confirmed diagnosis. Patients were randomly allocated to either in situ decompression or conservative treatment. The primary outcome was the proportion of patients with subjective symptom improvement at short-term (3 months) and long-term (6-12 months) follow-up. One hundred seventeen patients were included: 56 and 61 patients were allocated to surgery and conservative treatment, respectively. A larger proportion of surgically treated patients showed improvement at short-term follow-up (85% vs 50%; odds ratio, 5.6; P < .001), but no differences were observed at long-term follow-up. In situ decompression for mild UNE may result in faster relief of symptoms when compared with conservative treatment, but at long-term follow-up no differences were observed.
Types de publication
Journal Article
Randomized Controlled Trial
Langues
eng
Sous-ensembles de citation
IM
Pagination
247-253Commentaires et corrections
Type : CommentIn
Informations de copyright
© 2020 Wiley Periodicals, Inc.
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