Functional Results Post Intramuscular Ulnar Nerve Anterior Transposition in Young Military Soldiers

This study investigated the functional outcomes of intramuscular ulnar nerve transposition (IMUNT) for young soldiers with cubital tunnel syndrome (CuTS). This retrospective study enrolled 17 young military patients on active duty diagnosed with and treated for CuTS to determine compression sites, complication rate and postoperative results. Patient outcomes were analyzed using the Disability of the Arm, Shoulder, and Hand (DASH) questionnaire and the Bishop-Kleinman rating scales. Patient outcomes were analyzed after a mean 26-month follow-up for 17 extremities. DASH scores improved from 38.7 (range, 13-63 points) before surgery to 5.8 (range, 0-18 points) after surgery. Patient improvement was statistically significant (P＜0.05). Based on the Bishop-Kleinman 12-point rating system, 14 (82%) patients were graded as excellent; 2(12%) patients were rated as good; and 1(6%) patient rated as failed outcomes. Statistically significant improvements in both key pinch and grip strength were noted. Complications included 1 case of transient neuroparaxias of the medial antebrachial cutaneous nerve and 1 with hematoma formation. We consider intramuscular ulnar nerve transposition to be a satisfactory procedure for CuTS. The procedure enhances upper limb function allowing patients to tolerate the full active work o military training with minimal complications.

並列關鍵字

Cubital tunnel syndrome ； ulnar nerve ； elbow ； intramuscular

國際替代計量

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