Distal medial epicondylectomy. A modification of partial medial epicondylectomy for cubital tunnel syndrome: preliminary results

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dc.contributor.authorCirpar, Meric
dc.contributor.authorTurker, Mehmet
dc.contributor.authorOzuak, Cem Seyfi
dc.date.accessioned2020-06-25T17:52:33Z
dc.date.available2020-06-25T17:52:33Z
dc.date.issued2012
dc.departmentKırıkkale Üniversitesi
dc.descriptionCirpar, Meric/0000-0001-9669-6513
dc.description.abstractThe medial epicondyle behaves as a fulcrum and a pulley that tethers the ulnar nerve during flexion. Excision of the distal half of the medial epicondyle sets the point of contact of the bone with the nerve proximally and decreases the traction effect of the medial epicondyle on the ulnar nerve. In this study, we aim to investigate the surgical and clinical results of excision of the distal half of the medial epicondyle in cubital tunnel syndrome (CuTS). Cubital tunnel release with excision of the distal half of the medial epicondyle was performed in 19 patients. The patients were evaluated preoperatively and postoperatively with clinical examinations, McGowan and Wilson-Krout scores, Semmes-Weinstein monofilament and two-point discrimination tests, and grip and pinch strength measurements. A one-grade improvement in McGowan classification was observed in 79 % of patients and a two-grade improvement in 21 % of patients at the time of the first postoperative examination. At 24 months after surgery, 18 patients reported the Wilson-Krout scores as excellent (95 %). Statistically significant improvements in sensory and motor strength measurements were achieved at all postoperative examinations. The objective and subjective outcome measures achieved with distal medial epicondylectomy are comparable with other epicondylectomy techniques. The complication rates seem to be lower than those of total or partial medial epicondylectomy. This procedure is an acceptable and safe alternative for the surgical treatment of CuTS.en_US
dc.identifier.citationclosedAccessen_US
dc.identifier.doi10.1007/s00402-012-1599-z
dc.identifier.endpage1575en_US
dc.identifier.issn0936-8051
dc.identifier.issn1434-3916
dc.identifier.issue11en_US
dc.identifier.pmid22886239
dc.identifier.scopus2-s2.0-84868134401
dc.identifier.scopusqualityQ1
dc.identifier.startpage1569en_US
dc.identifier.urihttps://doi.org/10.1007/s00402-012-1599-z
dc.identifier.urihttps://hdl.handle.net/20.500.12587/5176
dc.identifier.volume132en_US
dc.identifier.wosWOS:000310086700007
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherSpringeren_US
dc.relation.ispartofArchives Of Orthopaedic And Trauma Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectMedial epicondylectomyen_US
dc.subjectCubital tunnelen_US
dc.subjectComplicationen_US
dc.subjectUlnar nerveen_US
dc.subjectEntrapmenten_US
dc.subjectElbow instabilityen_US
dc.titleDistal medial epicondylectomy. A modification of partial medial epicondylectomy for cubital tunnel syndrome: preliminary resultsen_US
dc.typeArticle

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