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  • 标题:Current diagnostics and treatment of the cubital tunnel syndrome in Austria
  • 本地全文:下载
  • 作者:Kristina Harder ; Jens Diehm ; Isabella Fassola
  • 期刊名称:GMS Interdisciplinary Plastic and Reconstructive Surgery DGPW
  • 印刷版ISSN:2193-8091
  • 电子版ISSN:2193-8091
  • 出版年度:2016
  • 卷号:5
  • DOI:10.3205/iprs000082
  • 语种:English
  • 出版社:German Medical Science
  • 摘要:

    According to the vote of the Austrian Society for Surgery of the Hand (ÖGH) an investigation to collect data on the current state of the treatment of cubital tunnel syndrome was initiated. Over one year a total of 875 patients with cubital tunnel syndrome were operated in Austria, this means an incidence of this nerve entrapment of 0.011%. Most of the operations were done by trauma surgeons (287; 33%). For diagnosis most of the centers rely on clinical symptoms, electroneurophysiology, and elbow X-ray. 40% of the institutions regard conservative therapy as useless and not indicated. If conservative treatment modalities are applied, physiotherapy (97%), non-steroidal anti-inflammatory medication (77%), and glucocorticoid injections (30%) are primarily used. In case of simple nerve entrapment most of the surgeons (72%) prefer simple nerve decompression. If there is additional pathology subcutaneous cubital nerve transposition is recommended (62%). Endoscopic techniques are only use by 3% of the surgeons. In the postoperative care, physiotherapy is favored in 51%, whereas 24% do not judge any postoperative care as beneficial.

    The three most often encountered complications were incomplete remission, scar contracture and hypertrophy, and postoperative bleeding.

  • 关键词:cubital tunnel syndrome; ulnar nerve; peripheral nerve compression
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