Comparison of Patient-Reported Outcome Measurements and Objective Measurements after Cubital Tunnel Decompression
- PMID: 29697615
- DOI: 10.1097/PRS.0000000000004291
Comparison of Patient-Reported Outcome Measurements and Objective Measurements after Cubital Tunnel Decompression
Erratum in
-
Comparison of Patient-Reported Outcome Measurements and Objective Measurements after Cubital Tunnel Decompression: Correction.Plast Reconstr Surg. 2018 Jul;142(1):295. doi: 10.1097/PRS.0000000000004717. Plast Reconstr Surg. 2018. PMID: 29952912 No abstract available.
Abstract
Background: The aims of this study were (1) to compare the responsiveness of disease and hand-related issues, including health status-related questions, in patients with cubital tunnel syndrome; and (2) to assess whether these tools and objective hand tests are associated with the results of nerve conduction studies after a simple cubital tunnel syndrome decompression.
Methods: Forty-seven patients with diagnosed condition were enrolled in the study. The following tools were used preoperatively and again at 3 and 6 months: the Patient-Rated Ulnar Nerve Evaluation; the Michigan Hand Outcomes Questionnaire; the Disabilities of the Arm, Shoulder, and Hand; the 12-Item Short-Form Health Survey; the pain visual analogue scale with activity; the grip and key pinch test, two-point discrimination, and the ulnar nerve conduction studies test.
Results: All questionnaires and pain visual analogue scale, two-point discrimination, and nerve conduction studies improved significantly at the 6-month follow-up (p < 0.05) compared with preoperative outcomes. Correlations were observed between preoperative motor conduction velocity, preoperative work of the Michigan Hand Outcomes Questionnaire (R = -0.38; p = 0.049), and pain visual analogue scale during activity (R = 0.47; p = 0.025). A correlation was found between motor conduction velocity change after 6 months and the hand function of the Michigan Hand Outcomes Questionnaire after 6 months (R = 0.57; p = 0.017).
Conclusion: The Patient-Rated Ulnar Nerve Evaluation and the Michigan Hand Outcomes Questionnaire were more responsive for short-term recovery compared with other measures; however, only the latter correlated with motor conduction velocity.
References
-
- Thorne CH, Chung KC, Gosain A, et alGrabb and Smith’s Plastic Surgery. 2014.7th ed. Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins Health;
-
- Boone S, Gelberman RH, Calfee RPThe management of cubital tunnel syndrome. J Hand Surg Am. 2015;40:18971904; quiz 1904.
-
- Caliandro P, La Torre G, Padua R, Giannini F, Padua LTreatment for ulnar neuropathy at the elbow. Cochrane Database Syst Rev. 2016;11:CD006839.
-
- Schmidt S, Kleist Welch-Guerra W, Matthes M, Baldauf J, Schminke U, Schroeder HWEndoscopic vs open decompression of the ulnar nerve in cubital tunnel syndrome. Neurosurgery 2015;77:960971.
-
- Osei DA, Groves AP, Bommarito K, Ray WZCubital tunnel syndrome: Incidence and demographics in a national administrative database. Neurosurgery 2017;80:417420.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Other Literature Sources
