Abstract | BACKGROUND: METHODS: Sixteen hands in 15 patients with severe cubital tunnel syndrome were operated on with extensor pollicis brevis tendon transfer to the first dorsal interosseous muscle to restore index finger abduction and ulnar nerve decompression. They were reviewed after a mean follow-up of 16 months. All 16 hands had preoperatively severe lesions with paralysis of ulnar intrinsics, marked anaesthesia, or hypaesthesia. RESULTS: Postoperative results were excellent in 2 hands, good in 10, fair in 4, and no cases with poor results according to Akahori's criteria. Four hands with fair results had a residual Froment sign or annoying hypaesthesia in the ring and little fingers. All patients were relieved of preoperative discomfort and showed recovery of motor and sensory function. The mean pre- and postoperative pinch strength was 3.3 kg and 5.6 kg, respectively, which showed a significant difference (P<0.01). Mean time of showing a negative Froment sign after surgery was 5 months in 13 cases. CONCLUSIONS:
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Authors | Shingo Nobuta, Katsumi Sato, Kenji Kanazawa, Masahito Hatori, Eiji Itoi |
Journal | Upsala journal of medical sciences
(Ups J Med Sci)
Vol. 114
Issue 2
Pg. 95-9
( 2009)
ISSN: 2000-1967 [Electronic] Sweden |
PMID | 19396696
(Publication Type: Journal Article)
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Topics |
- Aged
- Cubital Tunnel Syndrome
(physiopathology, surgery)
- Female
- Fingers
(physiopathology)
- Humans
- Male
- Middle Aged
- Tendons
(transplantation)
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