Functional outcomes in young, active duty, military personnel after submuscular ulnar nerve transposition

Brian T. Fitzgerald, Khiem D. Dao, Alexander Y. Shin

Research output: Contribution to journalArticle

20 Citations (Scopus)

Abstract

Purpose The purpose of this study was to report on the results of submuscular ulnar nerve transposition (SMUNT) for treatment of cubital tunnel syndrome in a young, active duty, military population. Methods Twenty patients (20 extremities) were evaluated retrospectively a minimum of 12 months after surgery. Outcome analyses were performed using the Disability of the Arm, Shoulder, and Hand (DASH) questionnaire and the Bishop-Kleinman rating scales, physical examination, return-to-work analysis, evaluation of complication rate, and overall patient satisfaction. Results At an average follow-up evaluation of 24 months (range, 12-38 mo), 19 patients had returned to full military active duty work status. The average duration of limited work capacity after surgery was 4.8 months (range, 3-7 mo). The DASH scores improved from an average of 32.5 points before surgery to 6.2 points after surgery. In 19 patients the functional outcome evaluated with the Bishop-Kleinman rating system was excellent. There were no poor outcomes using this rating score. Statistically significant improvements in both key pinch and grip strength were noted. Complications included one permanent and 2 transient neuropraxias of the medial antebrachial cutaneous nerve. Overall 19 of 20 patients were satisfied with the procedure and would have the surgery again if required. Conclusions Submuscular ulnar nerve transposition for cubital tunnel syndrome provides a reliable rate of return to full active duty work in military personnel with good patient satisfaction and minimal complications.

Original languageEnglish (US)
Pages (from-to)619-624
Number of pages6
JournalJournal of Hand Surgery
Volume29
Issue number4
DOIs
StatePublished - Jul 2004
Externally publishedYes

Fingerprint

Ulnar Nerve
Military Personnel
Cubital Tunnel Syndrome
Patient Satisfaction
Arm
Hand
Pinch Strength
Return to Work
Hand Strength
Physical Examination
Extremities
Skin
Population

Keywords

  • Cubital tunnel
  • outcome
  • submuscular
  • transposition
  • young

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Surgery

Cite this

Functional outcomes in young, active duty, military personnel after submuscular ulnar nerve transposition. / Fitzgerald, Brian T.; Dao, Khiem D.; Shin, Alexander Y.

In: Journal of Hand Surgery, Vol. 29, No. 4, 07.2004, p. 619-624.

Research output: Contribution to journalArticle

@article{aebd54cbbc2b4d4499eff1b2dc9c686c,
title = "Functional outcomes in young, active duty, military personnel after submuscular ulnar nerve transposition",
abstract = "Purpose The purpose of this study was to report on the results of submuscular ulnar nerve transposition (SMUNT) for treatment of cubital tunnel syndrome in a young, active duty, military population. Methods Twenty patients (20 extremities) were evaluated retrospectively a minimum of 12 months after surgery. Outcome analyses were performed using the Disability of the Arm, Shoulder, and Hand (DASH) questionnaire and the Bishop-Kleinman rating scales, physical examination, return-to-work analysis, evaluation of complication rate, and overall patient satisfaction. Results At an average follow-up evaluation of 24 months (range, 12-38 mo), 19 patients had returned to full military active duty work status. The average duration of limited work capacity after surgery was 4.8 months (range, 3-7 mo). The DASH scores improved from an average of 32.5 points before surgery to 6.2 points after surgery. In 19 patients the functional outcome evaluated with the Bishop-Kleinman rating system was excellent. There were no poor outcomes using this rating score. Statistically significant improvements in both key pinch and grip strength were noted. Complications included one permanent and 2 transient neuropraxias of the medial antebrachial cutaneous nerve. Overall 19 of 20 patients were satisfied with the procedure and would have the surgery again if required. Conclusions Submuscular ulnar nerve transposition for cubital tunnel syndrome provides a reliable rate of return to full active duty work in military personnel with good patient satisfaction and minimal complications.",
keywords = "Cubital tunnel, outcome, submuscular, transposition, young",
author = "Fitzgerald, {Brian T.} and Dao, {Khiem D.} and Shin, {Alexander Y.}",
year = "2004",
month = "7",
doi = "10.1016/j.jhsa.2004.04.011",
language = "English (US)",
volume = "29",
pages = "619--624",
journal = "Journal of Hand Surgery",
issn = "0266-7681",
publisher = "W.B. Saunders Ltd",
number = "4",

}

TY - JOUR

T1 - Functional outcomes in young, active duty, military personnel after submuscular ulnar nerve transposition

AU - Fitzgerald, Brian T.

AU - Dao, Khiem D.

AU - Shin, Alexander Y.

PY - 2004/7

Y1 - 2004/7

N2 - Purpose The purpose of this study was to report on the results of submuscular ulnar nerve transposition (SMUNT) for treatment of cubital tunnel syndrome in a young, active duty, military population. Methods Twenty patients (20 extremities) were evaluated retrospectively a minimum of 12 months after surgery. Outcome analyses were performed using the Disability of the Arm, Shoulder, and Hand (DASH) questionnaire and the Bishop-Kleinman rating scales, physical examination, return-to-work analysis, evaluation of complication rate, and overall patient satisfaction. Results At an average follow-up evaluation of 24 months (range, 12-38 mo), 19 patients had returned to full military active duty work status. The average duration of limited work capacity after surgery was 4.8 months (range, 3-7 mo). The DASH scores improved from an average of 32.5 points before surgery to 6.2 points after surgery. In 19 patients the functional outcome evaluated with the Bishop-Kleinman rating system was excellent. There were no poor outcomes using this rating score. Statistically significant improvements in both key pinch and grip strength were noted. Complications included one permanent and 2 transient neuropraxias of the medial antebrachial cutaneous nerve. Overall 19 of 20 patients were satisfied with the procedure and would have the surgery again if required. Conclusions Submuscular ulnar nerve transposition for cubital tunnel syndrome provides a reliable rate of return to full active duty work in military personnel with good patient satisfaction and minimal complications.

AB - Purpose The purpose of this study was to report on the results of submuscular ulnar nerve transposition (SMUNT) for treatment of cubital tunnel syndrome in a young, active duty, military population. Methods Twenty patients (20 extremities) were evaluated retrospectively a minimum of 12 months after surgery. Outcome analyses were performed using the Disability of the Arm, Shoulder, and Hand (DASH) questionnaire and the Bishop-Kleinman rating scales, physical examination, return-to-work analysis, evaluation of complication rate, and overall patient satisfaction. Results At an average follow-up evaluation of 24 months (range, 12-38 mo), 19 patients had returned to full military active duty work status. The average duration of limited work capacity after surgery was 4.8 months (range, 3-7 mo). The DASH scores improved from an average of 32.5 points before surgery to 6.2 points after surgery. In 19 patients the functional outcome evaluated with the Bishop-Kleinman rating system was excellent. There were no poor outcomes using this rating score. Statistically significant improvements in both key pinch and grip strength were noted. Complications included one permanent and 2 transient neuropraxias of the medial antebrachial cutaneous nerve. Overall 19 of 20 patients were satisfied with the procedure and would have the surgery again if required. Conclusions Submuscular ulnar nerve transposition for cubital tunnel syndrome provides a reliable rate of return to full active duty work in military personnel with good patient satisfaction and minimal complications.

KW - Cubital tunnel

KW - outcome

KW - submuscular

KW - transposition

KW - young

UR - http://www.scopus.com/inward/record.url?scp=3142784267&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=3142784267&partnerID=8YFLogxK

U2 - 10.1016/j.jhsa.2004.04.011

DO - 10.1016/j.jhsa.2004.04.011

M3 - Article

C2 - 15249085

AN - SCOPUS:3142784267

VL - 29

SP - 619

EP - 624

JO - Journal of Hand Surgery

JF - Journal of Hand Surgery

SN - 0266-7681

IS - 4

ER -