KÜBİTAL TÜNEL SENDROMUNDA ANTERİOR TRANSPOZİSYON İLE İN SİTU GEVŞETMENİN FONKSİYONEL VE ELEKTRODİAGNOSTİK SONUÇLARININ KARŞILAŞTIRILMASI

Abstract

Objective: The aim of the present study is to compare that resultsof in situ neurolysis and anterior transposition proceduresboth clinically and electro-diagnostically in those patients diagnosedwith cubital tunnel syndrome.Material and Methods: Twenty of 34 patients who had undergoneboth preoperative, postoperative electromyogram (EMG)nerve conduction tests and regular follow-up were included inour study. Then, the patients were divided into 2 groups - in situneurolysis (group A) and anterior transposition (group B). Bothgroups were compared based on modified Bishop functionalscores, preoperative and postoperative EMG parameters.Results: There was no statistically significant difference in relationto EMG parameters between the two groups. When comparingpreoperative and postoperative EMG results, in the patientswith anterior transposition surgery ‘elbow to below-elbow’ and‘below-elbow to wrist’ motor conduction velocity was increasedsignificantly (p=0.018 and 0.04). While the average Bishop scorewas 7.9 in group A and 9.3 in group B, there was no statisticaldifference between the two groups in terms of Bishop Scores.Conclusion: In the management of cubital tunnel syndrome, thechoice of technique doesn’t affect the functional results; however,anterior transposition of the nerve provides better recovery in‘elbow to below-elbow’ and ‘below-elbow to wrist’ motor conductionvelocity.