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Cited by 96Peripheral Nerve DisordersCervical and Thoracic MyelopathyNerve Injury and Rehabilitation

Outcome Study of Ulnar Nerve Compression at the Elbow Treated with Simple Decompression and an Early Programme of Physical Therapy

NATHAN, P. A., KENISTON, R. C., MEADOWS, K. D.·1995·Journal of Hand Surgery
DOI 10.1016/s0266-7681(05)80125-1
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Abstract

Cubital tunnel syndrome is the second most common entrapment neuropathy of the upper limb. This paper presents the experience of treating cubital tunnel syndrome with simple decompression in 131 patients (164 ulnar nerves) over the past 12 years. 85% of these patients had mild or moderate ulnar nerve disease. In 146/164 ulnar nerves (89%), simple decompression resulted in good or excellent immediate post-operative relief of symptoms. After an average follow-up of 4.3 years (range, 0.8–12.0 years), 130/164 (79%) still reported good or excellent relief. The independent predictors of a better long-term outcome were absence of post-operative subluxation, greater body weight, normal pre-operative two-point discrimination (2-PD), and a more recent date of operation. A physical therapy rehabilitation program generally began on the day after surgery. Active participation in this predicted a rapid return to work or activities of daily living. The average time to return to work with simple decompression was 20 workdays.

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Crossref · 10.1016/s0266-7681(05)80125-1

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  • The association between the number of logins and outcomes in e-therapies targeting physical health is similar to the positive relationship observed between session attendance and outcome in physical rehabilitation and to the dose-response curve seen in medication therapy.

    “The association between the number of logins and outcomes in e-therapies targeting physical health is similar to the positive relationship observed between session attendance and outcome in physical rehabilitation [67-70] and to the dose–response curve seen in medication therapy.”

    From A Systematic Review of the Impact of Adherence on the Effectiveness of e-Therapies (2011) · cites this paper as [67]

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Authors
NATHAN, P. A., KENISTON, R. C., & MEADOWS, K. D.
Affiliations
From the Portland Hand Surgery and Rehabilitation Center, Portland, Oregon, USA
Venue
Journal of Hand Surgery
Publisher
SAGE Publications
Published
1995-10
Volume
20
Issue
5
Pages
628-637
ISSN
0266-7681 (ISSN-L)
DOI
10.1016/s0266-7681(05)80125-1
OpenAlex
W2020708331
Cited by
96
References
30
Citations by year
2026: 1 · 2025: 1 · 2024: 1 · 2022: 2 · 2021: 1 · 2020: 1 · 2019: 3 · 2018: 1 · 2017: 3 · 2016: 5 · 2015: 3 · 2014: 4 · 2013: 4 · 2012: 5
FWCI
1.70
Type
journal article
Language
en
Open access
closed
Licence
journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations
  • Journal of Hand Surgery (European Volume) (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Peripheral Nerve Disorders
  • Health Sciences › Medicine › Surgery › Cervical and Thoracic Myelopathy
  • Health Sciences › Medicine › Surgery › Nerve Injury and Rehabilitation
Keywords
cubital tunnel syndrome, ulnar nerve compression, ulnar nerve decompression, nerve entrapment, physiotherapy rehabilitation, two-point discrimination, long-term outcomes, return to work, prognostic factors
MeSH terms
Adult, Aged, Elbow, Female, Follow-Up Studies, Humans, Male, Middle Aged, Regression Analysis, Treatment Outcome, Ulnar Nerve Compression Syndromes, Physical Therapy Modalities

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