Outcome of Late Neurolysis on Median and Cubital Nerve Neuropathies: Insights from A Preliminary Prospective Study
Journal Title: Journal of Surgery Research and Practice - Year 2024, Vol 5, Issue 2
Abstract
Background: Nerve decompression represents the treatment in which a nerve is freed from compressing surrounding. It should be ideally performed before neural changes become irreversible following long-term entrapment. No consensus exists on a critical time limit that would make surgery worthwhile. This study aims to investigate whether or not late (12 months after occurrence of symptoms) nerve decompression has still a positive impact on patient’s symptoms. Methods: This prospective study included 16 patients with carpal tunnel syndrome (8) or ulnar nerve entrapment (8) lasting for more than 12 months. Symptoms, motor and sensory functions were assessed before surgery, at 3,6 and 12 months after nerve decompression. Results: After median nerve decompression, pain decreased by 85%. Paresthesia resolved in all patients and nighttime symptoms decreased in 83% cases. Following ulnar decompression, pain decreased by 75 % and numbness resolved in 87% patients. Subjective sensibility increased by 25%, attested with Ten test. Measure of 2-PD decreased by 60% when compared to preoperative values. Grip strength improved to 40%. Conclusion: Despite uncomplete recovery one year after surgery, we believe that nerve decompressions should be indented even in case of chronic symptoms.
Authors and Affiliations
Mauro Maniglio1, Camille Niederhauser2, Wassim Raffoul3, Pietro Di Summa1*
Keywords
Related Articles
- EP ID EP737290
- DOI https://doi.org/10.46889/JSRP.2024.5203
- Views 32
- Downloads 1
Rare Small Bowel Carcinoid Tumor: A Case Report
Carcinoid tumors are rare malignancies that develop from epithelial cells in the diffuse endocrine system, with a notable proportion originating in the gastrointestinal tract. Delayed diagnosis due to their nonspecific s...
Surgical Management of an Intercostal Artery False Aneurysm Due to a Stab Wound
Pseudo-aneurysm are due to arterial wall disruption leading to the formation of a perfused sac that communicates with the arterial lumen. This entity remains at highly significant risk of rupture. The majority of cases...
Sub-Mucosal Lipoma a Rare Cause of Colonic Obstruction Managed Surgically: Case Series and Literature Review
Sub-mucosal lipomas of the colon, as first described by Bauer in 1757 are fatty tumors, rarely greater than 2 cm in size and hence rarely symptomatic. The vast majority of these tumors are subjected to be found incidenta...
IVF Outcomes of Microdose Flare-up, GnRH Antagonist and Long Protocols in Patients Having a Poor Ovarian Response in the First Treatment Cycle
Objectives: To compare the outcome of patients assumed to be poor responders before their first cycle of IVF and treated either microdose flare-up or GnRH antagonist protocols with patients stimulated by long GnRH prot...
Automated Transcription of Interviews in Qualitative Research Using Artificial Intelligence A Simple Guide
Qualitative research often involves the transcription of interviews, a traditionally manual and time-consuming task. Recent advancements have introduced AI-driven transcription technologies, aiming to streamline this pro...