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 33
- Downloads 1
Isolated Type Immunoglobulin G4 Sclerosing Cholangitis: The Misdiagnosed Cholangiocarcinoma
Over the last two decades, Immunoglobulin G4 (IgG4) related disease (IgG4-RD), also known as IgG4 related sclerosing disease or IgG4 associated disease has become a well-known medical problem, with increasing incidence...
Hypovolemia With Peripheral Edema: What Is Wrong?
I read with great interest this recently published article by Professors Dull RO and Hahn RG [1]. The authors are commended on this review based on evidence from published studies that represent the current understanding...
Trauma-Induced Systemic Inflammatory Response: A Comprehensive Review
Trauma is a noteworthy contributor to death and disability in adults. Its impact can extend to multiple organ systems via complex physiological reactions. This article comprehensively examines the physiological responses...
Review of Thyroid Cartilage Compression of the Vertebral Artery
Thyroid cartilage compression of the Vertebral Artery (VA) has been implicated as a rare cause of Rotational Vertebral Artery Occlusion (RVAO). 10 cases have been reported in the literature. This has a higher tendency to...
Palliative Bilio-Digestive Anastomosis for the Treatment of Bile Duct Obstruction Due to Pancreatic Head Tumors: Techniques and Therapeutic Results
Introduction: Biliary-digestive anastomosis are a fistulization between the bile ducts and the digestive tract that aims at permanent drainage of bile to the digestive tract in case of obstruction at the lower bile duc...