Comparison of Different Surgical Treatments for Different Scales of Cubital Tunnel Syndrome

Jilin University144 enrolled

Overview

The purpose of this study is to determine which is the best surgery to treat different severity scales of cubital tunnel syndrome.

The purpose of this study is to determine which one of the simple decompression,anterior subcutaneous and intramuscular transposition of the ulnar nerve has the best outcomes for moderate and severe cubital tunnel syndrome.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Enrollment

144

Conditions

Cubital Tunnel Syndrome

Interventions

simple decompressionPROCEDURE

decompression of the ulnar nerve

anterior subcutaneous transpositionPROCEDURE

transposition of the ulnar nerve into subcutaneous bed

anterior intramuscular transpositionPROCEDURE

transposition of the ulnar nerve into muscular tissue

Eligibility

Sex: ALLMin age: 18 YearsMax age: 65 Years

Medical Language ↔ Plain English

Inclusion Criteria: * patients with confirmed cubital tunnel syndrome * moderate and severe cubital tunnel syndrome. Exclusion Criteria: * Significant cervical spine and shoulder disease * deformity or distortion of the cubital tunnel due to previous trauma to elbow * recurrent cubital tunnel syndrome after previous surgery * mild cubital tunnel syndrome.

Locations (1)

Hand Surgery Department of China-Japan Union Hospital

Changchun, Jilin, China

RECRUITING

Outcomes

Primary Outcomes

sensation

Sensory disturbance were tested with Semmes-Weinstein filaments and sensory deficits were categorized according to the Yale sensory scale. According to standard scoring system that designed, the severity of sensation and function of the ulnar nerve was scored as follows: ---- 0, Abscent sensation; 1, Decrease or abnormal sensation; 2, Intact sensation.

Time frame: at 6 months post-operatively

Secondary Outcomes

Muscle strength

Muscle strength was evaluated with the grading system from the Medical Research Council which is based upon a scale of zero to five: 0, No muscle contraction; 1,Flicker or trace of muscle contraction; 2,Limb or joint movement possible only with gravity eliminated; 3,Limb or joint movement against gravity only; 4,Power decreased but limb or joint movement possible against resistance; 5,Normal power against resistance. Then results were scored as follows: ---- 0,Poor (0-1); 1,Moderate (2-3); 2,Good (4-5)

Time frame: at 6 months post-operatively

pain

Visual Analogue Scale (VAS) with scores of zero to ten (0 for no pain and 10 intolerable pain) then scored as follows: ---- 0, Sever (8-10); 1, Slight (4-7); 2, none (0-3)

Time frame: at 6 months post-operatively

electromyography

Compare the result at 6 months post-operatively with the result before operation.To see if there is an improvement in the function of the ulnar nerve.0,no improvement;1,improvement.

Time frame: at 6 months post-operatively

Data from ClinicalTrials.gov

This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.