Akademik Veri Yönetim Sistemi
Turkish Neurosurgery, cilt.11, sa.1-2, ss.51-55, 2001 (Scopus)
This retrospective study investigated the outcomes of surgical therapy in 14 patients with advanced ulnar neuropathy at the elbow. We evaluated patients clinically and electrophysiologically pre- and postoperatively. The mean follow-up was 43.8 months. The gender distribution in the group indicated that females might be affected more frequently than males (p<0.05). The most common preoperative complaint was pain (n=12; 86%), followed by motor weakness (n=ll; 79%) and paresthesia (n=8; 57%). All patients exhibited varying degrees of muscle atrophy and motor deficits, and 10 individuals (71%) had sensory deficits. Electrophysiological testing demonstrated denervation potentials and slowing of motor and/or sensory nerve conduction in all cases. Simple decompression and superficial transposition techniques were performed in six and eight patients, respectively. Neurological status improved markedly after surgery, and long-term postoperative results were good or very good in 71% of the patients. However, there was no significant difference between the therapeutic effects of the two techniques in this patient group (p>0.05).