ArticleNeurosurgery2013
An outcome study for ulnar neuropathy at the elbow: a multicenter study by the surgery for ulnar nerve (SUN) study group.
Article in Neurosurgery, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Analysis of outcome reporting in common peroneal neuropathy studies: a systematic review of the literature.Acta neurochirurgica · 2023Pooled it
- Patient-Reported Outcome Measures After Endoscopic Cubital Tunnel Release With At Least 1-Year Postoperative Follow-up.Hand (New York, N.Y.) · 2025Article
- Operative treatment of Mason Type III radial head fractures - A comparative analysis using PROMIS.Journal of orthopaedics · 2024Article
- Gray-Scale and Power Doppler Ultrasound Findings Predictive of Cubital Tunnel Syndrome Severity.Hand (New York, N.Y.) · 2024Article
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- Evaluation of PROMIS Outcomes for Surgical Treatment of Cubital Tunnel Syndrome With and Without Carpal Tunnel Syndrome.Hand (New York, N.Y.) · 2023Article
- Research reporting in cubital tunnel syndrome studies: an analysis of the literature.Acta neurochirurgica · 2022Review
- Assessment of variability in motor grading and patient-reported outcome reporting: a multi-specialty, multi-national survey.Acta neurochirurgica · 2021Article
- Relationship between Smoking and Outcomes after Cubital Tunnel Release.Journal of hand and microsurgery · 2018Article
- Comparative Morbidity of Cubital Tunnel Surgeries: A Prospective Cohort Study.The Journal of hand surgery · 2018Article
- The Prevalence of Cubital Tunnel Syndrome: A Cross-Sectional Study in a U.S. Metropolitan Cohort.The Journal of bone and joint surgery. American volume · 2017Article
- Postoperative improvement in DASH score, clinical findings, and nerve conduction velocity in patients with cubital tunnel syndrome.Scientific reports · 2016Article
- Combined Cubital and Carpal Tunnel Release Results in Symptom Resolution Outside of the Median or Ulnar Nerve Distributions.The open orthopaedics journal · 2016Article
- Surgical Treatment of Cubital Tunnel Syndrome: Trends and the Influence of Patient and Surgeon Characteristics.The Journal of hand surgery · 2015Article
- Prospective cohort study of symptom resolution outside of the ulnar nerve distribution following cubital tunnel release.Hand (New York, N.Y.) · 2015Article
- Feasibility and limitations of endoscopy in Guyon's canal.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2014Article
- Predictors of functional outcomes after simple decompression for ulnar neuropathy at the elbow: a multicenter study by the SUN study group.Archives of physical medicine and rehabilitation · 2014Article
- Minimal-incision in situ ulnar nerve decompression at the elbow.Hand clinics · 2014Review
- Trend of recovery after simple decompression for treatment of ulnar neuropathy at the elbow.Plastic and reconstructive surgery · 2013Article
Corrections and comments
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Authors and funding
12 authors.
Funding
Abstract
backgroundMany instruments have been developed to measure upper extremity disability, but few have been applied to ulnar neuropathy at the elbow (UNE).
objectiveWe measured patient outcomes following ulnar nerve decompression to (1) identify the most appropriate outcomes tools for UNE and (2) to describe outcomes following ulnar nerve decompression.
methodsThirty-nine patients from 5 centers were followed prospectively after nerve decompression. Outcomes were measured preoperatively and at 6 weeks, 3 months, 6 months, and 12 months postoperatively. Each patient completed the Michigan Hand Questionnaire (MHQ), Carpal Tunnel Questionnaire (CTQ), and Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaires. Grip, key-pinch strength, Semmes-Weinstein monofilament, and 2-point discrimination were measured. Construct validity was calculated by using Spearman correlation coefficients between questionnaire scores and physical and sensory measures. Responsiveness was assessed by standardized response means.
resultsKey-pinch (P = .008) and Semmes-Weinstein monofilament testing of the ulnar ring (P < .001) and small finger (radial: P = .004; ulnar: P < .001) improved following decompression. Two-point discrimination improved significantly across the radial (P = .009) and ulnar (P = .007) small finger. Improved symptoms and function were noted by the CTQ (preoperative CTQ symptom score 2.73 vs 1.90 postoperatively, P < .001), DASH (P < .001), and MHQ: function (P < .001), activities of daily living (P = .003), work (P = .006), pain (P < .001), and satisfaction (P < .001). All surveys demonstrated strong construct validity, defined by correlation with functional outcomes, but MHQ and CTQ symptom instruments demonstrated the highest responsiveness.
conclusionPatient-reported outcomes improve following ulnar nerve decompression, including pain, function, and satisfaction. The MHQ and CTQ are more responsive than the DASH for isolated UNE treated with decompression.
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