Evidence map›Paper›PMID 39206214›Full record

ArticlePlastic and reconstructive surgery. Global open2024

Novel Technique for Ulnar Nerve Transposition at the Elbow: The Neocubital Tunnel.

Joseph Bakhach, Salim C Saba, Dimitri Bakhach, Jana Doghman, Anika G Gnaedinger, Diya' S Hammoudeh

Abstract read
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Article in Plastic and reconstructive surgery. Global open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Joseph BakhachFrom the Division of Plastic, Reconstructive and Aesthetic Surgery, American University of Beirut, Beirut, Lebanon.
Salim C SabaDivision of Plastic and Reconstructive Surgery, University of Kentucky College of Medicine, Lexington, Ky.
Dimitri BakhachDepartment of Orthopedic Surgery, Hopital Saint Antoine, AP HP-Sorbonne Universite, Paris, France.
Jana DoghmanFrom the Division of Plastic, Reconstructive and Aesthetic Surgery, American University of Beirut, Beirut, Lebanon.
Anika G GnaedingerFrom the Division of Plastic, Reconstructive and Aesthetic Surgery, American University of Beirut, Beirut, Lebanon.
Diya' S HammoudehFrom the Division of Plastic, Reconstructive and Aesthetic Surgery, American University of Beirut, Beirut, Lebanon.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Many standard surgical procedures for cubital tunnel syndrome rely on ulnar nerve transposition at the elbow. Placing the ulnar nerve anterior to the axis of motion decreases compression during flexion. Subcutaneous, subfascial, and submuscular positioning of the ulnar nerve may predispose to nerve irritation, instability, and compression in the two first scenarios, and requires invasive dissection in the third one. With no single procedure demonstrating clear advantages and outcomes, this study reports the results of a novel technique using the epitrochleo-olecranon ligament to create a neo-tunnel, anatomically stabilizing the ulnar nerve. Methods: Nine consecutive patients were enrolled. Patients were evaluated qualitatively for symptomatic improvements using physical examination. The Wilson and Krout, modified McGowan, and PRUNE grading scores were used for quantitative measurement. Results: Postoperatively, all patients reported subjective improvement in symptoms and functional improvement. There were no intraoperative or postoperative complications. Baseline severity of disease was evaluated using the McGowan scale (modified by Goldberg): eight (89%) grade IIA patients and one (11%) grade III patient. Postoperatively, seven (78%) patients were reduced to grade 0, and two (22%) patients to grade 1 ( Conclusions: The neocubital tunnel technique is a relatively noninvasive, safe surgical alternative that may be considered when an anterior transposition of the ulnar nerve is indicated for surgical decompression of the cubital tunnel.

Identifiers

PMID39206214
PMCPMC11350339

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.