Evidence map›Paper›PMID 39691152›Full record

ArticleCureus2024

The Efficacy of Combined Decompression of Carpal and Cubital Tunnel in the Setting of Cervical Spine Stenosis: A Retrospective Analysis.

Mutaz Alsaleh, Joshua Abishek, Amr Basha, Hussain Selmi, Mohammed Al-Azzawi, Daoud Makki

Abstract read
In one paragraph

Article in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Mutaz AlsalehTrauma and Orthopaedics, Watford General Hospital, West Hertfordshire Teaching Hospitals NHS Trust, Watford, GBR.
Joshua AbishekTrauma and Orthopaedics, NHS Tayside, Dundee, GBR.
Amr BashaTrauma and Orthopaedics, Watford General Hospital, West Hertfordshire Teaching Hospitals NHS Trust, Watford, GBR.
Hussain SelmiTrauma and Orthopaedics, Watford General Hospital, West Hertfordshire Teaching Hospitals NHS Trust, Watford, GBR.
Mohammed Al-AzzawiTrauma and Orthopaedics, Watford General Hospital, West Hertfordshire Teaching Hospitals NHS Trust, Watford, GBR.
Daoud MakkiTrauma and Orthopaedics, Watford General Hospital, West Hertfordshire Teaching Hospitals NHS Trust, Watford, GBR.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background and objective Hand numbness, often associated with carpal tunnel syndrome (CTS) and cubital tunnel syndrome (CuTS), significantly impacts the quality of life. This study aimed to evaluate the effectiveness of combined carpal and cubital tunnel decompression (CCTD) in patients with concurrent mild to moderate cervical spine stenosis when compared to single decompression procedures. Methods We retrospectively reviewed the records of 100 patients who underwent decompression surgery for hand numbness and concurrent cervical spine stenosis, with positive electromyography (EMG) results in some cases, between January 1, 2023, and January 1, 2024. Surgical interventions included carpal tunnel decompression (CTD, n=91), cubital tunnel decompression (CuTD, n=4), and combined procedures (n=5). Results Of the 100 patients (aged range: 32-92 years), 11 with coexisting cervical stenosis reported neck pain. Those who underwent CCTD reported significantly lower pain severity and interference scores, as well as better functional outcomes, compared to single decompression groups. Despite the small number of patients (n=5) in the combined decompression group, preliminary findings suggest potential benefits related to this approach. Conclusions Simultaneous decompression of the carpal and cubital tunnels may offer superior symptom relief and functional improvement in patients with mild to moderate cervical spine stenosis, highlighting the importance of addressing cervical spine pathology in cases of hand numbness. However, further research with larger sample sizes is warranted to validate these preliminary results and better understand the efficacy of combined decompression for complex cases.

Indexed as

carpal tunnel releasecarpal tunnel syndomecervical spine stenosiscubital neuropathycubital tunnel surgery

Identifiers

PMID39691152
PMCPMC11649394

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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.