Evidence map›Paper›PMID 40899865›Full record

ArticleHand (New York, N.Y.)2026

Litigation in Cubital Tunnel Surgery.

Daniel Sculley, Wassim Mourad

Abstract read
In one paragraph

Article in Hand (New York, N.Y.), 2026. 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

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

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

2 authors.

Daniel SculleySaint Louis University, MO, USA.ORCID 0009-0004-9160-6354
Wassim MouradSaint Louis University, MO, USA.ORCID 0000-0002-2608-0382

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMedical malpractice is common, costly, and poorly understood within the U.S. health care system. Cubital tunnel release (CuTR) is the second most common nerve surgery and is prone to complication. Malpractice claims associated with carpal tunnel surgery, distal radius fractures, replantation, and the field as a whole have previously been studied. To date, there has been no study of litigation related to CuTR independently; the aim of this paper is to do so.

methodsThe Lexis+ (LexisNexis, New York, NY) legal database was queried for all cases relating to CuTR. Thirty-five cases were identified that were directly related to CuTR; these were amended with publicly available data on defendant specialty and training and statistically examined.

resultsAround 51% of cases favored the defendant, 37% favored the plaintiff, and 11% were resolved with a settlement. Median, maximum, and minimum award amounts were $415 484, $11 464 991, and $180 000, respectively. Awards significantly differed by claim type, with large awards for incorrect surgery ($1 007 500), negligent surgery ($389 969), and poor post-op care ($11 464 991). There were no significant differences in outcomes or award amounts by specialty type, hand surgery training, years of experience, or simultaneous surgeries; however, surgeons with hand training had lower median awards ($400 854 vs $430 114), and there were lower awards for simultaneous surgeries ($372 997 vs $445 047).

conclusionsCubital tunnel release appears to carry a higher liability than other procedures within hand surgery such as carpal tunnel release.

Indexed as

Cubital Tunnel SyndromeMalpracticeHumansMedical ErrorsUnited Statescubital tunnel release surgeryfellowship trainingliabilitylitigationmalpractice

Identifiers

PMID40899865
PMCPMC12408535

What OpenQuestion holds

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Registered trials

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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.