25-146

Neuropatías del Nervio Cubital a Nivel del codo: Factores pronósticos

I. ESCRIBÁ ROCA; M. BARCELÓ ALCAÑIZ; M. BARRES CARSÍ SERVICIO DE CIRUGÍA ORTOPÉDICA Y TRAUMATOLOGÍA HOSPITAL DE REHABILITACIÓN "LA FE". VALENCIA.
Recepción:
15/01/2009
Aceptación:
15/01/2009
Publicación:
15/01/2009


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Resumen (ES)

The authors have studied the forecast factor called on as influentialat the surgical results of neuropathies of ulnar nerve in theelbow joint.Since 1970, the authors have operated on 37 patients affected byulnar neuropathies, classified according to APFELBERG andLARSON. 14 cases had a tardy ulnar nerve palsy, 9 cases of cubitaltunnel syndrome. The surgical technique more frequent used wasepineurotomy and anterior subcutaneous transposition of ulnarnerve (17 cases).They have employed the method of ADELAAR et al. to evaluatethe results and they conclude that the factors of bad prognosis areintense amyotrophy, absence of fibrilation potentials and absenceof evoked sensitive potentials.The results of t h i s group were satisfactory, of the average valuepreoperatory of moderate lession was 4 points, after surgery thiswas 6,5 points at last.

Palabras clave (ES):

Liberación
Compresión
Atrapamiento
Tratamiento
quirúrgico
Lesión
Nervio
Cubital
Codo
Factor
pronóstico
Quirúrgica
Neuropatías

Resumen (EN)

The authors have studied the forecast factor called on as influentialat the surgical results of neuropathies of ulnar nerve in theelbow joint.Since 1970, the authors have operated on 37 patients affected byulnar neuropathies, classified according to APFELBERG andLARSON. 14 cases had a tardy ulnar nerve palsy, 9 cases of cubitaltunnel syndrome. The surgical technique more frequent used wasepineurotomy and anterior subcutaneous transposition of ulnarnerve (17 cases).They have employed the method of ADELAAR et al. to evaluatethe results and they conclude that the factors of bad prognosis areintense amyotrophy, absence of fibrilation potentials and absenceof evoked sensitive potentials.The results of t h i s group were satisfactory, of the average valuepreoperatory of moderate lession was 4 points, after surgery thiswas 6,5 points at last.

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