OBJECTIVE: No clinical-neurophysiological data on natural history of ulnar neuropathy at elbow (UNE) are reported. The aim of the current study is to assess the course of untreated UNE. METHODS: We performed a follow-up at 1 year of 30 neurophysiologically positive UNE, 24 were untreated and 6 were operated on. The evaluation was based on a phone interview and sometimes on neurophysiological investigation. With regard to management of UNE, at initial evaluation we explained to the patients what UNE is and how to avoid posture that can worsen nerve compression. RESULTS: Around half of the untreated patients reported improvement of symptoms at follow-up. Comparison between baseline and follow-up neurophysiological measurements showed a significant spontaneous improvement. Most patients reported changing of arm posture after UNE diagnosis. CONCLUSIONS: Some UNE cases improve spontaneously without surgical treatment. A part of the improvements could be due to the changing of arm postures. We hypothesize that a good diagnosis that includes an explanation of the anatomical condition of the nerve during postures and movements represents the first therapy for the entrapments.
OBJECTIVE: No clinical-neurophysiological data on natural history of ulnar neuropathy at elbow (UNE) are reported. The aim of the current study is to assess the course of untreated UNE. METHODS: We performed a follow-up at 1 year of 30 neurophysiologically positive UNE, 24 were untreated and 6 were operated on. The evaluation was based on a phone interview and sometimes on neurophysiological investigation. With regard to management of UNE, at initial evaluation we explained to the patients what UNE is and how to avoid posture that can worsen nerve compression. RESULTS: Around half of the untreated patients reported improvement of symptoms at follow-up. Comparison between baseline and follow-up neurophysiological measurements showed a significant spontaneous improvement. Most patients reported changing of arm posture after UNE diagnosis. CONCLUSIONS: Some UNE cases improve spontaneously without surgical treatment. A part of the improvements could be due to the changing of arm postures. We hypothesize that a good diagnosis that includes an explanation of the anatomical condition of the nerve during postures and movements represents the first therapy for the entrapments.
Authors: Markus C Fleisch; Werner Bader; Kai Balzer; Luisa Bennefeld; Carsten Boeing; Dorothee Bremerich; Paul Gass; Verena Geissbuehler; Martin C Koch; Monika J Nothacker; Klaus Pietzner; Stefan P Renner; Thomas Römer; Stephan Roth; Florian Schütz; Wilhelm Schulte-Mattler; Jalid Sehouli; Kristina Lippach; Karl Tamussino; Alexander Teichmann; Clemens Tempfer; Marc Thill; Hans-Rudolf Tinneberg; Konstantinos Zarras Journal: Geburtshilfe Frauenheilkd Date: 2021-04-14 Impact factor: 2.915
Authors: Deborah Sutton; Douglas P Gross; Pierre Côté; Kristi Randhawa; Hainan Yu; Jessica J Wong; Paula Stern; Sharanya Varatharajan; Danielle Southerst; Heather M Shearer; Maja Stupar; Rachel Goldgrub; Gabrielle van der Velde; Margareta Nordin; Linda J Carroll; Anne Taylor-Vaisey Journal: Chiropr Man Therap Date: 2016-03-07