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Risk factors associated with ulnar nerve compression in bedridden patients.

M A Chuman

    Journal of Neurosurgical Nursing
    |December 1, 1985
    PubMed
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    Ulnar nerve compression affects 23% of bedridden patients. Combining two risk factors significantly increases this risk, suggesting screening with elbow flexion tests and questioning for early detection.

    Area of Science:

    • Neurology
    • Orthopedics
    • Rehabilitation Medicine

    Background:

    • Bedrest can lead to nerve compression issues.
    • Ulnar nerve compression is a potential complication in hospitalized patients.

    Purpose of the Study:

    • To determine the incidence of ulnar nerve compression in patients on bedrest.
    • To identify predictive risk factors and assessment measures for ulnar nerve compression.

    Main Methods:

    • Study included 30 subjects from orthopedic, neurological/neurosurgical, and rehabilitation units.
    • Incidence of ulnar nerve compression was calculated.
    • Risk factors and assessment measures were analyzed using multiple regression analysis.

    Main Results:

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  • The incidence of ulnar nerve compression was 23% (7 out of 30 subjects).
  • A combination of two risk factors showed a greater relative risk than single factors.
  • A multivariate model with four variables explained 72.8% of the variance in ulnar nerve compression.
  • Conclusions:

    • Elbow flexion test and patient questioning are effective screening methods.
    • Early identification of high-risk patients can aid in prevention and management.