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Structured Motor Rehabilitation After Selective Nerve Transfers

Structured Motor Rehabilitation After Selective Nerve Transfers

Published on: August 15, 2019

Return to Activity Following Isolated Ulnar Nerve Surgery: A Systematic Review.

Xavier A Akins¹, Kashif Javid¹, Catherine M Will¹

¹Orthopaedic Surgery and Sports Medicine, University of Kentucky, Lexington, USA.

|August 1, 2024

Summary

This summary is machine-generated.

Surgical treatment for ulnar neuropathy, including transposition or decompression, shows high success rates for returning to activity. Procedures for ulnar nerve issues yield favorable outcomes without concurrent ulnar collateral ligament pathology.

Keywords:

decompression return to activity transposition ulnar nerve ulnar nerve surgery

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Area of Science:

Orthopedic Surgery
Neurology
Sports Medicine

Background:

Ulnar neuropathy is a common mononeuropathy with varied surgical treatment strategies.
A definitive surgical approach for ulnar nerve issues remains debated.
Return to play or activity is a key outcome measure for surgical interventions.

Purpose of the Study:

To systematically review literature on return to play or activity outcomes.
To assess outcomes of in situ decompression, subcutaneous transposition, and submuscular transposition for ulnar nerve neuritis or neuropathy.
To hypothesize that isolated ulnar nerve transposition or decompression leads to high return-to-activity rates.

Main Methods:

Systematic literature review from 1975-2023 using multiple databases (PubMed, MEDLINE, etc.).
Inclusion criteria: studies reporting return to play/activity after isolated ulnar nerve transposition or decompression for neuritis.
Exclusion criteria: concomitant ulnar collateral ligament injury or revision surgery.

Main Results:

12 studies (1977-2021) involving 358 patients met inclusion criteria.
Overall successful return to play/activity/work reported in 84.6% of patients.
Return rates: Submuscular transposition (95%), subcutaneous transposition (87.9%), in situ decompression (75.5%).

Conclusions:

Ulnar nerve transposition or decompression without concomitant ulnar collateral ligament pathology demonstrates an 84.6% return to activity rate.
Surgical intervention for ulnar nerve issues provides favorable outcomes.
Appropriate surgical indications and techniques are crucial for successful return to activity.