The Journal of hand surgery
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Comparative Study
Effect of partial, distal epicondylectomy on reduction of ulnar nerve strain: a cadaver study.
To compare the decrease in ulnar nerve strains using a modification of medial epicondylectomy by removing the distal half of the medial epicondyle with in situ decompression and partial medial epicondylectomy. ⋯ The results of the present cadaveric study suggest that excision of the distal half of the medial epicondyle in cubital tunnel syndrome may decrease ulnar nerve strain effectively. The clinical effect of decrease in nerve strain and the indications for the procedure need to be investigated.
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To examine the contact site of the radiocarpal joint and lengths of carpal ligaments at different forearm rotations in vivo. Rotation of the forearm could exert noteworthy influence on mechanics of the wrist, and understanding how forearm rotation influences wrist mechanics may help treat carpal disorders because wrist position closely relates to forearm rotation. ⋯ Our findings will help elucidate carpal biomechanics during forearm rotation. The findings may inform decisions about how to reduce the load to these carpal ligaments when treating the carpal disorders.
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Multicenter Study Comparative Study
The minimal clinically important difference after simple decompression for ulnar neuropathy at the elbow.
Establishing minimally clinically important difference (MCID) for patient-reported outcomes questionnaires is an important component of outcomes research to understand treatment effectiveness from the patient's perspective. For patients with ulnar neuropathy at the elbow (UNE), these assessments are vital to examine how much change in the questionnaire scores equate to patient satisfaction. ⋯ Therapeutic II.