Lacertus syndrome: a ten year analysis of two hundred and seventy five minimally invasive surgical decompressions of median nerve entrapment at the elbow
<h3>Purpose</h3><p dir="ltr">This study aims to assess the clinical presentation and surgical outcomes of lacertus syndrome (LS) and concomitant median nerve entrapments.</p><h3>Methods</h3><p dir="ltr">A retrospective study of prospectiv...
محفوظ في:
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| مؤلفون آخرون: | , , |
| منشور في: |
2023
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| _version_ | 1864513529406554112 |
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| author | Elisabet Hagert (13528690) |
| author2 | Ulrika Jedeskog (17760246) Carl-Göran Hagert (17760249) Theodorakys Marín Fermín (12199534) |
| author2_role | author author author |
| author_facet | Elisabet Hagert (13528690) Ulrika Jedeskog (17760246) Carl-Göran Hagert (17760249) Theodorakys Marín Fermín (12199534) |
| author_role | author |
| dc.creator.none.fl_str_mv | Elisabet Hagert (13528690) Ulrika Jedeskog (17760246) Carl-Göran Hagert (17760249) Theodorakys Marín Fermín (12199534) |
| dc.date.none.fl_str_mv | 2023-02-09T03:00:00Z |
| dc.identifier.none.fl_str_mv | 10.1007/s00264-023-05709-w |
| dc.relation.none.fl_str_mv | https://figshare.com/articles/journal_contribution/Lacertus_syndrome_a_ten_year_analysis_of_two_hundred_and_seventy_five_minimally_invasive_surgical_decompressions_of_median_nerve_entrapment_at_the_elbow/24967113 |
| dc.rights.none.fl_str_mv | CC BY 4.0 info:eu-repo/semantics/openAccess |
| dc.subject.none.fl_str_mv | Biomedical and clinical sciences Clinical sciences Carpal tunnel syndrome Mononeuropathies Median neuropathy Nerve compression syndromes Peripheral nerves |
| dc.title.none.fl_str_mv | Lacertus syndrome: a ten year analysis of two hundred and seventy five minimally invasive surgical decompressions of median nerve entrapment at the elbow |
| dc.type.none.fl_str_mv | Text Journal contribution info:eu-repo/semantics/publishedVersion text contribution to journal |
| description | <h3>Purpose</h3><p dir="ltr">This study aims to assess the clinical presentation and surgical outcomes of lacertus syndrome (LS) and concomitant median nerve entrapments.</p><h3>Methods</h3><p dir="ltr">A retrospective study of prospectively collected data was conducted on patients undergoing lacertus release (LR) from June 2012 to June 2021. Available DASH (Disability of the Arm Shoulder Hand questionnaire) scores and post-operative Visual Analogue Scale (VAS) of pain, numbness, subjective satisfaction with surgical outcome, and intra-operative return of strength were analyzed.</p><h3>Results</h3><p dir="ltr">Two-hundred-seventy-five surgical cases were identified of which 205 cases (74.5%) underwent isolated LR, and 69 cases (25.1%) concomitant lacertus and carpal tunnel release. The three most common presenting symptoms in LS patients were loss of hand strength (95.6%), loss of hand endurance/fatigue (73.3%), and forearm pain (35.4%). Numbness in the median nerve territory of the hand was found in all patients with combined LS and carpal tunnel syndrome. Quick-DASH significantly improved (pre-operative 34.4 (range 2.3–84.1) to post-operative 12.4 (range 0–62.5), p < 0.0001) as did work and activity DASH (p < 0.0001). The postoperative VAS scores were pain VAS 1.9 and numbness VAS 1.8. Eighty-eight percent of patients reported good/excellent satisfaction with the surgical outcome. Intra-operative return of strength was verified in 99.2% of cases.</p><h3>Conclusion</h3><p dir="ltr">LS is a common median nerve compression syndrome typically presenting with loss of hand strength and hand endurance/fatigue. Minimally invasive LR immediately restores hand strength, significantly improves DASH scores, and yields positive outcomes regarding VAS pain, numbness, and subjective satisfaction with surgery in patients with proximal median nerve entrapment at a minimum six month follow-up.</p><h2>Other Information</h2><p dir="ltr">Published in: International Orthopaedics<br>License: <a href="https://creativecommons.org/licenses/by/4.0" target="_blank">https://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1007/s00264-023-05709-w" target="_blank">https://dx.doi.org/10.1007/s00264-023-05709-w</a></p> |
| eu_rights_str_mv | openAccess |
| id | Manara2_659af793058abec7a98f6b8a39be9764 |
| identifier_str_mv | 10.1007/s00264-023-05709-w |
| network_acronym_str | Manara2 |
| network_name_str | Manara2 |
| oai_identifier_str | oai:figshare.com:article/24967113 |
| publishDate | 2023 |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| rights_invalid_str_mv | CC BY 4.0 |
| spelling | Lacertus syndrome: a ten year analysis of two hundred and seventy five minimally invasive surgical decompressions of median nerve entrapment at the elbowElisabet Hagert (13528690)Ulrika Jedeskog (17760246)Carl-Göran Hagert (17760249)Theodorakys Marín Fermín (12199534)Biomedical and clinical sciencesClinical sciencesCarpal tunnel syndromeMononeuropathiesMedian neuropathyNerve compression syndromesPeripheral nerves<h3>Purpose</h3><p dir="ltr">This study aims to assess the clinical presentation and surgical outcomes of lacertus syndrome (LS) and concomitant median nerve entrapments.</p><h3>Methods</h3><p dir="ltr">A retrospective study of prospectively collected data was conducted on patients undergoing lacertus release (LR) from June 2012 to June 2021. Available DASH (Disability of the Arm Shoulder Hand questionnaire) scores and post-operative Visual Analogue Scale (VAS) of pain, numbness, subjective satisfaction with surgical outcome, and intra-operative return of strength were analyzed.</p><h3>Results</h3><p dir="ltr">Two-hundred-seventy-five surgical cases were identified of which 205 cases (74.5%) underwent isolated LR, and 69 cases (25.1%) concomitant lacertus and carpal tunnel release. The three most common presenting symptoms in LS patients were loss of hand strength (95.6%), loss of hand endurance/fatigue (73.3%), and forearm pain (35.4%). Numbness in the median nerve territory of the hand was found in all patients with combined LS and carpal tunnel syndrome. Quick-DASH significantly improved (pre-operative 34.4 (range 2.3–84.1) to post-operative 12.4 (range 0–62.5), p < 0.0001) as did work and activity DASH (p < 0.0001). The postoperative VAS scores were pain VAS 1.9 and numbness VAS 1.8. Eighty-eight percent of patients reported good/excellent satisfaction with the surgical outcome. Intra-operative return of strength was verified in 99.2% of cases.</p><h3>Conclusion</h3><p dir="ltr">LS is a common median nerve compression syndrome typically presenting with loss of hand strength and hand endurance/fatigue. Minimally invasive LR immediately restores hand strength, significantly improves DASH scores, and yields positive outcomes regarding VAS pain, numbness, and subjective satisfaction with surgery in patients with proximal median nerve entrapment at a minimum six month follow-up.</p><h2>Other Information</h2><p dir="ltr">Published in: International Orthopaedics<br>License: <a href="https://creativecommons.org/licenses/by/4.0" target="_blank">https://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1007/s00264-023-05709-w" target="_blank">https://dx.doi.org/10.1007/s00264-023-05709-w</a></p>2023-02-09T03:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1007/s00264-023-05709-whttps://figshare.com/articles/journal_contribution/Lacertus_syndrome_a_ten_year_analysis_of_two_hundred_and_seventy_five_minimally_invasive_surgical_decompressions_of_median_nerve_entrapment_at_the_elbow/24967113CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/249671132023-02-09T03:00:00Z |
| spellingShingle | Lacertus syndrome: a ten year analysis of two hundred and seventy five minimally invasive surgical decompressions of median nerve entrapment at the elbow Elisabet Hagert (13528690) Biomedical and clinical sciences Clinical sciences Carpal tunnel syndrome Mononeuropathies Median neuropathy Nerve compression syndromes Peripheral nerves |
| status_str | publishedVersion |
| title | Lacertus syndrome: a ten year analysis of two hundred and seventy five minimally invasive surgical decompressions of median nerve entrapment at the elbow |
| title_full | Lacertus syndrome: a ten year analysis of two hundred and seventy five minimally invasive surgical decompressions of median nerve entrapment at the elbow |
| title_fullStr | Lacertus syndrome: a ten year analysis of two hundred and seventy five minimally invasive surgical decompressions of median nerve entrapment at the elbow |
| title_full_unstemmed | Lacertus syndrome: a ten year analysis of two hundred and seventy five minimally invasive surgical decompressions of median nerve entrapment at the elbow |
| title_short | Lacertus syndrome: a ten year analysis of two hundred and seventy five minimally invasive surgical decompressions of median nerve entrapment at the elbow |
| title_sort | Lacertus syndrome: a ten year analysis of two hundred and seventy five minimally invasive surgical decompressions of median nerve entrapment at the elbow |
| topic | Biomedical and clinical sciences Clinical sciences Carpal tunnel syndrome Mononeuropathies Median neuropathy Nerve compression syndromes Peripheral nerves |