The role of ulnar nerve subcutaneous anterior transposition during open reduction and internal fixation of distal humerus fractures: a retrospective cohort study
<h2>Purpose</h2> <p>To compare the rates of ulnar nerve neuropathy following ulnar nerve subcutaneous anterior transposition versus no transposition during open reduction and internal fixation (ORIF) of distal humerus fractures.</p> <h2>Methods</h2> <p>This...
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| مؤلفون آخرون: | , , , , , , |
| منشور في: |
2022
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| _version_ | 1864513568090619904 |
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| author | Abdulaziz F. Ahmed (14150082) |
| author2 | Ashik Mohsin Parambathkandi (14150265) Wai Jing Geraldine Kong (14150268) Motasem Salameh (14146794) Aiman Mudawi (14150271) Maamoun Abousamhadaneh (14150274) Yousef Abuodeh (14146791) Ghalib O. Ahmed (14150277) |
| author2_role | author author author author author author author |
| author_facet | Abdulaziz F. Ahmed (14150082) Ashik Mohsin Parambathkandi (14150265) Wai Jing Geraldine Kong (14150268) Motasem Salameh (14146794) Aiman Mudawi (14150271) Maamoun Abousamhadaneh (14150274) Yousef Abuodeh (14146791) Ghalib O. Ahmed (14150277) |
| author_role | author |
| dc.creator.none.fl_str_mv | Abdulaziz F. Ahmed (14150082) Ashik Mohsin Parambathkandi (14150265) Wai Jing Geraldine Kong (14150268) Motasem Salameh (14146794) Aiman Mudawi (14150271) Maamoun Abousamhadaneh (14150274) Yousef Abuodeh (14146791) Ghalib O. Ahmed (14150277) |
| dc.date.none.fl_str_mv | 2022-11-22T21:11:55Z |
| dc.identifier.none.fl_str_mv | 10.1007/s00264-020-04745-0 |
| dc.relation.none.fl_str_mv | https://figshare.com/articles/journal_contribution/The_role_of_ulnar_nerve_subcutaneous_anterior_transposition_during_open_reduction_and_internal_fixation_of_distal_humerus_fractures_a_retrospective_cohort_study/21596970 |
| dc.rights.none.fl_str_mv | CC BY 4.0 info:eu-repo/semantics/openAccess |
| dc.subject.none.fl_str_mv | Clinical sciences Orthopedics and Sports Medicine Surgery |
| dc.title.none.fl_str_mv | The role of ulnar nerve subcutaneous anterior transposition during open reduction and internal fixation of distal humerus fractures: a retrospective cohort study |
| dc.type.none.fl_str_mv | Text Journal contribution info:eu-repo/semantics/publishedVersion text contribution to journal |
| description | <h2>Purpose</h2> <p>To compare the rates of ulnar nerve neuropathy following ulnar nerve subcutaneous anterior transposition versus no transposition during open reduction and internal fixation (ORIF) of distal humerus fractures.</p> <h2>Methods</h2> <p>This was a retrospective cohort study at an academic level I trauma centre. A total of 97 consecutive patients with distal humerus fractures underwent ORIF between 2011 and 2018. All included patients were treated with plates (isolated lateral plates excluded) and had no pre-operative ulnar neuropathy. Subcutaneous ulnar nerve anterior transposition was compared versus no transposition at the time of ORIF. The main outcome measure was the rate of ulnar nerve neuropathy. The secondary outcomes were the severity of the ulnar nerve neuropathy and the rate of ulnar nerve recovery.</p> <h2>Results</h2> <p>Twenty-eight patients underwent subcutaneous ulnar nerve anterior transposition during ORIF, whereas 69 patients had no transposition. Transposition was associated with significantly higher rates of ulnar nerve neuropathy (10/28 versus 10/69; P = 0.027). An adjusted logistic regression model demonstrated an odds ratio of 4.8 (1.3, 17.5; 95% CI) when transposition was performed. Ulnar nerve neuropathy was classified as McGowan grades 1 and 2 in all neuropathy cases in both groups (P = 0.66). Three out of ten cases recovered in the transposition group, and five out of ten cases recovered in the no transposition group over a mean follow-up of 11.2 months (P = 1.00).</p> <h2>Conclusion</h2> <p>We do not recommend performing routine subcutaneous ulnar nerve anterior transposition during ORIF of distal humerus fracture as it was associated with a significant 5-fold increase in ulnar nerve neuropathy.</p><h2>Other Information</h2> <p> 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="http://dx.doi.org/10.1007/s00264-020-04745-0" target="_blank">http://dx.doi.org/10.1007/s00264-020-04745-0</a></p> |
| eu_rights_str_mv | openAccess |
| id | Manara2_a1fe5a0cd7f4dda2de8ff16dbbe6f029 |
| identifier_str_mv | 10.1007/s00264-020-04745-0 |
| network_acronym_str | Manara2 |
| network_name_str | Manara2 |
| oai_identifier_str | oai:figshare.com:article/21596970 |
| publishDate | 2022 |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| rights_invalid_str_mv | CC BY 4.0 |
| spelling | The role of ulnar nerve subcutaneous anterior transposition during open reduction and internal fixation of distal humerus fractures: a retrospective cohort studyAbdulaziz F. Ahmed (14150082)Ashik Mohsin Parambathkandi (14150265)Wai Jing Geraldine Kong (14150268)Motasem Salameh (14146794)Aiman Mudawi (14150271)Maamoun Abousamhadaneh (14150274)Yousef Abuodeh (14146791)Ghalib O. Ahmed (14150277)Clinical sciencesOrthopedics and Sports MedicineSurgery<h2>Purpose</h2> <p>To compare the rates of ulnar nerve neuropathy following ulnar nerve subcutaneous anterior transposition versus no transposition during open reduction and internal fixation (ORIF) of distal humerus fractures.</p> <h2>Methods</h2> <p>This was a retrospective cohort study at an academic level I trauma centre. A total of 97 consecutive patients with distal humerus fractures underwent ORIF between 2011 and 2018. All included patients were treated with plates (isolated lateral plates excluded) and had no pre-operative ulnar neuropathy. Subcutaneous ulnar nerve anterior transposition was compared versus no transposition at the time of ORIF. The main outcome measure was the rate of ulnar nerve neuropathy. The secondary outcomes were the severity of the ulnar nerve neuropathy and the rate of ulnar nerve recovery.</p> <h2>Results</h2> <p>Twenty-eight patients underwent subcutaneous ulnar nerve anterior transposition during ORIF, whereas 69 patients had no transposition. Transposition was associated with significantly higher rates of ulnar nerve neuropathy (10/28 versus 10/69; P = 0.027). An adjusted logistic regression model demonstrated an odds ratio of 4.8 (1.3, 17.5; 95% CI) when transposition was performed. Ulnar nerve neuropathy was classified as McGowan grades 1 and 2 in all neuropathy cases in both groups (P = 0.66). Three out of ten cases recovered in the transposition group, and five out of ten cases recovered in the no transposition group over a mean follow-up of 11.2 months (P = 1.00).</p> <h2>Conclusion</h2> <p>We do not recommend performing routine subcutaneous ulnar nerve anterior transposition during ORIF of distal humerus fracture as it was associated with a significant 5-fold increase in ulnar nerve neuropathy.</p><h2>Other Information</h2> <p> 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="http://dx.doi.org/10.1007/s00264-020-04745-0" target="_blank">http://dx.doi.org/10.1007/s00264-020-04745-0</a></p>2022-11-22T21:11:55ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1007/s00264-020-04745-0https://figshare.com/articles/journal_contribution/The_role_of_ulnar_nerve_subcutaneous_anterior_transposition_during_open_reduction_and_internal_fixation_of_distal_humerus_fractures_a_retrospective_cohort_study/21596970CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/215969702022-11-22T21:11:55Z |
| spellingShingle | The role of ulnar nerve subcutaneous anterior transposition during open reduction and internal fixation of distal humerus fractures: a retrospective cohort study Abdulaziz F. Ahmed (14150082) Clinical sciences Orthopedics and Sports Medicine Surgery |
| status_str | publishedVersion |
| title | The role of ulnar nerve subcutaneous anterior transposition during open reduction and internal fixation of distal humerus fractures: a retrospective cohort study |
| title_full | The role of ulnar nerve subcutaneous anterior transposition during open reduction and internal fixation of distal humerus fractures: a retrospective cohort study |
| title_fullStr | The role of ulnar nerve subcutaneous anterior transposition during open reduction and internal fixation of distal humerus fractures: a retrospective cohort study |
| title_full_unstemmed | The role of ulnar nerve subcutaneous anterior transposition during open reduction and internal fixation of distal humerus fractures: a retrospective cohort study |
| title_short | The role of ulnar nerve subcutaneous anterior transposition during open reduction and internal fixation of distal humerus fractures: a retrospective cohort study |
| title_sort | The role of ulnar nerve subcutaneous anterior transposition during open reduction and internal fixation of distal humerus fractures: a retrospective cohort study |
| topic | Clinical sciences Orthopedics and Sports Medicine Surgery |