Intraoperative electrical stimulation promotes the short-term recovery of patients with cubital tunnel syndrome after surgery

Abstract Background This study was designed to investigate whether intraoperative electrical nerve stimulation has effects on the short-term recovery of cubital tunnel syndrome patients after ulnar nerve release. Methods Patients diagnosed as cubital tunnel syndrome were selected. At the same time,...

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Main Authors: Xuelei Zhang, Xiaolei Xiu, Ping Wang, Yaxin Han, Wenli Chang, Jianyong Zhao
Format: Article
Language:English
Published: BMC 2023-04-01
Series:Journal of Orthopaedic Surgery and Research
Subjects:
Online Access:https://doi.org/10.1186/s13018-023-03668-x
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author Xuelei Zhang
Xiaolei Xiu
Ping Wang
Yaxin Han
Wenli Chang
Jianyong Zhao
author_facet Xuelei Zhang
Xiaolei Xiu
Ping Wang
Yaxin Han
Wenli Chang
Jianyong Zhao
author_sort Xuelei Zhang
collection DOAJ
description Abstract Background This study was designed to investigate whether intraoperative electrical nerve stimulation has effects on the short-term recovery of cubital tunnel syndrome patients after ulnar nerve release. Methods Patients diagnosed as cubital tunnel syndrome were selected. At the same time, they received conventional surgery treatment. The patients were divided by a randomized digits table into two groups. The control group underwent conventional surgery, and the electrical stimulation (ES) group underwent intraoperative electrical stimulation. All the patients were tested for sensory and motor functions, grip strength, key pinch strength, motor conductivity velocity (MCV), and maximum compound muscle action potential (CMAP) before operation and 1 month and 6 months after operation. Results In patients treated with intraoperative ES, the sensory and motor functions and the strength of muscle were significantly improved after 1-month and 6-month follow-up than the control group. After the follow-up, the patients in the ES group had significantly higher grip strength and key pinch strength than the control group. After the follow-up, the patients in the ES group had significantly higher MCV and CMAP than the control group. Conclusion Intraoperative electrical stimulation of nerve muscle can significantly promote the short-term recovery of nerve and muscle functions after the surgery in cubital tunnel syndrome patients.
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spelling doaj.art-e0fd1af9c26c477f87e0f4696cf7635f2023-04-09T11:22:31ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2023-04-011811710.1186/s13018-023-03668-xIntraoperative electrical stimulation promotes the short-term recovery of patients with cubital tunnel syndrome after surgeryXuelei Zhang0Xiaolei Xiu1Ping Wang2Yaxin Han3Wenli Chang4Jianyong Zhao5Department of Microsurgery, The Hebei Cangzhou Hospital of Integrated Traditional Chinese Medicine and Western MedicineDepartment of Microsurgery, The Hebei Cangzhou Hospital of Integrated Traditional Chinese Medicine and Western MedicineDepartment of Microsurgery, The Hebei Cangzhou Hospital of Integrated Traditional Chinese Medicine and Western MedicineDepartment of Microsurgery, The Hebei Cangzhou Hospital of Integrated Traditional Chinese Medicine and Western MedicineDepartment of Microsurgery, The Hebei Cangzhou Hospital of Integrated Traditional Chinese Medicine and Western MedicineDepartment of Microsurgery, The Hebei Cangzhou Hospital of Integrated Traditional Chinese Medicine and Western MedicineAbstract Background This study was designed to investigate whether intraoperative electrical nerve stimulation has effects on the short-term recovery of cubital tunnel syndrome patients after ulnar nerve release. Methods Patients diagnosed as cubital tunnel syndrome were selected. At the same time, they received conventional surgery treatment. The patients were divided by a randomized digits table into two groups. The control group underwent conventional surgery, and the electrical stimulation (ES) group underwent intraoperative electrical stimulation. All the patients were tested for sensory and motor functions, grip strength, key pinch strength, motor conductivity velocity (MCV), and maximum compound muscle action potential (CMAP) before operation and 1 month and 6 months after operation. Results In patients treated with intraoperative ES, the sensory and motor functions and the strength of muscle were significantly improved after 1-month and 6-month follow-up than the control group. After the follow-up, the patients in the ES group had significantly higher grip strength and key pinch strength than the control group. After the follow-up, the patients in the ES group had significantly higher MCV and CMAP than the control group. Conclusion Intraoperative electrical stimulation of nerve muscle can significantly promote the short-term recovery of nerve and muscle functions after the surgery in cubital tunnel syndrome patients.https://doi.org/10.1186/s13018-023-03668-xIntraoperative electrical stimulationUlnar nerveCubital tunnel syndrome
spellingShingle Xuelei Zhang
Xiaolei Xiu
Ping Wang
Yaxin Han
Wenli Chang
Jianyong Zhao
Intraoperative electrical stimulation promotes the short-term recovery of patients with cubital tunnel syndrome after surgery
Journal of Orthopaedic Surgery and Research
Intraoperative electrical stimulation
Ulnar nerve
Cubital tunnel syndrome
title Intraoperative electrical stimulation promotes the short-term recovery of patients with cubital tunnel syndrome after surgery
title_full Intraoperative electrical stimulation promotes the short-term recovery of patients with cubital tunnel syndrome after surgery
title_fullStr Intraoperative electrical stimulation promotes the short-term recovery of patients with cubital tunnel syndrome after surgery
title_full_unstemmed Intraoperative electrical stimulation promotes the short-term recovery of patients with cubital tunnel syndrome after surgery
title_short Intraoperative electrical stimulation promotes the short-term recovery of patients with cubital tunnel syndrome after surgery
title_sort intraoperative electrical stimulation promotes the short term recovery of patients with cubital tunnel syndrome after surgery
topic Intraoperative electrical stimulation
Ulnar nerve
Cubital tunnel syndrome
url https://doi.org/10.1186/s13018-023-03668-x
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AT xiaoleixiu intraoperativeelectricalstimulationpromotestheshorttermrecoveryofpatientswithcubitaltunnelsyndromeaftersurgery
AT pingwang intraoperativeelectricalstimulationpromotestheshorttermrecoveryofpatientswithcubitaltunnelsyndromeaftersurgery
AT yaxinhan intraoperativeelectricalstimulationpromotestheshorttermrecoveryofpatientswithcubitaltunnelsyndromeaftersurgery
AT wenlichang intraoperativeelectricalstimulationpromotestheshorttermrecoveryofpatientswithcubitaltunnelsyndromeaftersurgery
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