探索增压端侧骨间前神经至尺神经转移术后的疗效和中介因素：具有专家洞察力的范围界定综述

Q3 Medicine

Journal of Hand Surgery Global Online Pub Date : 2024-09-01 DOI:10.1016/j.jhsg.2024.06.003

Tachit Jiravichitchai MD, MSc , Maryam Farzad PhD , Joy Christine MacDermid PhD , Pulak Parikh PhD , Stahs Pripotnev MD

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引用次数: 0

摘要

目的本范围综述结合专家的见解，旨在绘制骨间前神经至尺神经转流手术后的结果测量图，综合临床、患者报告和电诊断测量结果。方法我们的搜索涵盖多个在线数据库，包括MEDLINE、Embase、PubMed和Google Scholar，以确保在识别相关文献时的严谨性和全面性。结果通过对300篇文章中涉及300名患者的17项研究的仔细研究，以及对尺骨神经卡压的增压端对端神经转移的专家咨询，我们发现了令人鼓舞的结果，尤其是在肘管综合征方面。医学研究委员会量表评估和手臂、肩部和手部残疾评分等主要测量指标显示，术后患者的病情明显好转，并发症较少。影响恢复的因素包括术前功能障碍持续时间和手术技术。手术适应症优先考虑尺神经高度损伤和严重的肘管综合征。结论该综述强调了标准化结果测量、早期干预和综合康复对优化增压端侧骨间前神经至尺神经转移结果的重要性。

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Exploring Outcomes and Mediating Factors Following Supercharged End-to-Side Anterior Interosseous Nerve to Ulnar Nerve Transfer: A Scoping Review With Expert Insight

Purpose

This scoping review with expert insight aims to map outcome measures following supercharged end-to-side anterior interosseous nerve to ulnar nerve transfer procedures, integrating clinical, patient-reported, and electrodiagnostic measures. It also explores surgical rationale and recovery trajectories, aiming to standardize methodologies and enhance patient care in nerve transfer surgeries.

Methods

Our search encompassed multiple online databases, including MEDLINE, Embase, PubMed, and Google Scholar, ensuring rigor and comprehensiveness in identifying relevant literature.

Results

Through scrutiny of 17 studies involving 300 patients from 300 articles, along with expert consultations on supercharged end-to-side nerve transfer for ulnar nerve entrapment, promising outcomes emerge, particularly in cubital tunnel syndrome. Primary measures such as Medical Research Council scale assessments and Disabilities of the Arm, Shoulder, and Hand scores demonstrate notable postsurgery improvements, with minor complications noted. Factors influencing recovery include preoperative dysfunction duration and surgical technique. Surgery indications prioritize high ulnar nerve injuries and severe cubital tunnel syndrome.

Conclusions

The review highlights the importance of standardized outcome measures, early intervention, and comprehensive rehabilitation for optimizing supercharged end-to-side anterior interosseous nerve to ulnar nerve transfer outcomes.