Volume 22 Issue 10
Oct.  2024
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Article Navigation >  Chinese Journal of General Practice  > 2024  >  22(10): 1691-1695
GAO Xing, MENG Yufeng, ZHANG Tongtong, WANG Wei. The effect of preoperative hand motor nerve conduction velocity and grip strength on prognosis in 85 patients with moderate to severe cubital tunnel syndrome[J]. Chinese Journal of General Practice, 2024, 22(10): 1691-1695. doi: 10.16766/j.cnki.issn.1674-4152.003713
Citation: GAO Xing, MENG Yufeng, ZHANG Tongtong, WANG Wei. The effect of preoperative hand motor nerve conduction velocity and grip strength on prognosis in 85 patients with moderate to severe cubital tunnel syndrome[J]. Chinese Journal of General Practice, 2024, 22(10): 1691-1695. doi: 10.16766/j.cnki.issn.1674-4152.003713
shu

The effect of preoperative hand motor nerve conduction velocity and grip strength on prognosis in 85 patients with moderate to severe cubital tunnel syndrome

doi: 10.16766/j.cnki.issn.1674-4152.003713

  • Hebei Key Laboratory of Integrated Traditional and Western Medicine in Osteoarthrosis Research (Preparing)/Department of Hand Microsurgery, Cangzhou Integrated Chinese and Western medicine hospital, Cangzhou, Hebei 061001, China

Funds:

 2021299

  • Received Date: 2024-03-14
    Available Online: 2024-12-28
    Abstract
  •   Objective   To investigate the influence of hand motor nerve conduction velocity (MNCV) and grip strength on prognosis in 85 patients with moderate to severe cubital tunnel syndrome, and to provide guidance for prognosis evaluation.   Methods   Data of 85 patients with moderate to severe cubital tunnel syndrome treated in Cangzhou Hospital of Integrated Chinese and Western Medicine, Hebei Province from July 2021 to July 2023 were collected. Different cubital tunnel syndrome grades, different prognosis, and grip strength levels were compared, and the value of these indicators in predicting poor prognosis was evaluated.   Results   (1) Before the operation, the hand MNCV and grip strength in the severe group were lower than those in the moderate group (P < 0.05); After the operation, the above indexes increased in the two groups, and the moderate group was higher (P < 0.05); (2) After the surgery, comparison of hand MNCV and grip strength as follows: Excellent functional recovery group > good functional recovery group > fair functional recovery group > poor functional recovery group, with statistically significant difference (P < 0.05); (3) Among the 81 patients with complete follow-up data, 20 patients had poor functional recovery (poor prognosis group), and the remaining 61 patients were considered as the good prognosis group. The hand MNCV and grip strength in the poor prognosis group were lower under different conditions (P < 0.05); (4) Hand MNCV and grip strength under different conditions of moderate and severe cubital tunnel syndrome were more effective in predicting the poor prognosis of patients. (5) The proportion of patients aged ≥50 years, duration ≥10 months, long-term elbow bending and muscle atrophy in the poor prognosis group was higher than that in the good prognosis group (P < 0.05); (6) Long-term elbow bending and muscle atrophy were risk factors for poor prognosis in patients with moderate to severe cubital tunnel syndrome (P=0.008, 0.001).   Conclusion   After treatment, the cubital length hand MNCV and grip strength of patients with moderate and severe cubital tunnel syndrome are improved in different states, and the above indexes were improved more significantly in patients with moderate cubital tunnel syndrome, which could be used as effective indicators to predict the prognosis.

     

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