The Prevalence of Cubital Tunnel Syndrome: A Cross-Sectional Study in a U.S. Metropolitan Cohort.
|Abstract||Although cubital tunnel syndrome is the second most common peripheral mononeuropathy (after carpal tunnel syndrome) encountered in clinical practice, its prevalence in the population is unknown. The objective of this study was to evaluate the prevalence of cubital tunnel syndrome in the general population.|
Relative frequency of nerve conduction abnormalities at carpal tunnel and cubital tunnel in France and the United States: importance of silent neuropathies and role of ulnar neuropathy after unsuccessful carpal tunnel syndrome release.
|Journal Title||the journal of bone and joint surgery. american volume|
|Publication Year Start||2017-01-01|
PMID- 28244912 OWN - NLM STAT- MEDLINE DA - 20170228 DCOM- 20170308 LR - 20170308 IS - 1535-1386 (Electronic) IS - 0021-9355 (Linking) VI - 99 IP - 5 DP - 2017 Mar 01 TI - The Prevalence of Cubital Tunnel Syndrome: A Cross-Sectional Study in a U.S. Metropolitan Cohort. PG - 408-416 LID - 10.2106/JBJS.15.01162 [doi] AB - BACKGROUND: Although cubital tunnel syndrome is the second most common peripheral mononeuropathy (after carpal tunnel syndrome) encountered in clinical practice, its prevalence in the population is unknown. The objective of this study was to evaluate the prevalence of cubital tunnel syndrome in the general population. METHODS: We surveyed a cohort of adult residents of the St. Louis metropolitan area to assess for the severity and localization of hand symptoms using the Boston Carpal Tunnel Questionnaire Symptom Severity Scale (BCTQ-SSS) and the Katz hand diagram. We identified subjects who met our case definitions for cubital tunnel syndrome and carpal tunnel syndrome: self-reported hand symptoms associated with a BCTQ-SSS score of >2 and localization of symptoms to the ulnar nerve or median nerve distributions. RESULTS: Of 1,001 individuals who participated in the cross-sectional survey, 75% were women and 79% of the cohort was white; the mean age (and standard deviation) was 46 +/- 15.7 years. Using a more sensitive case definition (lax criteria), we identified 59 subjects (5.9%) with cubital tunnel syndrome and 68 subjects (6.8%) with carpal tunnel syndrome. Using a more specific case definition (strict criteria), we identified 18 subjects (1.8%) with cubital tunnel syndrome and 27 subjects (2.7%) with carpal tunnel syndrome. CONCLUSIONS: The prevalence of cubital tunnel syndrome in the general population may be higher than that reported previously. When compared with previous estimates of disease burden, the active surveillance technique used in this study may account for the higher reported prevalence. This finding suggests that a proportion of symptomatic subjects may not self-identify and may not seek medical treatment. CLINICAL RELEVANCE: This baseline estimate of prevalence for cubital tunnel syndrome provides a valuable reference for future diagnostic and prognostic study research and for the development of clinical practice guidelines. FAU - An, Tonya W AU - An TW AD - 1Division of General Medical Sciences (B.A.E.), Department of Orthopedic Surgery (M.I.B. and D.A.O.), School of Medicine (T.W.A.), and Institute of Clinical and Translational Sciences (B.A.E. and D.A.O.), Washington University, St. Louis, Missouri. FAU - Evanoff, Bradley A AU - Evanoff BA FAU - Boyer, Martin I AU - Boyer MI FAU - Osei, Daniel A AU - Osei DA LA - eng PT - Comparative Study PT - Journal Article PL - United States TA - J Bone Joint Surg Am JT - The Journal of bone and joint surgery. American volume JID - 0014030 SB - AIM SB - IM MH - Adult MH - Aged MH - Carpal Tunnel Syndrome/epidemiology MH - Cohort Studies MH - Cross-Sectional Studies MH - Cubital Tunnel Syndrome/*epidemiology MH - Female MH - Humans MH - Male MH - Middle Aged MH - Missouri/epidemiology MH - Prevalence MH - Registries MH - Young Adult EDAT- 2017/03/01 06:00 MHDA- 2017/03/09 06:00 CRDT- 2017/03/01 06:00 AID - 10.2106/JBJS.15.01162 [doi] AID - 00004623-201703010-00007 [pii] PST - ppublish SO - J Bone Joint Surg Am. 2017 Mar 1;99(5):408-416. doi: 10.2106/JBJS.15.01162.
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