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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.
PMID
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Mayor MeshTerms
Keywords
Journal Title the journal of bone and joint surgery. american volume
Publication Year Start




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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