Comparative trial of steroids and surgical intervention in the management of ulnar neuritis.

Abstract

Fifty-seven ulnar nerves in 39 patients with early neuritis were studied to assess the benefits offered by medial epicondylectomy and external decompression in addition to steroid therapy. The patients were randomly allocated to the surgical or medical group. In those cases where there was bilateral involvement, surgery was carried out on only one side. All cases were assessed prior to treatment and after the first and second years following treatment. The improvement in motor and sensory functions attained at the end of the first year was sustained into the second year. The improvement sustained in both groups was similar even in the second year, and medial epicondylectomy with external decompression seems to have no added benefit as compared to steroid therapy alone in the early treatment of ulnar neuritis. Early diagnosis and treatment, especially in borderline lepromatous cases, seem to offer some hope of nerve function recovery.

• Authors: M Ebenezer, P Andrews, S Solomon
• Journal: International journal of leprosy and other mycobacterial diseases : official organ of the International Leprosy Association (Int J Lepr Other Mycobact Dis) Vol. 64 Issue 3 Pg. 282-6 (Sep 1996) ISSN: 0148-916X [Print] United States
• PMID: 8862262 (Publication Type: Clinical Trial, Controlled Clinical Trial, Journal Article)

Chemical References

• Steroids

Topics

• Bone and Bones (surgery)
• Female
• Follow-Up Studies
• Humans
• Leprosy, Borderline (drug therapy, physiopathology, therapy)
• Male
• Motor Neurons (physiology)
• Neurons, Afferent (physiology)
• Steroids (therapeutic use)
• Time Factors
• Ulnar Nerve (physiopathology)
• Ulnar Nerve Compression Syndromes (drug therapy, therapy)