Ulnar Nerve Entrapment in Diabetes: Patient-reported Outcome after Surgery in National Quality Registries

Research output: Contribution to journalArticle

Abstract

Background: Ulnar nerve entrapment at the elbow (UNE) is overrepresented in patients with diabetes, but the outcome of surgery is unknown. We aimed to evaluate patient-reported outcome in patients with and without diabetes, and to assess potential sex differences and compare surgical treatment methods. Methods: Data on patients operated for UNE (2010-2016, n = 1354) from the Swedish National Registry for Hand Surgery were linked to the Swedish National Diabetes Register. Symptoms were assessed preoperatively (n = 389), and 3 (n = 283), and at 12 months postoperatively (n = 267) by QuickDASH and HQ-8 (specific hand surgery questionnaire - 8 questions). Only simple decompressions were included when comparing groups. Results: Men with diabetes reported higher postoperative QuickDASH scores than men without diabetes. Women scored their disability higher than men on all time-points in QuickDASH, but showed larger improvement between preoperative and 12 months postoperative values. Patients operated with transposition scored 10.8 points higher on QuickDASH than patients who had simple decompression at 12 months (95% confidence interval 1.98-19.6). Conclusions: Women with diabetes benefit from simple decompression for UNE to the same extent as women without diabetes. Men with diabetes risk not to benefit from simple decompression as much as women do. Ulnar nerve transposition had a higher risk of residual symptoms compared to simple decompression.

Details

Authors
Organisations
External organisations
  • Skåne University Hospital
  • Södersjukhuset
  • Karolinska Institutet
  • University of Gothenburg
  • Sahlgrenska University Hospital
  • Linköping University
  • Lund University
  • Sweden National Diabetes Register
Research areas and keywords

Subject classification (UKÄ) – MANDATORY

  • Endocrinology and Diabetes
  • Surgery
Original languageEnglish
Article numbere2740
JournalPlastic and Reconstructive Surgery - Global Open
Publication statusPublished - 2020
Publication categoryResearch
Peer-reviewedYes