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KMID : 1038220230500010070
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Archives of Plastic Surgery
2023 Volume.50 No. 1 p.70 ~ p.81
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Conservative Treatment of Ulnar Nerve Compression at the Elbow: A Systematic Review and Meta-Analysis
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Tinatin Natroshvili
Milly S. van de Warenburg
Erwin P. Heine
Nicholas J. Slater
Erik T. Walbeehm
Ronald H. M. A. Bartels
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Abstract
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Background : The clinical results of conservative treatment options for ulnar compression at the elbow have not been clearly determined. The aim of this review was to evaluate available conservative treatment options and their effectiveness for ulnar nerve compression at the elbow.
Methods : In accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) recommendations, a systematic review and meta-analysis of studies was performed. Literature search was performed using Ovid MEDLINE, Embase, and Cochrane Central Register of Controlled Trials (CENTRAL).
Results : Of the 1,079 retrieved studies, 20 were eligible for analysis and included 687 cases of ulnar neuropathy at the elbow. Improvement of symptoms was reported in 54% of the cases receiving a steroid/lidocaine injection (95% confidence interval [CI], 41?67) and in 89% of the cases using a splint device (95% CI, 69?99).
Conclusions : Conservative management seems to be effective. Both lidocaine/steroid injections and splint devices gave a statistically significant improvement of symptoms and are suitable options for patients who refuse an operative procedure or need a bridge to their surgery. Splinting is preferred over injections, as it shows a higher rate of improvement.
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KEYWORD
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ulnar nerve compression syndromes, nerve compression syndromes, conservative treatment
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