{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,17]],"date-time":"2026-10-17T21:45:27Z","timestamp":1792273527436,"version":"4.4.0"},"reference-count":17,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,4,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Cubital tunnel syndrome is the second most common upper limb compressive neuropathy after carpal tunnel syndrome. Occupational hand-arm vibration exposure (HAV) has been linked to peripheral nerve compression, though a causal relationship remains unproven. Prior studies have shown that vibration exposure negatively affects outcomes following carpal tunnel surgery, but its impact on cubital tunnel surgery outcomes remains unclear.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>This study aimed to evaluate the effect of previous HAV exposure on patient-reported outcome measures (PROMs) following cubital tunnel release. Secondary aims included assessing differences in complication rates and satisfaction between HAV-exposed and non-exposed patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This was a retrospective cohort study examining patients undergoing cubital tunnel release between 2013 and 2019. Patients completed PROMs questionnaires pre-operatively and at a minimum of 1-year post-operatively. Outcomes included the QuickDASH, Normal Hand Score and satisfaction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>During the study period, 162 patients underwent cubital tunnel release. Complete paired outcomes were available for 120 patients (74%). Of the 120 patients, 25 (21%) reported previous HAV exposure. Both groups showed significant improvement in QuickDASH scores post-operatively (P\u2009&amp;lt;\u20090.0001). No significant differences were observed between groups in pre-operative or post-operative QuickDASH scores, overall PROMs improvement, satisfaction rates, or complication rates. The only statistically significant difference was a worse pre-operative Normal Hand Score in the HAV-exposed group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>HAV exposure did not significantly impact outcomes following cubital tunnel release. These findings suggest that HAV-exposed patients can expect comparable surgical results to non-exposed individuals. Further research with larger HAV-exposed cohorts may better clarify subtle differences in outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/occmed\/kqag021","type":"journal-article","created":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T12:41:19Z","timestamp":1773924079000},"page":"190-193","source":"Crossref","is-referenced-by-count":0,"title":["Hand-arm vibration exposure and outcomes after cubital tunnel surgery"],"prefix":"10.1093","volume":"76","author":[{"given":"P H C","family":"Stirling","sequence":"first","affiliation":[{"name":"Fife Hand Clinic, Queen Margaret Hospital, Whitefield Road , Dunfermline, KY12 0SU,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7577-4172","authenticated-orcid":false,"given":"M B","family":"Smith","sequence":"additional","affiliation":[{"name":"Fife Hand Clinic, Queen Margaret Hospital, Whitefield Road , Dunfermline, KY12 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