{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T04:23:08Z","timestamp":1793074988528,"version":"4.5.0"},"reference-count":20,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2003,5]]},"abstract":"<jats:p content-type=\"fine-print\">\n                    <jats:italic>Object.<\/jats:italic>\n                    In this article the authors present a retrospective analysis of 654 surgical outcomes in patients with ulnar nerve entrapments, injuries, and tumors during a 30-year period.\n                  <\/jats:p>\n                  <jats:p content-type=\"fine-print\">\n                    <jats:italic>Methods.<\/jats:italic>\n                    Data were gathered between 1968 and 1998 at Louisiana State University Health Sciences Center. Mechanisms of injuries or lesions included 460 entrapments at the elbow level (70%), 76 lacerations (12%), 52 stretches\/contusions (8%), 34 fractures\/dislocations (5%), 12 gunshot wounds (2%), two injection-induced injuries (0.3%), and 13 nerve sheath tumors (2%).\n                  <\/jats:p>\n                  <jats:p content-type=\"fine-print\">In cases of entrapment, direct operative recordings uniformly demonstrated a slowing of conduction at the elbow, even in cases in which preoperative noninvasive studies had been nondiagnostic. Intraoperative electrical \u201cinching\u201d studies also demonstrated significant conduction abnormalities that lie just proximal to and through the olecranon notch rather than distal, beneath the flexor carpi ulnaris muscle. There were only eight exceptions to this. Lesions not in continuity due to the injury required primary or secondary end-to-end sutures or graft repair. Aided by intraoperative nerve action potential recording, lesions in continuity received either external or internal neurolysis and split repair or resection followed by end-to-end suture or graft repair. Functional recoveries of Grade 3 or better were seen in 81 (92%) of 88 patients who underwent neurolysis, 42 (72%) of 58 patients who received suture repair, and 24 (67%) of 36 patients who received graft repair. Nevertheless, fewer Grade 4 or 5 recoveries were reached than those seen in patients with radial or median nerve injuries. Nerve sheath tumors were resected with preservation of preoperative function in five of seven patients.<\/jats:p>\n                  <jats:p content-type=\"fine-print\">\n                    <jats:italic>Conclusions.<\/jats:italic>\n                    Although difficult to obtain, useful functional recovery can be achieved with proper surgical management of ulnar nerve entrapments and injuries.\n                  <\/jats:p>","DOI":"10.3171\/jns.2003.98.5.0993","type":"journal-article","created":{"date-parts":[[2009,5,13]],"date-time":"2009-05-13T13:57:34Z","timestamp":1242223054000},"page":"993-1004","source":"Crossref","is-referenced-by-count":174,"title":["Surgical outcomes of 654 ulnar nerve lesions"],"prefix":"10.3171","volume":"98","author":[{"given":"Daniel H.","family":"Kim","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kisoo","family":"Han","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert L.","family":"Tiel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Judith A.","family":"Murovic","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David G.","family":"Kline","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1","series-title":"J Hand Surg (Am)","doi-asserted-by":"publisher","first-page":"90","DOI":"10.1016\/S0363-5023(84)80193-8","article-title":"The treatment of the cubital tunnel syndrome.","volume":"9","author":"Adelaar","year":"1984"},{"key":"b2","series-title":"Surgical Disorders of the Peripheral Nerves","author":"Birch","year":"1998"},{"key":"b3","series-title":"Neurosurg Clin N Am","doi-asserted-by":"publisher","first-page":"57","DOI":"10.1016\/S1042-3680(18)30757-5","article-title":"Techniques for successful management of ulnar nerve entrapment at the elbow.","volume":"2","author":"Dellon","year":"1991"},{"key":"b4","series-title":"J Trauma","doi-asserted-by":"publisher","first-page":"497","DOI":"10.1097\/00005373-196906000-00004","article-title":"Electrical injuries: a review of 65 cases.","volume":"9","author":"DiVincenti","year":"1969"},{"key":"b5","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"362","DOI":"10.3171\/jns.1994.81.3.0362","article-title":"Neural sheath tumors of major nerves.","volume":"81","author":"Donner","year":"1994"},{"key":"b6","series-title":"J Trauma","doi-asserted-by":"publisher","first-page":"254","DOI":"10.1097\/00005373-199003000-00002","article-title":"Neurologic consequences of electrical burns.","volume":"30","author":"Grube","year":"1990"},{"key":"b7","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"73","DOI":"10.3171\/jns.1980.53.1.0073","article-title":"Median and ulnar nerve transections treated with microsurgical interfascicular cable grafting with autogenous sural nerve.","volume":"53","author":"Haase","year":"1980"},{"key":"b8","series-title":"Surg Clin North Am","doi-asserted-by":"publisher","first-page":"1099","DOI":"10.1016\/S0039-6109(16)39829-2","article-title":"The quality of nerve regeneration. Factors independent of the most skillful repair.","volume":"52","author":"Hubbard","year":"1972"},{"key":"b9","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"166","DOI":"10.3171\/jns.1989.70.2.0166","article-title":"Civilian gunshot wounds to the brachial plexus.","volume":"70","author":"Kline","year":"1989"},{"key":"b10","series-title":"Surg Forum","first-page":"436","article-title":"The value of primary repair for bluntly transected nerve injuries: physiological documentation.","volume":"25","author":"Kline","year":"1974"},{"key":"b11","series-title":"Can J Neurol Sci","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1017\/S0317167100047338","article-title":"Penfield Lecture. A quarter century's experience with intraoperative nerve action potential recording.","volume":"20","author":"Kline","year":"1993"},{"key":"b12","series-title":"Surg Clin North Am","doi-asserted-by":"publisher","first-page":"1189","DOI":"10.1016\/S0039-6109(16)39836-X","article-title":"The neuroma in continuity. Its preoperative and operative management.","volume":"52","author":"Kline","year":"1972"},{"key":"b13","series-title":"J Hand Surg (Br)","doi-asserted-by":"publisher","first-page":"454","DOI":"10.1016\/0266-7681(93)90145-6","article-title":"Intrinsic reinnervation\u2014myth or reality?","volume":"18","author":"Lester","year":"1993"},{"key":"b14","series-title":"J Int Coll Surg","first-page":"724","article-title":"Trauma resulting from electricity.","volume":"28","author":"Lewis","year":"1957"},{"key":"b15","series-title":"Surg Gynecol Obstet","first-page":"15","article-title":"Anomalous innervation of the intrinsic muscles of the hand.","volume":"83","author":"Murphey","year":"1946"},{"key":"b16","series-title":"Br Med J","doi-asserted-by":"publisher","first-page":"1065","DOI":"10.1136\/bmj.2.5053.1065","article-title":"Nerve repair in civil practice. Results of treatment of median and ulnar nerve lesions.","volume":"2","author":"Nicholson","year":"1957"},{"key":"b17","series-title":"J Bone Joint Surg (Am)","doi-asserted-by":"publisher","first-page":"140","DOI":"10.2106\/00004623-196244010-00011","article-title":"A follow-up study of 172 peripheral nerve injuries in the upper extremity in civilians.","volume":"44","author":"Sakellarides","year":"1962"},{"key":"b18","series-title":"J Bone Joint Surg (Am)","doi-asserted-by":"publisher","first-page":"717","DOI":"10.2106\/00004623-196143050-00009","article-title":"Injury of the median and ulnar nerves. One hundred and fifty cases with an evaluation of Moberg's Ninhydrin Test.","volume":"43","author":"Stromberg","year":"1961"},{"key":"b19","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"103","DOI":"10.1097\/00006123-199607000-00019","article-title":"Nerve action potential recording method and equipment.","volume":"39","author":"Tiel","year":"1996"},{"key":"b20","series-title":"Controversies in Neurosurgery.","first-page":"340","article-title":"Treating ulnar entrapment within the cubital tunnel: simple decompression vs. ulnar release and transposition","author":"Tindall","year":"1996"}],"container-title":["Journal of Neurosurgery"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/98\/5\/article-p993.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/98\/5\/article-p993.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg\/98\/5\/article-p993.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,3,26]],"date-time":"2023-03-26T16:07:53Z","timestamp":1679846873000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg\/98\/5\/article-p993.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2003,5]]},"references-count":20,"journal-issue":{"issue":"5"},"URL":"https:\/\/doi.org\/10.3171\/jns.2003.98.5.0993","relation":{},"ISSN":["0022-3085"],"issn-type":[{"value":"0022-3085","type":"print"}],"subject":[],"published":{"date-parts":[[2003,5]]}}}