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Funding was not received and the study could not proceed without this support.
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This study aims to determine the Health Related Quality of life (HRQOL) (the physical, mental, emotional and social functioning) of patients with cubital tunnel syndrome following anterior intramuscular transposition, after one year.
As there are many different surgical procedures to address cubital tunnel syndrome, HRQOL will be used to determine if anterior intramuscular transposition provides patients with positive outcomes. To measure HRQOL 3 specific scales will be administered:
These scales are widely reported in the literature, are valid, reliable and easy to fill out. Using these scales we can determine HRQOL as well as Quality Adjusted Life Years, which, allows us to do a cost-utility analysis (economic evaluation) on this specific procedure.
Patients will be asked to fill out the above mentioned questionnaires, as well as perform 2 performance tests (grip strength, and a moving 2-point discrimination test) at the following time points:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Anterior Intramuscular Transposition | Experimental | This is the only arm in our study, patients with cubital tunnel syndrome will undergo anterior intramuscular transposition, one of many surgical techniques utilized on patients with Cubital Tunnel Syndrome to alleviate symptoms. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Anterior Intramuscular Transposition | Procedure | Anterior intramuscular transposition technique to decompress the ulnar nerve at the level of the elbow |
|
| Measure | Description | Time Frame |
|---|---|---|
| Is there improvement in Health Related Quality of Life? | HRQOL will be determined using 3 questionnaires: a generic widely reported scale (SF-36), a condition specific valid and reliable scale (The PRUNE), and a utility scale EuroQol-5D) | 1 week and 1 day pre-op & 3, 6, 12 months post op |
| Measure | Description | Time Frame |
|---|---|---|
| Which Domains of Health Related Quality of Life Improve? | There are different domains listed in the questionnaires, depending on the response from the patients we will determine where the improvement was seen (physical, mental, emotional, etc) | 1 week and 1 day pre-op & 3, 6, 12 months post op |
| Is there improvement in physical performance? |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Matthew McRae, MD | McMaster University | Principal Investigator |
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Data will not be shared to other researchers
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| ID | Term |
|---|---|
| D020430 | Cubital Tunnel Syndrome |
| ID | Term |
|---|---|
| D020424 | Ulnar Neuropathies |
| D020422 | Mononeuropathies |
| D010523 | Peripheral Nervous System Diseases |
| D009468 | Neuromuscular Diseases |
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This will be measured by using grip strength and moving 2-point discrimination |
| 1 week and 1 day pre-op & 3, 6, 12 months post op |
| D009422 | Nervous System Diseases |
| D017769 | Ulnar Nerve Compression Syndromes |
| D009408 | Nerve Compression Syndromes |
| D012090 | Cumulative Trauma Disorders |
| D013180 | Sprains and Strains |
| D014947 | Wounds and Injuries |