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Prospective evaluation of sleep improvement after cubital tunnel decompression surgery
Journal article   Peer reviewed

Prospective evaluation of sleep improvement after cubital tunnel decompression surgery

Joseph Said, Jack Abboudi, Gregory Gallant, Christopher Jones, William Kirkpatrick, Frederic Liss, Michael Rivlin, R. Robert Takei, Mark Wang, Matthew Silverman, …
Journal of shoulder and elbow surgery, v 28(5), pp E144-E149
01 May 2019
DOI: https://doi.org/10.1016/j.jse.2018.11.046
PMID: 30685275

Abstract

Life Sciences & Biomedicine Orthopedics Science & Technology Sport Sciences Surgery
Background: Compromised sleep is a known phenomenon with compressive neuropathies such as carpal tunnel syndrome. However, the prevalence of sleep disturbance with cubital tunnel syndrome (CuTS) and the effect on sleep after ulnar nerve decompression are not well understood. We hypothesized that CuTS results in sleep disturbances and that decompression surgery would result in improvement in overall sleep quality. Methods: Consecutive patients with electrodiagnostic-proven CuTS indicated for decompression were prospectively enrolled. Demographic data, McGowan grade, electrodiagnostic (electromyography) severity, visual analog scale pain score, the 11-item version of the Disabilities of the Arm, Shoulder and Hand questionnaire, and the Insomnia Severity Index scale data were collected preoperatively and at 2 weeks and 3 months postoperatively. Results: There were 145 patients enrolled, with 97% available at 2 weeks and 72% available at the final 3-month follow-up. Surgical decompression procedures consisted of 102 in situ releases and 43 transpositions. The average preoperative Insomnia Severity Index score for the entire cohort was 10.7, above the threshold for a diagnosis of insomnia, which subsequently improved to 4.1 by final follow-up postoperatively, consistent with resolution of the insomnia. There was no difference in the extent of sleep improvement between in situ decompression and transposition. Similarly, electromyography severity and McGowan grade also did not appear to significantly affect the extent of sleep improvement. Conclusion: CuTS decompression surgery, irrespective of surgical type and preoperative severity, resulted in improvement in sleep by the 3 month postoperative visit. (C) 2018 Journal of Shoulder and Elbow Surgery Board of Trustees. All rights reserved.

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Domestic collaboration
Web of Science research areas
Orthopedics
Sport Sciences
Surgery
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