Comparing the effectiveness of two treatments for severe cubital tunnel syndrome
| ISRCTN | ISRCTN91919572 |
|---|---|
| DOI | https://doi.org/10.1186/ISRCTN91919572 |
| Secondary identifying numbers | THHMU20130178 |
- Submission date
- 23/11/2019
- Registration date
- 04/07/2020
- Last edited
- 17/03/2022
- Recruitment status
- No longer recruiting
- Overall study status
- Completed
- Condition category
- Nervous System Diseases
Plain English summary of protocol
Background and study aims
Cubital Tunnel Syndrome is a condition that involves pressure or stretching of the ulnar nerve (also known as the “funny bone” nerve), which can cause numbness or tingling in the ring and small fingers, pain in the forearm, and/or weakness in the hand. Surgery may be needed to relieve the pressure on the nerve. This can involve releasing the nerve, moving the nerve to the front of the elbow, and/or removing a part of the bone.
Supercharged end-to-side nerve transfer for severe cubital tunnel syndrome is a recently developed technique which involves attachment of an additional nerve to the damaged nerve in order to speed up recovery of the damaged nerve.
Who can participate?
Patients aged 18 years or above with severe cubital tunnel syndrome.
What does the study involve?
Participants will be randomly allocated to receive standard treatment or standard treatment with additional nerve attachment (supercharged end-to-side nerve transfer). Patients will be followed up for two years.
What are the possible benefits and risks of participating?
Benefits: Each participant was given a free electromyographic examination
Risks: The experimental group had one more incision
Where is the study run from?
Third Hospital of Hebei Medical University, China
When is the study starting and how long is it expected to run for?
January 2013 to October 2017
Who is funding the study?
Investigator initiated and funded
Who is the main contact?
Qing Xie
qxie710@sina.com
Contact information
Public
Third Hospital of Hebei Medical University
Shijiazhuang
050051
China
| Phone | +86-13273148710 |
|---|---|
| qxie710@sina.com |
Study information
| Study design | Interventional randomized controlled trial |
|---|---|
| Primary study design | Interventional |
| Secondary study design | Randomised controlled trial |
| Study setting(s) | Hospital |
| Study type | Treatment |
| Participant information sheet | Not available in web format, please use the contact details below to request a patient information sheet |
| Scientific title | Conventional ulnar nerve decompression and transposition adding supercharged end-to-side pronator quadratus motor branch to motor branch of ulnar nerve transfer vs conventional ulnar nerve decompression and transposition alone for the treatment of advanced cubital tunnel syndrome: a comparison study |
| Study acronym | SEPQMBMBUNT |
| Study objectives | The hypothesis is that the efficiency of ulnar nerve decompression and transposition is improved by adding the supercharged end-to-side pronator quadratus motor branch to motor branch of ulnar nerve transfer (SEPQMBMBUNT) in patients with advanced cubital tunnel syndrome. |
| Ethics approval(s) | Approved 01/02/2013, Institutional Review Board of the Third Hospital of Hebei Medical University (Ziqiang Road, Shijiazhuang, Hebei, 050051, China; +86 (0)31188603632; no email provided), ref: 20190391 |
| Health condition(s) or problem(s) studied | Advanced cubital tunnel syndrome |
| Intervention | Patients will be blinded and randomly allocated to the study group and control group. Patients in the study group will undergo the conventional ulnar nerve decompression and transposition adding supercharged end-to-side pronator quadratus motor branch to motor branch of ulnar nerve transfer. Patients in the control group will undergo conventional ulnar nerve decompression and transposition alone. Final assessments include pinch strength, 2-point discrimination of the little finger, and Disabilities of the Arm, Shoulder, and Hand Questionnaire. Patients remained in hospital for 2 weeks and were followed up for 24 months. |
| Intervention type | Procedure/Surgery |
| Primary outcome measure | Grip strength using a Jamar dynamometer (Sammons Preston Rolyan, Bolingbrook, Illinois), key pinch strength using a pinch gauge (B&L Engineering, Santa Ana, California), and tripod pinch strength (Baseline Hydraulic Pinch Meter, Fabrication Enterprises Inc., Irvington, NY, USA) at baseline and two years |
| Secondary outcome measures | 1. 2-point discrimination of the little finger measured using Disk-Criminator (MackinnonDellon Partnership, Baltimore, MD) at baseline and two years 2. Disabilities of the Arm, Shoulder, and Hand measured using Gabel/Amadio score and disabilities of the arm, shoulder, and hand (DASH) questionnaire at baseline and two years |
| Overall study start date | 01/01/2013 |
| Completion date | 11/10/2017 |
Eligibility
| Participant type(s) | Patient |
|---|---|
| Age group | Adult |
| Lower age limit | 18 Years |
| Sex | Both |
| Target number of participants | 100 |
| Total final enrolment | 90 |
| Key inclusion criteria | 1. Age >18 years 2. Severe cubital tunnel syndrome (Akahori’s Classification grade III, IV, and V) 3. A history of cubital tunnel syndrome >6 months 4. Unilateral limb involvement 5. Atrophy of intrinsic hand muscles innervated by the ulnar nerve, which was defined as a sign of advanced disease, no matter manifestation of grip weakness 6. A conduction velocity of 40 m/s or greater 7. No improvement or worse symptoms in mild disease after 3 months of nonsurgical treatments |
| Key exclusion criteria | 1. An additional lesion, such as cervical neuropathy 2. Thoracic outlet syndrome, or Guyon’s canal syndrome 3. Deformity or distortion of the cubital tunnel 4. Associated medical conditions capable of causing a non-compressive neuropathy, such as diabetes mellitus and rheumatism 5. Revision surgery for cubital tunnel syndrome |
| Date of first enrolment | 20/01/2013 |
| Date of final enrolment | 20/10/2016 |
Locations
Countries of recruitment
- China
Study participating centre
Hebei
Shijiazhuang
050051
China
Sponsor information
Hospital/treatment centre
Ziqiang Road
Shijiazhuang
050051
China
| Phone | +86-13273148710 |
|---|---|
| Zhikongban3610@163.com | |
| Website | http://www.cthhmu.com/ |
"ROR" |
https://ror.org/004eknx63 |
Funders
Funder type
Other
No information available
Results and Publications
| Intention to publish date | 01/12/2019 |
|---|---|
| Individual participant data (IPD) Intention to share | No |
| IPD sharing plan summary | Data sharing statement to be made available at a later date |
| Publication and dissemination plan | Planned publication in a high-impact peer-reviewed journal. |
| IPD sharing plan | The current data sharing plans for this study are unknown and will be available at a later date. |
Study outputs
| Output type | Details | Date created | Date added | Peer reviewed? | Patient-facing? |
|---|---|---|---|---|---|
| Results article | 03/09/2021 | 17/03/2022 | Yes | No |
Editorial Notes
17/03/2022: Publication reference added.
03/07/2020: Trial’s existence confirmed by Institutional Review Board of the Third Hospital of Hebei Medical University.
