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N/A N=138 Randomized Single-blind Treatment

Treatment for Ulnar Neuropathy at the Elbow

Peripheral Nervous System Diseases · Nerve Compression Syndromes · Cubital Tunnel Syndrome

Enrolled (actual)
138
Serious AEs
0.0%
Results posted
Aug 2025
Primary outcome: Primary: UNEQ Score — 2; 2; 1.9; 1.9 score on a scale

Study Design & Population

Study type
Interventional
Phase
N/A
Interventions
Simple decompression of the ulnar nerve (Procedure); Conservative treatment (Behavioral)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
University Medical Centre Ljubljana
Primary completion
Mar 2023

Outcome Measures

OutcomeResultp-value
PRIMARY
UNEQ Score
2; 2; 1.9; 1.9; 1.7; 2
SECONDARY
Clinical UNE Severity
SECONDARY
Muscle Wasting
SECONDARY
Muscles Strength
SECONDARY
Light Touch 5th Finger
SECONDARY
Ulnar_MNCV
SECONDARY
Ulnar_CMAP_AMP
SECONDARY
Ulnar_SNAP_AMP
SECONDARY
Ulnar Nerve CSAmax
SECONDARY
Ulnar Nerve CSAmin

Summary

The purpose of the study is to investigate utility and appropriateness of treatment interventions taking into account the presumed mechanisms of two main varieties of ulnar neuropathy at the elbow (UNE). The investigators hypothesize that in patients with UNE by entrapment in the cubital tunnel (CTE) surgical release (simple decompression) is superior to conservative treatment. By contrast, in patients with UNE in the retrocondylar groove (RCC) surgical humero-ulnar apponeurosis (HUA) release (simple decompression) should not be superior to conservative treatment.

Eligibility Criteria

Inclusion Criteria

  • continuous numbness or paresthesias in the 5th finger,
  • weakness of the ulnar-innervated muscles or hand clumsiness.

Exclusion Criteria

  • previous elbow fracture or surgery,
  • polyneuropathy, symptoms of polyneuropathy, conditions causing polyneuropathy (e.g., diabetes) or multiple mononeuropathy,
  • motor neuron disorders (e.g., monomelic amyotrophy, amyotrophic lateral sclerosis - ALS).
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT03651609). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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