AAHS New Objective Grading System to Provide Prognostic Value To

New Objective Grading System to Provide Prognostic Value to Cubital Tunnel Surgery Cory Lebowitz, DO; Lauryn Bianco, MS; Manuel Pontes, PhD; Mitchel K. Freedman, DO; Michael Rivlin, MD

INTRODUCTION TABLE 1: ELECTRODIAGNOSTIC GRADING SYSTEM RESULTS CONCLUSION

• The use of electrodiagnostic (EDX) • • 101 patients; 60 male & 41 Electrodiagnostic studies is well documented on its female studies not only aid a value as diagnostic tool, however, little clinical diagnosis of is known about its prognostic value for • Overall quickDASH went from 38 to 41 CuTS but can cubital tunnel surgery (CuTS) provide a framework • We report which EDX results yield • Discovered a cut off of a for the outcome of prognostic value for the surgical Sensory Amplitude of 38 treatment for CuTS based on patients surgery • We form an EDX based grading quickDASH improvement • system for CuTS that is predictive of • Patients with a sensory Specifically when outcome amplitude that was looking at the considered normal MCV across the METHODS based off the literature elbow with the but abnormal (i.e <38) sensory • Patients with CuTS were treated based off our data amplitude surgically with an ulnar nerve failed to improve in decompression +/- transposition their quickDASH • The grading system • Pre & Postoperative quickDASH scores is reproducible and scores and demographics reviewed • 97 patients (96%) fit in to can aid in following • Preoperative EDX reviewed: similar patient for • EMG the grading system • 93.8% inter-observer outcome evaluation • Motor Amplitudes and clinical studies • Motor Conduction Velocities reliability to use the • Sensory Amplitude grading system • Conduction Block • Those with a grade 3 had • Grading system constructed solely on the largest quickDASH EDX: nerve conduction studies and improvement electromyography variable