Publications by authors named "Megan M Patterson"

Article Synopsis
  • Nerve transfers can help restore function in patients with severe ulnar neuropathy, and a new technique called the super-turbocharged end-to-side (STETS) transfer has been developed to connect the abductor digiti minimi (ADM) nerve to the ulnar motor nerve for better recovery.
  • A retrospective study involving 50 patients from 2020 to 2022 showed that those who underwent the STETS transfer experienced significant improvements in hand function and quality of life, measured through DASH scores and first dorsal interosseous muscle strength.
  • The results indicate that the STETS method may lead to better outcomes than traditional nerve transfers, suggesting the need for further research to confirm these
View Article and Find Full Text PDF

Background: The arcade of Struthers was first proposed by Kane et al in 1973. Clinical investigations of this structure have been limited to small case series, focusing on the arcade as an isolated cause of compressive ulnar neuropathy. The purpose of our study was to investigate the incidence of this structure in patients undergoing ulnar nerve transposition.

View Article and Find Full Text PDF

Background: Traumatic peripheral nerve injuries cause chronic pain, disability, and long-term reductions in quality of life. However, their incidence after extremity trauma remains poorly understood.

Methods: The IBM® MarketScan® Commercial Database from 2010 to 2015 was used to identify patients aged 18 to 64 who presented to emergency departments for upper and/or lower extremity traumas.

View Article and Find Full Text PDF

The supercharge end-to-side anterior interosseous to ulnar motor nerve transfer has gained popularity over the past decade as a method of augmenting intrinsic muscle reinnervation in patients with acute neurotmetic ulnar nerve injuries. Controversy remains regarding its efficacy and appropriate clinical indications in cubital tunnel syndrome, where the timing of onset of axonal loss is less clear. The authors present guidelines for patient selection, surgical technique, and postoperative rehabilitation based on their clinical experience with the technique in this patient population.

View Article and Find Full Text PDF

Background: Cubital tunnel syndrome has a spectrum of presentations ranging from mild paresthesias to debilitating numbness and intrinsic atrophy. Commonly, the classification of severity relies on clinical symptoms and slowing of conduction velocity across the elbow. However, changes in compound muscle action potential (CMAP) amplitude more accurately reflect axonal loss.

View Article and Find Full Text PDF

Ulnar nerve transposition (UNT) surgery is performed for the treatment of cubital tunnel syndrome. Improperly performed UNT can create iatrogenic pain and neuropathy. The aim of this study is to identify anatomical structures distal to the medial epicondyle that should be recognized by all surgeons performing UNT to prevent postoperative neuropathy.

View Article and Find Full Text PDF

Background: Penicillium marneffei is a pathogenic fungus that afflicts immunocompromised individuals having lived or traveled in Southeast Asia. This species is unique in that it is the only dimorphic member of the genus. Dimorphism results from a process, termed phase transition, which is regulated by temperature of incubation.

View Article and Find Full Text PDF