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. 2016 Nov 15;2016(11):CD006839. doi: 10.1002/14651858.CD006839.pub4

Nabhan 2005.

Methods RCT
Participants 66 people (mean age 52 years, SD 12; 38 males, 28 females) with clinical and electrophysiological evidence of ulnar nerve neuropathy
Exclusion criteria: previous traumas to the elbow causing deformity or distortion of the cubital tunnel, as well as recurrent cubital tunnel syndrome after previous surgery
Interventions Simple decompression (32 participants), decompression and anterior subcutaneous transposition (34 participants)
Outcomes Clinical outcomes:
  1. Yale Sensory Scale

  2. MRC scale

  3. VAS


Electrophysiological outcome: motor nerve conduction velocity
Conflicts of interest No information provided.
Study funding No information provided.
Notes Operations performed between August 2001 and October 2003. Single centre in Germany. Follow‐up examinations at 3 and 9 months after surgery. The sample size was not calculated. Only people with severe disease were included in the study. The authors do not specify if the study was designed to be a non‐inferiority or a superiority trial.
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Quote: "Randomisation was carried out by drawing cards in sealed envelopes"
Allocation concealment (selection bias) Low risk Quote: "Randomisation was carried out by drawing cards in sealed envelopes"
Blinding of participants and personnel (performance bias) 
 All outcomes Unclear risk Not specified.
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk Quote: "All patients underwent nerve conduction velocity studies pre‐operatively by two blinded neurophysiologists according to a standard protocol"
Comment: It is not specified if the postoperative evaluation was performed by blinded examiners.
Incomplete outcome data (attrition bias) 
 Clinical or neurophysiological outcome Low risk No participant lost to follow‐up.
Selective reporting (reporting bias) Low risk Results from all the outcome measures are reported.
Other bias High risk The outcome measures used to evaluate clinical improvement in terms of sensation and motor strength may have a low sensitivity. The sample size was not calculated. The authors do not specify if the study was designed to be a non‐inferiority or a superiority trial.