Elbow

Subcutaneous Anterior Transposition Versus Decompression and Medial Epicondylectomy for the Treatment of Cubital Tunnel Syndrome

Capo JT, Jacob G, Maurer RJ, et al (Univ of Medicine and Dentistry of New Jersey, Newark; Orthopedic Surgeons of Central Pennsylvania, Mechanicsburg) Orthopedics 34:e713-e717, 2011^§

Abstract

A review of the literature often fails to uncover the best procedure for the treatment of cubital tunnel syndrome. This article compares 2 frequently used methods (subcutaneous anterior transposition vs decompression and medial epicondylectomy) for their effectiveness in relieving both subjective and objective symptoms of cubital tunnel syndrome. Between August 1991 and October 1993, nineteen patients underwent surgical decompression by a single surgeon for ulnar neuropathy at the elbow. Factors evaluated included upper extremity range of motion, elbow valgus stress, grip strength, pinch, 2-point discrimination, and pre- and postoperative nerve conduction. A standardized questionnaire was administered to assess subjective relief of symptoms.

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