Abstract:
OBJECTIVES:Retrospective clinical evaluation of 31 patients who underwent ulnar nerve decompression at the elbow and subcutaneous anterior transposition. METHODS:From January 2000 to December 2013, 71 patients underwent subcutaneous anterior transposition of the ulnar nerve. Thirty-one patients returned for evaluation. The mean follow-up period was 60 months. Patients were evaluated for the degree of satisfaction after surgery, paresthesia, pain, Tinel sign, Froment test and sensitivity test by esthesiometer, muscle strength of the intrinsic muscles and deep flexor of the fifth digit, visual analogic pain scale (VAS) and were subjected to the QuickDash questionnaire. RESULTS:Thirty-nine per cent of patients had compression on the right side and 61% on the left side. Sixty-one percent were idiopathic, 35% post traumatic and 3% had Poems syndrome. Forty-eight per cent of patients were very much satisfied after surgery and 52% were satisfied. Forty-eight per cent had paresthesia after surgery and 52% did not. CONCLUSION:The ulnar neurolysis of the cubital tunnel with anterior subcutaneous transposition is a safe and effective technique for treating idiopathic or post-traumatic compressive neuropathy, with high success rate and excellent function for activities of daily living. Level of Evidence IV, Case Series.
journal_name
Acta Ortop Brasjournal_title
Acta ortopedica brasileiraauthors
Neder AT Filho,Alves RA,Pardini AG Júnior,Riberto M,Mazer Mdoi
10.1590/1413-785220162404157171subject
Has Abstractpub_date
2016-07-01 00:00:00pages
184-186issue
4eissn
1413-7852issn
1809-4406journal_volume
24pub_type
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journal_title:Acta ortopedica brasileira
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journal_title:Acta ortopedica brasileira
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