Simple decompression or subcutaneous anterior transposition of the ulnar nerve for cubital tunnel syndrome

J Hand Surg Br. 2005 Oct;30(5):521-4. doi: 10.1016/j.jhsb.2005.05.011.

Abstract

The purpose of this prospective randomised study was to evaluate which operative technique for treatment of cubital tunnel syndrome is preferable: subcutaneous anterior transposition or nerve decompression without transposition. This study included 66 patients suffering from pain and/or neurological deficits with clinically and electromyographically proven cubital tunnel syndrome. Thirty-two patients underwent nerve decompression without transposition and 34 underwent subcutaneous transposition of the nerve. Follow-up examinations evaluating pain, motor and sensory deficits as well as motor nerve conduction velocities, were performed 3 and 9 months postoperatively. There were no significant differences between the outcomes of the two groups at either postoperative follow-up examination. We recommend simple decompression of the nerve in cases without deformity of the elbow, as this is the less invasive operative procedure.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Cubital Tunnel Syndrome / surgery*
  • Decompression, Surgical / methods*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Prospective Studies
  • Treatment Outcome
  • Ulnar Nerve / surgery*