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Decompression of the ulnar nerve and minimal medial epicondylectomy with a small incision for cubital tunnel syndrome: comparison with anterior subcutaneous transposition of the nerve

Authors
 Soo Bong Hahn  ;  Yun Rak Choi  ;  Ho Jung Kang  ;  Eung Shick Kang 
Citation
 JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY, Vol.63(7) : 1150-1155, 2010 
Journal Title
 JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY 
ISSN
 1748-6815 
Issue Date
2010
MeSH
Adult ; Aged ; Cubital Tunnel Syndrome/surgery* ; Decompression, Surgical/adverse effects ; Decompression, Surgical/methods* ; Female ; Humans ; Humerus/surgery* ; Male ; Middle Aged ; Nerve Transfer* ; Ulnar Nerve/surgery* ; Young Adult
Keywords
Cubital tunnel syndrome ; Medial epicondylectomy ; Small incision ; Anterior subcutaneous transposition
Abstract
The objective of this study is to compare the results of ulnar nerve decompression and minimal medial epicondylectomy with a small incision (group I) and anterior subcutaneous transposition of the ulnar nerve (group II) for cubital tunnel syndrome. METHODS: Out of 56 patients with cubital tunnel syndrome, 29 were in group I and 27 were in group II. The mean age at the time of the operation was 48.9 years, and the mean follow-up period was 36.4 months. Preoperatively, the neuropathy was graded according to Dellon's criteria. RESULTS: There were no significant differences between the results of the two groups according to the modified Bishop's system at the last follow-up. However, four patients showed painful neuroma around the operation scar and one patient in group II had experienced acute deterioration of the symptoms after the procedure. CONCLUSIONS: Decompression and minimal medial epicondylectomy with a small incision seems to be more recommendable than anterior subcutaneous transposition of the ulnar nerve for cubital tunnel syndrome in terms of its simplicity and lesser invasiveness.
Full Text
http://www.sciencedirect.com/science/article/pii/S1748681509007153
DOI
10.1016/j.bjps.2009.09.018
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers
Yonsei Authors
Kang, Eung Shick(강응식)
Kang, Ho Jung(강호정) ORCID logo https://orcid.org/0000-0003-0273-1264
Choi, Yun Rak(최윤락)
Hahn, Soo Bong(한수봉)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/101514
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