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Simple Decompression of the Ulnar Nerve: An Alternative to Anterior Transposition

From the Portland Hand Surgery and Rehabilitation Centre, Portland, Oregon, U.S.A

Correspondence: Peter A. Nathan, MD, Portland Hand Surgery and Rehabilitation Centre, 2455 N.W. Marshall, Suite 1, Portland, OR 97210, U.S.A.

Anterior transposition and/or medial epicondylectomy are often considered procedures of choice for ulnar neuropathy at the elbow. Much experience suggests simple decompression to be a comparably effective alternative which involves less trauma, morbidity, and rehabilitation time. The post-operative clinical and electrophysiological results of 52 cases of simple decompression (41 patients) are summarized. Excellent or good clinical results were found in 75% of the nerves. Mean ulnar motor conduction velocities were significantly improved post-operatively, although nerve conduction parameters did not consistently correlate with clinical outcome. The average return-to-work time was 5.1 weeks. The advantages of simple decompression make it the procedure of choice for most cases of ulnar neuropathy.

Journal of Hand Surgery (British and European Volume), Vol. 17, No. 3, 251-254 (1992)
DOI: 10.1016/0266-7681(92)90108-E


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