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Cubital Tunnel Syndrome: A Retrospective Review of 53 Anterior Subcutaneous Transpositions

From the Hand Surgery Unit, Centre Hospitalier Universitaire Trousseau, Tours, France

Correspondence: Dr J. Laulan, Service d’Orthopedic I, Unite de Chirurgic de la Main, CHU Trousseau, F-37044 Tours Cedex, France, Tel: +33 2 4747 5946, Fax: + 33 2 4747 8385

Fifty-three cases of cubital tunnel syndrome were treated by anterior subcutaneous transposition of the ulnar nerve. All patients were assessed by an independent examiner at a mean follow-up of 32 months. McGowan’s rating scale, as modified by Goldberg, was used preoperatively and at follow-up. Preoperatively, five cases were classified grade I, 37 grade IIA, eight grade IIB and three grade III. Thoracic outlet syndrome was also present in 7 cases. At follow-up, 44 cases were grade 0, three grade I, five grade IIA and one grade IIB. Forty-four of the 53 cases had resolved and the other nine had improved. Subcutaneous transposition is a reliable and effective surgical option. The result is less satisfactory if a thoracic outlet syndrome is also present.

Journal of Hand Surgery (British and European Volume), Vol. 25, No. 5, 453-456 (2000)
DOI: 10.1016/S0266-7681(00)80011-X


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