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Journal of Hand Surgery (British and European Volume)
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Articles

The Ulnar Nerve at the Elbow and its Local Branching: An Anatomic Study

M. H. GONZALEZ
P. LOTFI
A. BENDRE
Y. MANDELBROYT
N. LIESKA

From the Departments of Orthopaedics and Anatomy, University of Illinois at Chicago and Division of Orthopaedic Surgery, Cook County Hospital, Chicago, Illinois, USA

Correspondence: Professor Mark H. Gonzalez, Division of Orthopaedic Surgery, Room 620, Cook County Hospital, 1825 W Harrison, Chicago, Illinois 60612 USA

Thirty nine cadaver elbows were dissected and the branching of the ulnar nerve, as well as the cubital tunnel and adjacent potential sites of nerve compression were studied. An arcade of Struthers was present in 26 specimens and Osborne’s ligament was present in all specimens. A discrete flexor pronator aponeurosis overlying the ulnar nerve was present in 17 specimens. An average of one (range, 0–3) capsular nerve branches were noted. These originated an average 7 mm proximal (range, 45 mm proximal to 24 mm distal) to the medial epicondyle. An average of three (range, 1–6) motor branches to the flexor carpi ulnaris muscle were noted, and one of these originated proximal to the medial epicondyle in two specimens. Significant variation was noted in the capsular and motor branching of the ulnar nerve. Care must be taken to identify the motor branches of the ulnar nerve when performing a transposition.

Journal of Hand Surgery (British and European Volume), Vol. 26, No. 2, 142-144 (2001)
DOI: 10.1054/jhsb.2000.0532
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