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Journal of Hand Surgery (British and European Volume)
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Articles

Treatment of Cubital Tunnel Syndrome by Frontal Partial Medial Epicondylectomy. A Retrospective Series of 55 Cases

M. POPA
TH. DUBERT

From Urgences Main de l’Est Parisien, Clinique la Francilienne, Pontault-Combault, France

Correspondence: Dr Thierry Dubert, Urgences Main de l’Est Parisien, Clinique la Francilienne, 16, Avenue de l’Hôtel de Ville 77340, Pontault-Combault, France. Tel.: +33-1-64-43-43-90; fax: +33-1-64-43-44-98. E-mail: thierry.dubert{at}noos.fr

The outcomes of 55 cases of cubital tunnel syndrome treated by a partial frontal epicondylectomy are presented at a mean follow-up of 38 months follow-up. According to McGowan classification, 25 cases were grade I (45%), 12 grade II (22%) and 18 grade III (33%). The results (Wilson and Krout classification) were excellent or good in 41 patients (75%), fair in nine patients and unchanged in five, without any worsening or recurrence. Total relief was reported in 80% of grade I, 75% of grade II and 66% of grade III patients. Seven painful scars and one persistent 15° elbow extension deficit were the only complications. The satisfaction rate was 93%. This technique preserves bony protection, the blood supply and gliding tissues for the nerve and nerve recovery were comparable to other surgical procedures. Residual pain at the osteotomy site was not a serious problem.

Key Words: ulnar nerve • compartment syndrome • epicondylectomy • cubitaltunnel • elbow

Journal of Hand Surgery (British and European Volume), Vol. 29, No. 6, 563-567 (2004)
DOI: 10.1016/J.JHSB.2004.06.014
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