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Journal of Hand Surgery (European Volume)
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Articles

Incidence of Re-Operation and Subjective Outcome Following in Situ Decompression of the Ulnar Nerve at the Cubital Tunnel

C. A. GOLDFARB
M. M. SUTTER
E. J. MARTENS
P. R. MANSKE

From the Washington University School of Medicine, Department of Orthopaedic Surgery, St Louis, Missouri, USA

Correspondence: C. A. Goldfarb, MD, Department of Orthopaedic Surgery, 660 South Euclid Avenue, Campus Box 8233, St Louis, MO 63110, USA. Tel.: +1 314-747-4705. E-mail:goldfarbc{at}wudosis.wustl.edu.

The purpose of this investigation was to determine the failure rate of in situ decompression for cubital tunnel syndrome as determined by the need for additional surgery. We performed a comprehensive chart review of 56 adult patients who had undergone in situ decompression for cubital tunnel syndrome in 69 extremities with more than 1 year follow-up. The patients completed a comprehensive questionnaire concerning preoperative and postoperative pain, numbness, and weakness. After decompression, symptoms were improved substantially or resolved. Five limbs (7%) with persistent symptoms postoperatively were treated successfully with anterior submuscular transposition. These data suggest that in situ decompression of the ulnar nerve is a reliable treatment for cubital tunnel syndrome and has a low failure rate. The uncommon patient with continued symptoms after decompression can be treated effectively with transposition of the ulnar nerve.

Key Words: cubital tunnel syndrome • ulnar nerve • decompression • outcome

This version was published on June 1, 2009

Journal of Hand Surgery (European Volume), Vol. 34, No. 3, 379-383 (2009)
DOI: 10.1177/1753193408101467
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