Elsevier

The Journal of Hand Surgery

Volume 14, Issue 6, November 1989, Pages 972-979
The Journal of Hand Surgery

Anterior intramuscular transposition of the ulnar nerve*

https://doi.org/10.1016/S0363-5023(89)80046-2Get rights and content

Anterior intramuscular transposition is a seldom considered alternative to other surgical methods in management of cubital tunnel syndrome. Placement of the ulnar nerve anteriorly within the flexor-pronator mass removes it from a vulnerable subcutaneous position without extensive dissection. Of 52 sequential procedures, 45 extremities in 40 persons were available for follow-up (mean, 28 months after operation). By use of a 12-point scale of objective and subjective parameters, there were 87% good or excellent results; 4% were graded fair, and 9% were graded poor. Age, duration of symptoms, and conduction velocity were not of prognostic value. Although 69% of patients had other compressive neuropathy or tendinitis, this did not adversely affect results. Those with changes seen by electromyogram or work-related compensable injury had a poorer prognosis.

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    *

    No benefits in any form have been received or will be received from a commercial party related directly or indirectly to the subject of this article.

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