Anterior intramuscular transposition of the ulnar nerve

William B. Kleinman, Allen T. Bishop

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Abstract

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.

Original languageEnglish (US)
Pages (from-to)972-979
Number of pages8
JournalJournal of Hand Surgery
Volume14
Issue number6
DOIs
StatePublished - Jan 1 1989

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ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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