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Ulnar nerve compression at the elbow level.

M Altissimi, F Pecorelli, G Pimpinelli

    Italian Journal of Orthopaedics and Traumatology
    |September 1, 1986
    PubMed
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    Anterior transposition of the ulnar nerve improved muscle deficits in 78% of patients with elbow nerve compression. Early intervention is key, as results were less favorable after one year of symptoms.

    Area of Science:

    • Orthopedic Surgery
    • Neurosurgery
    • Reconstructive Surgery

    Background:

    • Ulnar nerve compression at the elbow is a common condition.
    • Muscle deficit, including weakness and wasting, often accompanies ulnar nerve compression.
    • Surgical intervention aims to decompress the nerve and restore function.

    Purpose of the Study:

    • To evaluate the long-term outcomes of anterior transposition of the ulnar nerve.
    • To assess the effectiveness of this surgical technique in treating ulnar nerve compression with associated muscle deficit.
    • To determine the influence of preoperative symptom duration on surgical results.

    Main Methods:

    • A retrospective review of 27 elbows undergoing anterior transposition of the ulnar nerve.
    • Focus on patients with preoperative muscle deficits (weakness and wasting).

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  • Long-term follow-up averaging 9 years, analyzing results against preoperative symptom duration.

    • Main Results:

    • Satisfactory outcomes were achieved in 78% of cases.
    • Complete or marked improvement in muscle deficit was observed in the majority of successful cases.
    • Surgical outcomes were less favorable when symptoms persisted for over one year prior to surgery.

    Conclusions:

    • Anterior transposition of the ulnar nerve is an effective treatment for ulnar nerve compression at the elbow, particularly for patients with muscle deficits.
    • Early surgical intervention, ideally within one year of symptom onset, is associated with better outcomes.
    • The procedure can lead to significant recovery of muscle strength and mass.