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Medial epicondylectomy or ulnar-nerve transposition for ulnar neuropathy at the elbow?
G G Geutjens1, R J Langstaff, N J Smith
1University Hospital, Queen's Medical Centre, Nottingham, UK.
Abstract:
We carried out a prospective randomised study comparing medial epicondylectomy with anterior transposition for the treatment of ulnar neuropathy at the elbow. The mean follow-up period was 4.5 years and we assessed the patients neurologically and orthopaedically. Neither procedure appeared to have a significant effect on elbow function. Our study showed better results after medial epicondylectomy; in particular patient satisfaction was higher than after ulnar nerve transposition. There were no significant differences in motor power or nerve-conduction rates and sensory fibres appeared to be more vulnerable to devascularisation.
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