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Compressive ulnar neuropathies at the elbow: II. treatment
1New York University School of Medicine, New York, NY and New York University/Hospital for Joint Diseases Department of Orthopaedic Surgery and Lenox Hill Hospital, New York, USA.
The Journal of the American Academy of Orthopaedic Surgeons
|October 1, 1998
Summary
Nonoperative treatments like rest and immobilization are standard for elbow compressive neuropathies. Surgery becomes necessary for persistent symptoms or muscle weakness, with various nerve decompression techniques available.
Area of Science:
- Orthopedic Surgery
- Neurology
Background:
- Compressive neuropathies at the elbow are common conditions.
- Initial management typically involves conservative measures.
Purpose of the Study:
- To review nonoperative and operative treatment options for elbow compressive neuropathies.
- To discuss the indications, advantages, and disadvantages of different surgical procedures.
Main Methods:
- Review of nonoperative management strategies.
- Analysis of surgical techniques including nerve decompression with and without transposition.
- Discussion of in situ decompression, medial epicondylectomy, and various transposition methods (subcutaneous, intramuscular, submuscular).
Main Results:
- Nonoperative treatment is the first line of approach.
- Surgery is indicated for persistent symptoms or significant muscle weakness.
- Multiple surgical options exist, each with specific benefits and drawbacks.
Conclusions:
- A range of treatment options are available for elbow compressive neuropathies.
- The choice of treatment depends on symptom severity and progression.
- Surgical techniques offer solutions for refractory cases.
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