Limited evidence supports telemedicine for remote wound consultations; most literature is based on use of digital camera images or Web cam/computer programs. Our program uses a unique, real-time technology for remote wound care consultations. The potential cost-savings related to decrease in complications of wounds and the positive effects on patient progression and length of stay have not yet been measured. However, our initial experiences suggest that remote consultations using real-time telemedicine reduce delay between request for consultations and its completion, diminish transportation and nonproductive staff time costs, and are comparable to traditional face-to-face consultations.

Cubital tunnel syndrome is the second most commonly encountered compression neuropathy of the upper limb. Multiple techniques for surgical management have been proposed but no universally accepted algorithm for management exists. Six cadaveric upper limbs underwent ulnar nerve decompression and anterior transposition into subcutaneous and then submuscular positions. After marking nerves with tungsten, radiological examination of nerve motion was performed and nerve angulations were measured in the region of the flexor carpi ulnaris (FCU) origin. Comparison of ulnar nerves in each position revealed statistically significant greater angulation after subcutaneous transposition than after submuscular transposition with the elbow held in full flexion. This point of angulation may act as a secondary point of compression or as a focus for neuritis and scar formation. This finding can contribute to the understanding of why differing outcomes may be observed after different forms of anterior transposition.

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