Subcutaneous or Submuscular Anterior Transposition of the Ulnar Nerve?

Abstract

Precise clinical and electroneurographic examinations were made of 51 patients before and after anterior transposition of the ulnar nerve. The mean follow-up period was 9.6 years. In 86%, hand function improved, while in 10% it remained unchanged. Subcutaneous transposition was better than submuscular transposition, especially with regard to sensation. This method is simple and involves low morbidity for patients.

290 Surgical Procedures for Ulnar Nerve Entrapment at the Elbow: Physiopathology, Clinical Experience and Results

“…Therefore, the published studies are contradictory concerning the e½cacy of the di¨erent surgical procedures and the rate of satisfactory results. The only conclusion is that the postoperative results re¯ect the preoperative status regardless of the surgical procedure [5,6,19,28,32,55]. General agreement is also registered concerning the conservative treatment of patients with intermittent symptoms and the worse prognosis of patients complaining of symptoms lasting more than one year or with muscle atrophy [5,14,15,22,34,39].…”

Recovery of ulnar innervated intrinsic muscles following anterior transposition of the ulnar nerve

“…Tada et al (19) reported the outcomes for 46 patients after surgery by using the modified King's method. Patients were graded using a variation of the scoring system developed by Stuffer et al (16) that includes intrinsic muscle wasting. Before surgery, 28 patients were rated as having poor symptoms; following surgery, four patients were rated as having excellent symptoms, 11 received a good rating, 12 received a fair rating and one received a poor rating.…”

Submuscular Versus Subcutaneous Anterior Ulnar Nerve Transposition: A Rat Histologic Study

“…[31][32][33][34] Furthermore, Stuffer et al reported better clinical and electroneurologic results with subcutaneous in comparison to submuscular transposition. 35 Intramuscular and submuscular transpositions are more complicated procedures. Intramuscular transposition is associated with the poorest success and highest recurrence rates of any anterior transposition.…”