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Wheeless' Textbook of Orthopaedics

Cubital tunnel syndrome. Treatment by medial epicondylectomy


Craven-PR Jr; Green-DP J-Bone-Joint-Surg-Am. 1980 Sep; 62(6): 986-9 Thirty patients ranging in age from twenty-five to seventy-seven years old underwent medial epicondylectomy with anterior transposition of the ulnar nerve for the cubital tunnel syndrome. Presenting symptoms invariably included hypesthesia in the hand; other common complaints included dysesthesia and weakness of grip. The preoperative nerve-conduction velocity was slowed in all the patients studied. Postoperative responses in all patients included almost immediate relief of pain, no limitation of range of motion of the elbow, and a return to normal of nerve-condition velocity in all but two of the patients tested. The procedure is recommended for patients with cubital tunnel syndrome associated with abnormal nerve-conduction velocity.



Original Text by Clifford R. Wheeless, III, MD.