MEDIAL EPICONDYLECTOMY OR ULNAR-NERVE TRANSPOSITION FOR ULNAR NEUROPATHY AT THE ELBOW?

G. G. Geutjens; R. J. Langstaff; N. J. Smith; D. Jefferson; C. J. Howell; N. J. Barton

doi:10.1302/0301-620X.78B5.0780777

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MEDIAL EPICONDYLECTOMY OR ULNAR-NERVE TRANSPOSITION FOR ULNAR NEUROPATHY AT THE ELBOW?

G. G. Geutjens
R. J. Langstaff
N. J. Smith
D. Jefferson
C. J. Howell
N. J. Barton

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MEDIAL EPICONDYLECTOMY OR ULNAR-NERVE TRANSPOSITION FOR ULNAR NEUROPATHY AT THE ELBOW?

Geutjens GG, Langstaff RJ, Smith NJ, Jefferson D, Howell CJ, Barton NJ. MEDIAL EPICONDYLECTOMY OR ULNAR-NERVE TRANSPOSITION FOR ULNAR NEUROPATHY AT THE ELBOW?. J Bone Joint Surg Br. 1996;78-B(5):777-779. doi:10.1302/0301-620X.78B5.0780777

Geutjens, G. G., et al. “MEDIAL EPICONDYLECTOMY OR ULNAR-NERVE TRANSPOSITION FOR ULNAR NEUROPATHY AT THE ELBOW?.” The Journal of Bone & Joint Surgery British Volume, vol. 78-B, no. 5, 1996, pp. 777-779., https://doi.org/10.1302/0301-620X.78B5.0780777

Geutjens, G. G., Langstaff, R. J., Smith, N. J., Jefferson, D., Howell, C. J., & Barton, N. J. (1996). MEDIAL EPICONDYLECTOMY OR ULNAR-NERVE TRANSPOSITION FOR ULNAR NEUROPATHY AT THE ELBOW?. The Journal of Bone & Joint Surgery British Volume, 78-B(5), 777-779. https://doi.org/10.1302/0301-620X.78B5.0780777

Geutjens, G. G., Langstaff, R. J., Smith, N. J., Jefferson, D., Howell, C. J. and Barton, N. J. (1996) “MEDIAL EPICONDYLECTOMY OR ULNAR-NERVE TRANSPOSITION FOR ULNAR NEUROPATHY AT THE ELBOW?.” The Journal of Bone & Joint Surgery British Volume, 78-B(5), pp. 777-779. Available at: https://doi.org/10.1302/0301-620X.78B5.0780777

Geutjens, G. G., R. J. Langstaff, N. J. Smith, D. Jefferson, C. J. Howell, and N. J. Barton. “MEDIAL EPICONDYLECTOMY OR ULNAR-NERVE TRANSPOSITION FOR ULNAR NEUROPATHY AT THE ELBOW?.” The Journal of Bone & Joint Surgery British Volume 78-B, no. 5 (1996): 777-779. https://doi.org/10.1302/0301-620X.78B5.0780777

Geutjens GG, Langstaff RJ, Smith NJ, Jefferson D, Howell CJ, Barton NJ. MEDIAL EPICONDYLECTOMY OR ULNAR-NERVE TRANSPOSITION FOR ULNAR NEUROPATHY AT THE ELBOW?. J Bone Joint Surg Br. 1996 Sep 1;78-B(5):777-779. https://doi.org/10.1302/0301-620X.78B5.0780777

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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.

Correspondence should be sent to Mr G. G. Geutjens at Flat 3, 19 Newcastle Drive, The Park, Nottingham NG7 1AA, UK.

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