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The Journal of Bone & Joint Surgery British Volume
Vol. 78-B, Issue 5 | Pages 777 - 779
1 Sep 1996
Geutjens GG Langstaff RJ Smith NJ Jefferson D Howell CJ Barton NJ

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.