Medial epicondylectomy or ulnar-nerve transposition for ulnar neuropathy at the elbow

Description: 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.
Medial epicondylectomy or ulnar-nerve transposition for ulnar neuropathy at the elbow? Geutjens GG, Langstaff RJ, Smith NJ, Jefferson D, Howell CJ, Barton NJ. J Bone Joint Surg Br. 1996 Sep;78(5):777-9. Full text