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J Hand Surg Eur Vol · Dec 2004
Treatment of cubital tunnel syndrome by frontal partial medial epicondylectomy. A retrospective series of 55 cases.
- M Popa and Th Dubert.
- Urgences Main de l'Est Parisien, Clinique la Francilienne, 16 Avenue de l'Hôtel de Ville, 77340 Pontault-Combault, France.
- J Hand Surg Eur Vol. 2004 Dec 1; 29 (6): 563-7.
AbstractThe outcomes of 55 cases of cubital tunnel syndrome treated by a partial frontal epicondylectomy are presented at a mean follow-up of 38 months follow-up. According to McGowan classification, 25 cases were grade I (45%), 12 grade II (22%) and 18 grade III (33%). The results (Wilson and Krout classification) were excellent or good in 41 patients (75%), fair in nine patients and unchanged in five, without any worsening or recurrence. Total relief was reported in 80% of grade I, 75% of grade II and 66% of grade III patients. Seven painful scars and one persistent 15( composite function) elbow extension deficit were the only complications. The satisfaction rate was 93%. This technique preserves bony protection, the blood supply and gliding tissues for the nerve and nerve recovery were comparable to other surgical procedures. Residual pain at the osteotomy site was not a serious problem.
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