• A Nabhan, F Ahlhelm, J Kelm, W Reith, K Schwerdtfeger, and W I Steudel.
• Department of Neurosurgery, University Hospital of Saarland, Homburg, Germany.
• J Hand Surg Eur Vol. 2005 Oct 1;30(5):521-4.

AbstractThe purpose of this prospective randomised study was to evaluate which operative technique for treatment of cubital tunnel syndrome is preferable: subcutaneous anterior transposition or nerve decompression without transposition. This study included 66 patients suffering from pain and/or neurological deficits with clinically and electromyographically proven cubital tunnel syndrome. Thirty-two patients underwent nerve decompression without transposition and 34 underwent subcutaneous transposition of the nerve. Follow-up examinations evaluating pain, motor and sensory deficits as well as motor nerve conduction velocities, were performed 3 and 9 months postoperatively. There were no significant differences between the outcomes of the two groups at either postoperative follow-up examination. We recommend simple decompression of the nerve in cases without deformity of the elbow, as this is the less invasive operative procedure.

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