The Treatment of the Cubital Tunnel Syndrome Using the Anterior Transposition Surgical Technique

Abstract

Introduction: The paper aims to present the advantages and disadvantages related to using the anterior transposition technique for the treatment of the cubital tunnel syndrome. Materials and Methods: The study presents the surgical treatment of a 58 years old woman. The therapeutic protocol included the decompression of the ulnar nerve at the level of the elbow, followed by the anterior transposition, the new position being maintained by anchoring in a fascial sling. Results: The electromyographic evaluation performed 12 months after the surgical intervention indicated that the parameters of motor nerve conduction were within normal limits on all segments, normal sensory velocities from the V finger, orthodromic and from the dorsal branch, sign of a very good postoperative recovery. Conclusions: Anterior transposition of the ulnar nerve may be a firm solution for the treatment of the compressive ulnar neuropathies located at the level of the elbow.

Keywords

• cubital tunnel syndrome
• ulnar nerve transposition
• compression syndrome
• fascial sling