title: Ulnar neuropathy at the elbow: an evidence-based algorithm.
abstract: Ulnar neuropathy at the elbow is the second most common compression neuropathy of the upper extremity and poses a challenge for treating physicians. Lack of a standardized grading system, outcome measures, or surgical indications can make treatment decisions difficult to justify. Conclusions drawn from the available literature include similar rates of good to excellent outcomes for in situ decompression; transposition in the subcutaneous, submuscular, or intramuscular planes; and endoscopic decompression. Outcomes for revision surgery are generally less favorable. Development of standardized outcomes measures will be important in improving the quality and comparability of the literature on this subject.
authors.affiliation: Department of Orthopaedics, University of Rochester Medical Center, 601 Elmwood Avenue, Box 665, Rochester, NY 14642, USA.
authors.forename: Peter C
authors.initials: PC
authors.lastname: Chimenti
authors.forename: Warren C
authors.initials: WC
authors.lastname: Hammert
mesh_terms: D019299:Decompression, Surgical; D004550:Elbow / Q000294:innervation* / Q000601:surgery; D006801:Humans; D015201:Meta-Analysis as Topic; D016067:Nerve Transfer; D019635:Neurosurgical Procedures / Q000379:methods; D016032:Randomized Controlled Trials as Topic; D012720:Severity of Illness Index; D014459:Ulnar Nerve / Q000601:surgery; D020424:Ulnar Neuropathies / Q000145:classification / Q000503:physiopathology / Q000601:surgery*
keywords: Cubital tunnel syndrome; Endoscopic; Nerve compression; Nerve transposition; Ulnar nerve; Ulnar neuropathy