title: ELBOW ULNAR NEUROPATHY: TREATMENT BY ANTERIOR TRANSPOSITION OF THE ULNAR NERVE.
abstract: OBJECTIVE
  Retrospective clinical evaluation of 31 patients who underwent ulnar nerve decompression at the elbow and subcutaneous anterior transposition.
  
  
  METHODS
  From January 2000 to December 2013, 71 patients underwent subcutaneous anterior transposition of the ulnar nerve. Thirty-one patients returned for evaluation. The mean follow-up period was 60 months. Patients were evaluated for the degree of satisfaction after surgery, paresthesia, pain, Tinel sign, Froment test and sensitivity test by esthesiometer, muscle strength of the intrinsic muscles and deep flexor of the fifth digit, visual analogic pain scale (VAS) and were subjected to the QuickDash questionnaire.
  
  
  RESULTS
  Thirty-nine per cent of patients had compression on the right side and 61% on the left side. Sixty-one percent were idiopathic, 35% post traumatic and 3% had Poems syndrome. Forty-eight per cent of patients were very much satisfied after surgery and 52% were satisfied. Forty-eight per cent had paresthesia after surgery and 52% did not.
  
  
  CONCLUSIONS
  The ulnar neurolysis of the cubital tunnel with anterior subcutaneous transposition is a safe and effective technique for treating idiopathic or post-traumatic compressive neuropathy, with high success rate and excellent function for activities of daily living.Level of Evidence IV, Case Series.
authors.affiliation: . Hospital Lifecenter, Belo Horizonte, MG, Brazil.
authors.forename: Antonio Tufi
authors.initials: AT
authors.lastname: Neder
authors.affiliation: . Hospital Ortopédico, Belo Horizonte, MG, Brazil.
authors.forename: Regina de Azevedo
authors.initials: RA
authors.lastname: Alves
authors.affiliation: . Hospital Ortopédico, Belo Horizonte, MG, Brazil.
authors.forename: Arlindo Gomes
authors.initials: AG
authors.lastname: Pardini
authors.affiliation: . Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto. Ribeirão Preto, SP, Brazil.
authors.forename: Marcelo
authors.initials: M
authors.lastname: Riberto
authors.affiliation: . Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto. Ribeirão Preto, SP, Brazil.
authors.forename: Milton
authors.initials: M
authors.lastname: Mazer
keywords: Cubital tunnel syndrome; Elbow; Nerve block; Ulnar nerve