Evidence-Based Orthopaedics   |    
Simple Decompression Did Not Differ from Simple Decompression Plus Anterior Transposition of the Nerve for Cubital Tunnel Syndrome

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For correspondence:
Dr. F. Ahlhelm,
Department of Neuroradiology, University of
Saarland, 66421 Homburg, Germany. E-mail
address: frah1@gmx.de
Nabhan A, Ahlhelm F, Kelm J, Reith W, Schwerdtfeger K, Steudel WI. Simple Decompression or Subcutaneous Anterior Transposition of the Ulnar Nerve for Cubital Tunnel Syndrome.
J Hand Surg [Br]
. 2005 Oct;30:521-4.

The Journal of Bone and Joint Surgery, Incorporated
J Bone Joint Surg Am, 2006 Aug 01;88(8):1893-1893. doi: 10.2106/JBJS.8808.ebo1
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Question: In patients with cubital tunnel syndrome, what is the effectiveness of simple decompression compared with decompression plus anterior subcutaneous transposition of the ulnar nerve?Design: Randomized (unclear allocation concealment), blinded (outcome assessors), controlled trial with 9-month follow-up.Setting: A university hospital in Homburg, Germany.Patients: 66 patients (mean age, 52 y; 58% men) who had clinical and electrophysiological evidence of ulnar neuropathy as well as persistent pain and progressive motor and sensory deficits despite conservative treatment. Exclusion criteria were severe cervical spine and shoulder disease, previous trauma to the elbow causing deformity or distortion of the cubital tunnel, or recurrent cubital tunnel syndrome after previous surgery. Follow-up was 98%.
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