RT Journal
A1 Richard, Marc J.
A1 Ruch, David S.
T1 Traumatic Valgus Instability of the Elbow
JF The Journal of Bone & Joint Surgery
JO The Journal of Bone & Joint Surgery
YR 2009
FD May 1
VO 91
IS 5
SP 1275
OP 1275
DO 
UL http://dx.doi.org/
AB 
Vitale and Ahmad documented that newer muscle-splitting and docking techniques of ulnar collateral ligament reconstruction without obligatory transposition of the ulnar nerve led to improved outcomes and lower rates of ulnar neuropathy1. Closer examination of this review article shows that other authors have found the rates of ulnar neuropathy associated with subcutaneous or subfascial transpositions to be much lower than the rates associated with submuscular transposition, as was routinely performed with earlier techniques2,3. We performed subfascial ulnar nerve transposition in all of our patients. Preoperative ulnar neuropathy was the reason for the transposition in three of these patients. Seven patients had extensive mobilization of the ulnar nerve to facilitate ligament repair and underwent transposition because of subluxation of the nerve. In the final patient, the ulnar nerve was transposed because of concern that it would be irritated by the suture material utilized for the ligament repair.