Sixteen elbows of fourteen patients were analyzed five to sixty months
after treatment for ulnar neuritis or neuropathy by anterior transposition
of the ulnar nerve using a non-compressing fasciodermal sling to maintain
the anterior position. This procedure creates a septum in the mid-lateral
plane that lies posterior to the transposed nerve at the level of the
medial epicondyle. Unlike previous procedures, no structure other than
subcutaneous fat is located superficial to the nerve. Seven patients were
baseball pitchers who had experienced transient but severe ulnarnerve
paresthesias during the act of throwing. Of the sixteen extremities only
one, the limb of a severely diabetic patient with bilateral ulnar
neuropathy, was not relieved of preoperative complaints. There were no
complications. The procedure is simple, postoperative immobilization is
needed for only a brief period, and rehabilitation is rapid.