Thirty patients ranging in age from twenty-five to seventy-seven years
old underwent medial epicondylectomy with anterior transposition of the
ulnar nerve for the cubital tunnel syndrome. Presenting symptoms invariably
included hypesthesia in the hand; other common complaints included
dysesthesia and weakness of grip. The preoperative nerve-conduction
velocity was slowed in all the patients studied. Postoperative responses in
all patients included almost immediate relief of pain, no limitation of
range of motion of the elbow, and a return to normal of nerve-condition
velocity in all but two of the patients tested. The procedure is
recommended for patients with cubital tunnel syndrome associated with
abnormal nerve-conduction velocity.