What are the indications for ulnar nerve decompression with anterior transposition in ulnar neuropathy?

Updated: Jun 08, 2018
  • Author: Charles F Guardia, III, MD; Chief Editor: Nicholas Lorenzo, MD, MHA, CPE  more...
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Answer

Indications for ulnar nerve decompression with anterior transposition include the following:

  • Unsuitable bed for the nerve secondary to the presence of osteophytes

  • Tumor

  • Ganglion

  • Accessory anconeus epitrochlearis

  • Heterotopic bone

  • Significant bursal tissue or other mass

  • Significant tension on the ulnar nerve as indicated by a positive elbow flexion test result or symptoms aggravated by activities requiring flexion

  • Subluxation of the ulnar nerve with elbow flexion

  • Deformity at the elbow secondary to a valgus elbow or a tardy ulnar palsy [160, 3]

  • Valgus instability at the elbow


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