What is the efficacy of medial epicondylectomy for 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

Seradge found flexion contractures after medial epicondylectomy in 5% of patients who started rehabilitation at an average of postoperative day 3 and in 52% of patients who started rehabilitation at an average of postoperative day 14. [90, 91] Patients in the early mobilization group returned to work twice as early as those in the late mobilization group did, and they experienced no adverse effects on their grip strength or other hand functions.

Weirich studied 36 patients who underwent subcutaneous transposition and found no differences in pain relief, weakness, patient satisfaction, grip strength, lateral pinch, or two-point discrimination between patients who were started on immediate active ROM exercises and those who started rehabilitation an average of 14 days postoperatively. [182] Patients in the immediate-mobilization group returned to work and performed activities of daily living earlier (median, 1 month) than those in the delayed-mobilization group (median, 2.75 months).


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