Turkish Neurosurgery 2011 , Vol 21 , Num 2
Simple Decompression of the Ulnar Nerve at the Elbow Via Proximal and Distal Mini Skin Incisions
Tarkan CALISANELLER1, Ozgur OZDEMIR1, Hakan CANER2, Nur ALTINORS2
1Baskent University, Faculty of Medicine, Department of Neurosurgery, Konya, Turkey
2Baskent University, Faculty of Medicine, Department of Neurosurgery, Ankara, Turkey
DOI : 10.5137/1019-5149.JTN.1687-08.1 The purpose of the present study was to describe a new minimally invasive surgical technique for decompression of the ulnar nerve at the elbow for treatment of cubital tunnel syndrome. Four patients underwent surgical treatment for cubital tunnel syndrome. Preoperative clinical states were classified by using the McGowan grading system and the postoperative states were recorded by using the Wilson and Krout grading system. Preoperative and last follow-up electromyographic results were also recorded. At the last follow-up, three patients were recorded as excellent and one patient was recorded as good according to Wilson and Krout grading system. One patient showed improvement in sensory nerve conduction velocity another showed improvement in motor nerve conduction velocity at the last follow-up. We conclude that simple decompression of the ulnar nerve at elbow via proximal and distal mini skin incisions is an effective, technically simple and safe surgical method in the treatment of cubital tunnel syndrome. Keywords : Cubital tunnel syndrome, Minimally invasive surgery, Ulnar nerve decompression
Corresponding author : Tarkan Calřsaneller, tarkan_ca@yahoo.com