Anterior submuscular transposition of the ulnar nerves by the Learmonth technique

Tratamento da síndrome do túnel ulnar pela técnica da epicondilectomia parcial medial do cotovelo

“…O tratamento não cirúrgico consiste em fisioterapia, antiinflamatórios não hormonais, mudança das atividades e imobilização noturna com o cotovelo em flexão de 45º (11) . As opções de tratamento cirúrgico são diversas, iniciando pela neurólise do nervo ulnar (12) , transposição subcutânea (13)(14) , transposição submuscular (15)(16) , transposição intramuscular (8) e a epicondilectomia parcial medial (17)(18)(19)(20) . Uma das principais vantagens da neurólise do ulnar fundamenta-se na facilidade técnica do procedimento; todavia, é comum não obtermos sua plena liberação.…”

Cubital tunnel syndrome – endoscopic-assisted anterior submuscular transposition of the ulnar nerve: A feasibility study using a cadaver model

“…Various decompression techniques for the surgical management of cubital tunnel syndrome have been used in clinical practice for more than 70 years (2,6,7,9,(10)(11)16,19,20,23).…”

“…Factors predisposing patients to cubital tunnel syndrome include trauma, fractures, ganglions or congenitally sublaxating nerve (2,5). Surgery is usually indicated when the patient has sensory symptoms (ie, a positive percussion test over the ulnar nerve accompanied by reduction in the electrodiagnostic study parameters).…”

“…Suggested surgical techniques of ulnar nerve decompression at the cubital tunnel include simple in situ decompression of the ulnar nerve (6,7), anterior transposition of the ulnar nerve (subcutaneous [4,8], intermuscular [9] and submuscular [2,10]) and medial epicondylectomy of the humerus (3). Each technique is associated with certain advantages and disadvantages (11).…”

Frequency specific microcurrent resolves chronic pain and adhesions after ulnar transposition surgery

“…Postoperative perineural scarring is a signi icant problem following ulnar nerve transposition surgery and the prognosis following surgery is worse when signi icant scarring occurs [7]. Dense scarring has been associated with poor outcomes when ulnar nerve transposition fails to alleviate symptoms.…”