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Revista Brasileira de Ortopedia
On-line version ISSN 1982-4378
VIVEIROS, Marcio Eduardo de Melo et al. Treatment of cubital tunnel syndrome using the technique of medial partial epicondylectomy of the elbow. Rev. bras. ortop. [online]. 2008, vol.43, n.11-12, pp.490-496. ISSN 1982-4378. http://dx.doi.org/10.1590/S0102-36162008001100004.
OBJECTIVE: The authors made a retrospective analysis of the results of 21 cases of cubital syndrome that were surgically treated with the partial medial epicondylectomy. METHODS: From February 2001 to October 2006, 21 patients with cubital tunnel syndrome were treated with the technique of elbow partial medial epicondylectomy associated to neurolysis of the ulnar nerve. Of these patients, 12 (57.1%) were male. The right side was involved in 15 (71.4%). Mean age of the patients was 51.6 years. According to McGowan classification, six (28.6%) patients were grade I, 11 (52.3%), grade II, and four (19.1%), grade III in the preoperative period. RESULTS: The mean post-operative follow-up time was 25.7 months. In the post-operative period, patients were evaluated according to the Bishop score scale, and nine of them (42.8%) showed excellent results, seven (33.3%) had good results, three (14.2%), regular, and two patients (9.5%) had poor results. The authors did not find in this series any complications represented by residual valgus instability, permanent lesion of the ulnar nerve, recurrent compression, or subluxation of the ulnar nerve. Complications found were the loss of the movement arch in one case (4.7%), superficial infection in one case (4.7%), and residual pain in one case (4.7%). CONCLUSION: The results allow for the conclusion that partial medial epicondylectomy of the elbow associated to neurolysis of the ulnar nerve is effective and safe to treat cubital tunnel syndrome.
Keywords : Cubital tunnel syndrome [surgery]; Tennis elbow [surgery]; Retrospective studies.