Abstract
The minimal medial epicondylectomy is a reliable alternative surgical technique for the management of primary or recurrent cubital tunnel syndrome. This technique can address the compressive and tensile forces on the ulnar nerve without excessive devascularization of the ulnar nerve as compared to other ulnar nerve transposition techniques. Sensory and motor impairments for patients with cubital tunnel can be improved after minimal medial epicondylectomy. However, it is important to preserve the anterior band of the medial collateral ligament by excising less than 20% of medial epicondyle in the coronal plane to avoid the potential complication of medial elbow instability.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Adkinson JM, Zhong L, Aliu O, Chung KC. Surgical treatment of cubital tunnel syndrome: trends and the influence of patient and surgeon characteristics. J Hand Surg Am. 2015;40(9):1824–31.
Ogata K, Manske PR, Lesker PA. The effect of surgical dissection on regional blood flow to the ulnar nerve in the cubital tunnel. Clin Orthop Relat Res. 1985;193:195–8.
Heithoff SJ, Millender LH, Nalebuff EA, Petruska AJ Jr. Medial epicondylectomy for the treatment of ulnar nerve compression at the elbow. J Hand Surg Am. 1990;15(1):22–9.
Bednar MS, Blair SJ, Light TR. Complications of the treatment of cubital tunnel syndrome. Hand Clin. 1994;10(1):83–92.
King T, Morgan FP. Late results of removing the medial humeral epicondyle for traumatic ulnar neuritis. J Bone Joint Surg Br. 1959;41(1):51–5.
Popa M, Dubert T. Treatment of cubital tunnel syndrome by frontal partial medial epicondylectomy: a retrospective series of 55 cases. J Hand Surg Br. 2004;29(6):563–7.
Kaempffe FA, Farbach J. A modified surgical procedure for cubital tunnel syndrome: partial medial epicondylectomy. J Hand Surg Am. 1998;23(3):492–9.
Muermans S, De Smet L. Partial medial epicondylectomy for cubital tunnel syndrome: outcome and complications. J Shoulder Elbow Surg. 2002;11(3):248–52.
Amako M, Nemoto K, Kawaguchi M, Kato N, Arino H, Fujikawa K. Comparison between partial and minimal medial epicondylectomy combined with decompression for the treatment of cubital tunnel syndrome. J Hand Surg Am. 2000;25(6):1043–50.
O’Driscoll SW, Jaloszynski R, Morrey BF, An KN. Origin of the medial ulnar collateral ligament. J Hand Surg Am. 1992;17(1):164–8.
Gobel F, Musgrave DS, Vardakas DG, Vogt MT, Sotereanos DG. Minimal medial epicondylectomy and decompression for cubital tunnel syndrome. Clin Orthop Relat Res. 2001;(393):228–36.
Kim KW, Lee HJ, Rhee SH, Baek GH. Minimal epicondylectomy improves neurologic deficits in moderate to severe cubital tunnel syndrome. Clin Orthop Relat Res. 2012;470(5):1405–13.
Osei DA, Padegimas EM, Calfee RP, Gelberman RH. Outcomes following modified oblique medial epicondylectomy for treatment of cubital tunnel syndrome. J Hand Surg Am. 2013;38(2):336–43.
Erol B, Tetik C, Sirin E. The mid-term results of minimal medial epicondylectomy and decompression for cubital tunnel syndrome. Acta Orthop Traumatol Turc. 2004;38(5):330–6.
Jarrett CD, Papatheodorou LK, Sotereanos DG. Cubital tunnel syndrome. Instr Course Lect. 2017;15(66):91–101.
Rogers MR, Bergfield TG, Aulicino PL. The failed ulnar nerve transposition. Etiology and treatment. Clin Orthop Relat Res. 1991;269:193–200.
Dellon AL. Techniques for successful management of ulnar nerve entrapment at the elbow. Neurosurg Clin N Am. 1991;2(1):57–73.
Wilson DH, Krout R. Surgery of ulnar neuropathy at the elbow: 16 cases treated by decompression without transposition. J Neurosurg. 1973;38(6):780–5.
Baek GH, Kwon BC, Chung MS. Comparative study between minimal medial epicondylectomy and anterior subcutaneous transposition of the ulnar nerve for cubital tunnel syndrome. J Shoulder Elbow Surg. 2006;15(5):609–13.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2020 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Papatheodorou, L.K., Vardakas, D.G., Sotereanos, D.G. (2020). Minimal Medial Epicondylectomy. In: Sotereanos, D., Papatheodorou, L. (eds) Compressive Neuropathies of the Upper Extremity. Springer, Cham. https://doi.org/10.1007/978-3-030-37289-7_16
Download citation
DOI: https://doi.org/10.1007/978-3-030-37289-7_16
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-37288-0
Online ISBN: 978-3-030-37289-7
eBook Packages: MedicineMedicine (R0)