Compression can occur due to excessive pressure on the area where the ulnar nerve is located, such as from leaning the elbow on a desk for many hours, fracturing of the medial epicondyle, or even resting the elbow on the car window when driving long distances. Postoperative Guidelines. A proper protocol must be followed for the rehabilitation, which is further divided into various weeks and phases. Cristina I. Matei MD. Severe pain, mostly radiating from the elbow into the hand, is the main indication for subsequent surgery. Department of Neurology, Upstate Medical University, 750 East Adams Street, Syracuse, New York 13210, USA. The submuscular transposition offered the greatest decrease in ulnar nerve strain in flexion (10.3 %), followed by subcutaneous (9.2 %) and medial epicondylectomy (5.1 %) in flexion. The mean strain of the ulnar nerve after in situ decompression, subcutaneous transposition, submuscular transposition, and medical epicondylectomy are compared to the intact ulnar nerve (Table 1). The cross-section areas (CSA) and texture changes were recorded. 2015 Nov;187(11):998-1002. doi: 10.1055/s-0035-1553221. You will be placed in a splint at the time of surgery. Ulnar nerve transposition is performed in patients in whom the ulnar nerve is compressed against the medial epicondyle. Following this intervention, you will require follow-up in order to receive appropriate guidelines for your recovery. The patients who had submuscular ulnar nerve transposition have to undergo rehabilitation after surgery. Evaluation of patients with recurrent symptoms after ulnar nerve transposition. During your follow-up meeting, you will be told when it’s ok to resume driving. When can I start driving again after an ulnar nerve decompression procedure? MATERIALS AND METHODS: We present the data of 8 subjects with persisting symptoms after nerve transposition due to compressive neuropathy. Objective: Fifty-eight percent of patients who had undergone surgery for ulnar neuropathy at the elbow experienced pain after surgery. This study was performed to define the usefulness of ultrasound in patients with persisting symptoms after ulnar nerve transposition. The splint should remain on until your first postoperative visit which will be 8-14 days after surgery and will be on your discharge paperwork. Ulnar Nerve Transposition Download PDF. In cases of secondary ulnar neuropathy after nerve transposition, ultrasound can reliably assess the actual "situation" of the nerve and thus at least ease the decision for secondary surgery. Rofo .
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