COMPARISON OF THE OUTCOME OF ANTERIOR TRANSPOSION OF THE ULNAR NERVE VERSUS SIMPLE DECOMPRESSION IN CUBITAL TUNNEL SYNDROME
Fouad, W., Zidan, I., El-sherif, S., Diaf, O., Ibrahim Ghaly, K. (2025). COMPARISON OF THE OUTCOME OF ANTERIOR TRANSPOSION OF THE ULNAR NERVE VERSUS SIMPLE DECOMPRESSION IN CUBITAL TUNNEL SYNDROME. EKB Journal Management System, 7(3), 16-17. doi: 10.21608/alexpo.2025.405816.2222
Wael Ahmed Fouad; Ihab Zidan; sherine El-sherif; Osama Ahmed Diaf; Khaled Abdelrahman Ibrahim Ghaly. "COMPARISON OF THE OUTCOME OF ANTERIOR TRANSPOSION OF THE ULNAR NERVE VERSUS SIMPLE DECOMPRESSION IN CUBITAL TUNNEL SYNDROME". EKB Journal Management System, 7, 3, 2025, 16-17. doi: 10.21608/alexpo.2025.405816.2222
Fouad, W., Zidan, I., El-sherif, S., Diaf, O., Ibrahim Ghaly, K. (2025). 'COMPARISON OF THE OUTCOME OF ANTERIOR TRANSPOSION OF THE ULNAR NERVE VERSUS SIMPLE DECOMPRESSION IN CUBITAL TUNNEL SYNDROME', EKB Journal Management System, 7(3), pp. 16-17. doi: 10.21608/alexpo.2025.405816.2222
Fouad, W., Zidan, I., El-sherif, S., Diaf, O., Ibrahim Ghaly, K. COMPARISON OF THE OUTCOME OF ANTERIOR TRANSPOSION OF THE ULNAR NERVE VERSUS SIMPLE DECOMPRESSION IN CUBITAL TUNNEL SYNDROME. EKB Journal Management System, 2025; 7(3): 16-17. doi: 10.21608/alexpo.2025.405816.2222

COMPARISON OF THE OUTCOME OF ANTERIOR TRANSPOSION OF THE ULNAR NERVE VERSUS SIMPLE DECOMPRESSION IN CUBITAL TUNNEL SYNDROME

ALEXMED ePosters
Article 1, Volume 7, Issue 3, July 2025, Pages 16-17
Document Type: Preliminary preprint short reports of original research
DOI: 10.21608/alexpo.2025.405816.2222
Authors
Wael Ahmed Fouad1; Ihab Zidan2; sherine El-sherif3; Osama Ahmed Diaf2; Khaled Abdelrahman Ibrahim Ghaly* 4
1Department of Neurosurgery, Faculty of Medicine, Alexandria University
2Department of Neurosurgery, Faculty of Medicine, Alexandria University
3Department of Physical Medicine, Rheumatology and Rehabilitation, Faculty of Medicine, Alexandria University
4Department of Neurosurgery, faculty of medicine , university of Alexandria.
Abstract
Introduction :
Cubital Tunnel Syndrome (CuTS) is the second most common compressive neuropathy of the upper limb, characterized by ulnar nerve entrapment at the elbow. Patients typically present with sensory disturbances (numbness, tingling in the fourth and fifth fingers) and motor deficits (weakness, muscle atrophy). When conservative treatments fail, surgical intervention becomes necessary to prevent irreversible nerve damage.

The two primary surgical approaches are *simple decompression* (releasing the nerve without repositioning) and *anterior submuscular transposition* (relocating the nerve anteriorly to reduce tension). While transposition was historically preferred for severe cases, recent studies suggest comparable efficacy for decompression in mild-to-moderate CuTS. However, debate persists regarding optimal technique selection, complication rates, and long-term outcomes.

This study prospectively compares these techniques in 30 patients, evaluating clinical improvement, electrophysiological recovery, and ultrasonographic changes. By analyzing postoperative outcomes, we aim to clarify the superiority of one method over the other, guiding surgical decision-making for CuTS management.
Keywords
Ulnar; nerve; entrapment
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