Evidence map›Paper›PMID 40742668›Full record

ArticleMusculoskeletal surgery2026

Management of the ulnar nerve using an adipofascial flap in elbow surgery.

A Greco, L L Marcovici, I Molayem, C Amendola, A Pagnotta

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Article in Musculoskeletal surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

A GrecoJewish Hospital of Rome, Rome, Italy. a.greco.md.phd@gmail.com.
L L MarcoviciJewish Hospital of Rome, Rome, Italy.
I MolayemJewish Hospital of Rome, Rome, Italy.
C AmendolaSapienza University of Rome, Rome, Italy.
A PagnottaJewish Hospital of Rome, Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeUlnar nerve entrapment is a common condition, with a recurrence rate after surgery reaching up to 25%. In such cases, treatment remains controversial. During elbow surgery, management of the ulnar nerve and performing neurolysis are often the initial steps, even in the absence of clear symptoms. In this study, we assessed the clinical applicability of using an adipofascial flap to cover the nerve during elbow surgery.

methodsA retrospective study of 53 patients with elbow conditions who underwent surgery between December 2020 and December 2023 was performed. All patients received an X-ray of the elbow and electromyography (ENMG). The following scores were recorded: NRS, MEPS, and McGowan, both preoperatively and at the 1-year follow-up.

resultsThe NRS score decreased from 7.9 ± 0.8 (range: 6-9) to 2.8 ± 1.3 (range: 0-7) at the 1-year follow-up. MEPS improved from 70.7 ± 15.9 (range: 20-100) to 96.5 ± 7.2 (range: 70-100), indicating reduced pain and improved elbow function. The McGowan scale showed improvements in 49 out of 53 cases. All patients, except one, were satisfied with the surgery, and no recurrence of ulnar nerve-related pain was observed.

conclusionPreliminary results suggest that covering the ulnar nerve with an adipofascial flap following neurolysis and/or anterior transposition is an effective method for managing ulnar nerve entrapment. It appears to help prevent post-surgical complications and adhesions, which are the main causes of the high recurrence rates reported in the literature.

Indexed as

ElbowSurgical FlapsUlnar NerveUlnar Nerve Compression SyndromesAdultAgedFemaleHumansMaleMiddle AgedRetrospective StudiesTreatment OutcomeAdipofascial flapElbow surgeryNerve entrapmentNerve neuropathyUlnar nerve

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.