ArticleJournal of hand surgery global online2025
Outcomes of Posterior Oblique Medial Epicondylectomy for the Treatment of Cubital Tunnel Syndrome.
Article in Journal of hand surgery global online, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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5 authors.
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Abstract
Purpose: To evaluate the clinical outcomes and complication rates after posterior oblique medial epicondylectomy for the treatment of cubital tunnel syndrome (CuTS) and assess its efficacy in improving motor and sensory function with minimal postoperative morbidity. Methods: We retrospectively reviewed 48 patients (51 extremities) with CuTS who underwent posterior oblique medial epicondylectomy between 2015 and 2023. All surgeries were performed by a single senior surgeon. Patients were assessed before surgery and at a mean follow-up of 22 months by using the McGowan grading system, the Wilson and Krout classification, grip and pinch strength, two-point discrimination, Quick Disabilities of the Arm, Shoulder, and Hand, and visual analog scale scores. Statistical analysis included the Fisher exact test and the Wilcoxon signed-rank sum test. Results: After surgery, 90% of extremities improved by at least one McGowan grade. Wilson and Krout grading revealed outcomes of "excellent" in 31 patients, "good" in 17 patients, and "fair" in 3 patients. Significant improvements occurred in two-point discrimination (ring/little finger: from 12 to 6 mm) ( Conclusions: Posterior oblique medial epicondylectomy for CuTS yielded favorable outcomes with significant improvement in motor and sensory function and minimal complications. This technique may offer advantages over traditional medial epicondylectomy by preserving elbow stability and enabling early active range of motion during the postoperative period. Clinical relevance: Therapeutic IV.
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