The Superiority of the Anterior Transposition Surgical Method to Decompression Proceduresin a Case of Secondary Cubital Entrapment Neuropathy

Cubital Entrapment Neuropathy (cubital tunnel syndrome) is a peripheral entrapment neuropathy coming right after the carpal tunnel syndrome in terms of frequency. It is twice as common in adult males as in females. We report our surgical experience with the anterior transposition method. A 41-year-old male patient presented to our clinic with symptoms of functional weakness of the right hand hypothenar region and 3rd- 4th intrinsic lumbrical muscles together with atrophy and claw finger symptom in the 4th and 5th fingers (Grade III) that had been increasing for the last 19 months. The patient underwent ulnar nerve decompression. There was no improvement 5 months after the surgery and anterior transposition of the ulnar nerve was therefore performed as secondary surgery. No complication occurred afterwards.The anterior transposition method used in our case with secondary cubital tunnel syndrome has a high success rate when performed properly although it is a more invasive intervention.While the only accepted treatment for idiopathic cubital tunnel syndrome is decompression, the anterior transposition method can be used for posttraumatic secondary cubital tunnel syndrome. Surgical Methods of Anterior Transposition for Secondary Cubital Entrapment vs. Decompression Procedures.