Study Shows Transposition Surgery Trending Better Than Decompression for Cubital Tunnel Syndrome

A study on cubital tunnel surgery published in October 2008 has some interesting results:

1. Transposition is better than decompression 
Odds of improvement with simple decompression versus anterior transposition were 0.751.  This indicates a trend toward an improved clinical outcome with transposition of the ulnar nerve as opposed to simple decompression.  In other words, transposition surgery has a slightly better success rate than decompression.

2. Subcutaneous = submuscular
The type of transposition technique (subcutaneous or submuscular) did not render a statistically significant result.  In other words, subcutaneous transposition surgery



has about the same success rate as submuscular transposition.

The report is called “Simple Decompression Versus Anterior Subcutaneous and Submuscular Transposition of the Ulnar Nerve for Cubital Tunnel Syndrome: A Meta-Analysis” written by Sheina A. Macadam, MD and others.  The study analyzed ten other studies involving a total of 449 simple decompressions, 342 subcutaneous transpositions, and 115 submuscular transpositions.

The report indicates a need for additional studies that use reproducible pre- and post-operative measures to produce a more definitive conclusion on which types of surgery are best for cubital tunnel syndrome.

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