The Journal of Bone and Joint Surgery (American). 2007;89:1108-1116.
doi:10.2106/JBJS.F.00594
© 2007 The Journal of Bone and Joint Surgery, Inc.
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Current Concepts Review

The Ulnar Nerve in Elbow Trauma

Robert Shin, MD1 and David Ring, MD1

1 Massachusetts General Hospital, Yawkey Center, Suite 2100, 55 Fruit Street, Boston, MA 02114. E-mail address for D. Ring: dring@partners.org

The first 150 words of the full text of this article appear below.


   Introduction
 

  • Formula The prevalence of ulnar nerve dysfunction after elbow injury is unknown because authors of published investigations have inadequately differentiated among acute injury-related, acute surgery-related, and delayed (subacute or chronic) ulnar neuropathies and these retrospective case series have not included careful evaluation of ulnar nerve function.
  • Formula Ulnar neuropathy is well documented after distal humeral fracture, but it can also develop following any complex elbow trauma.
  • Formula The ulnar nerve should be identified and protected during the treatment of a bicolumnar fracture of the distal part of the humerus, but current data are inconclusive regarding the value of routine anterior transposition of the nerve.
  • Formula Although most delayed ulnar neuropathies present at a relatively late stage with weakness, with or without muscle atrophy, improved motor strength may be observed in some patients many years after ulnar nerve decompression.
  • Formula Ulnar nerve decompression and transposition are becoming an integral part of many posttraumatic . . . [Full Text of this Article]


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