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Abdus S. Burahee The Peripheral Nerve Injury Service, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK

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Andrew D. Sanders The Peripheral Nerve Injury Service, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK

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Colin Shirley The Peripheral Nerve Injury Service, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK

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Dominic M. Power The Peripheral Nerve Injury Service, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK

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Introduction Cubital tunnel syndrome (CuTS) describes dysfunction of the ulnar nerve (UN) in the region of the elbow. It is the second most common compression neuropathy in the upper extremity, with 25 male and 19 female new cases per 100

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Abdus S. Burahee The Peripheral Nerve Injury Service, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK

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Andrew D. Sanders The Peripheral Nerve Injury Service, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK

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Dominic M. Power The Peripheral Nerve Injury Service, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK

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Introduction Cubital tunnel syndrome (CuTS) is the second most common compression neuropathy and affects the ulnar nerve at the elbow. Surgery is to be considered when conservative options have failed, when there is poor symptom control or

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Raul Barco Shoulder & Elbow Unit, Hospital Universitario La Paz, Paseo de la Castellana 261, Madrid 28046, Spain

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Samuel A. Antuña Shoulder & Elbow Unit, Hospital Universitario La Paz, Paseo de la Castellana 261, Madrid 28046, Spain

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failure can be a gradual process. 4 Medial elbow pain can be caused by ulnar nerve problems, which can include neuropathy and neuritis with or without nerve dislocation. The medial antebrachial cutaneous nerve (MABCN) has also been reported to be a

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Alfonso Vaquero-Picado Department of Orthopaedic Surgery, Hospital Universitario La Paz, Spain

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Gaspar González-Morán Department of Orthopaedic Surgery, Hospital Universitario La Paz, Spain

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Luis Moraleda Department of Orthopaedic Surgery, Hospital Universitario La Paz, Spain

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and anterior interosseous nerve (AIN) can be assessed with active flexion of the distal interphalangeal joint of index and thumb. For the radial nerve, thumb extension is usually easy to achieve, even in the young child. For ulnar nerve assessment, at

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Paulo Diogo Cunha Orthopedic Surgery Department, Hospital de Braga, Portugal

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Tiago P Barbosa Orthopedic Surgery Department, Hospital de Braga, Portugal

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Guilherme Correia Orthopedic Surgery Department, Hospital de Braga, Portugal

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Rafaela Silva Anesthesiology Department, Hospital de Braga, Portugal

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Nuno Cruz Oliveira Orthopedic Surgery Department, Hospital de Braga, Portugal

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Pedro Varanda Orthopedic Surgery Department, Hospital de Braga, Portugal
Life and Health Science Research Institute, University of Minho, Portugal

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Bruno Direito-Santos Orthopedic Surgery Department, Hospital de Braga, Portugal
Life and Health Science Research Institute, University of Minho, Portugal

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.03–0.1%, with the ulnar nerve and brachial plexus injuries being the most common ( 5 ). In a review, Uribe et al. identified that 17 out of 517 patients experienced postoperative brachial plexopathy when in the prone position and 44 after surgery in supine or

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Felix H. Savoie Tulane University, New Orleans, Louisiana, USA

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Michael O’Brien Tulane University, New Orleans, Louisiana, USA

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autograft in a figure-of-eight pattern via a flexor pronator mass detachment approach with sub-muscular transposition of the ulnar nerve. Since Jobe’s original description, numerous modifications of surgical technique have been designed to improve athletic

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Olga D. Savvidou First Department of Orthopedic Surgery, National and Kapodistrian University of Athens, Attikon Hospital, Athens, Greece

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Frantzeska Zampeli First Department of Orthopedic Surgery, National and Kapodistrian University of Athens, Attikon Hospital, Athens, Greece

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Panagiotis Koutsouradis Department of Orthopaedic Surgery, 417 Veterans Hospital (NIMTS), Athens, Greece

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George D. Chloros First Department of Orthopedic Surgery, National and Kapodistrian University of Athens, Attikon Hospital, Athens, Greece

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Aggelos Kaspiris Department of Trauma and Orthopaedics, Thriasio General Hospital-NHS, Athens, Greece

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Savas Sourmelis First Department of Orthopaedics, Hygeia Hospital, Athens, Greece

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Panayiotis J. Papagelopoulos First Department of Orthopedic Surgery, National and Kapodistrian University of Athens, Attikon Hospital, Athens, Greece

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-osseous tunnel, or due to hardware irritation. However, the true incidence of ulnar nerve dysfunction after elbow injury is unknown, since studies have not effectively distinguished acute injury-related, acute surgery-related, and delayed ulnar neuropathies and

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Mark F Siemensma Erasmus MC, University Medical Center Rotterdam, Department of Orthopaedics and Sports Medicine, 3000 CA, Rotterdam, The Netherlands

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Anna E van der Windt Erasmus MC, University Medical Center Rotterdam, Department of Orthopaedics and Sports Medicine, 3000 CA, Rotterdam, The Netherlands

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Eline M van Es Erasmus MC, University Medical Center Rotterdam, Department of Orthopaedics and Sports Medicine, 3000 CA, Rotterdam, The Netherlands

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Joost W Colaris Erasmus MC, University Medical Center Rotterdam, Department of Orthopaedics and Sports Medicine, 3000 CA, Rotterdam, The Netherlands

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Denise Eygendaal Erasmus MC, University Medical Center Rotterdam, Department of Orthopaedics and Sports Medicine, 3000 CA, Rotterdam, The Netherlands

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the likelihood of ulnar entrapment, especially in posttraumatic stiffness ( 15 ). Therefore, the ulnar nerve should be carefully examined for signs of either entrapment or instability, and the location in its sulcus should be carefully documented

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Lars B. Dahlin Department of Translational Medicine - Hand Surgery, Lund University, and Skåne University Hospital, Malmö, Sweden

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Mikael Wiberg Department of Surgical and Perioperative Science, University Hospital, and Department of Integrative Medical Biology, Umeå University, Sweden

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injury of the ulnar nerve at wrist level, a fascicular adaptation can be performed, since the sensory and motor nerve branches of that specific nerve are very well defined. After the primary nerve repair, the wound should be closed with interrupted skin

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Lars Adolfsson Department of Orthopaedics, University Hospital of Linköping, Sweden

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approach should be related to skin quality, placement of previous incisions and skin circulation. Severe scarring may call for plastic surgery with the use of local flaps or skin transplantation. Neurological assessment is imperative and the ulnar nerve

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