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Answer to your Health Question

Question (10/05/2012):

Title: Can the ulnar nerve become entrapped again years later?

6 years ago I had surgery for ulnar nerve entrapment.

After surgery I had the feelings back on my fingers and my elbow no longer hurt when it was propped up or laid down on a hard surface.

In the last 3 days I'm having severe pain in my elbow in the exact same spot as before my surgery 6 years ago but no numbness in my fingers this time.

My question is: Is possible to have ulnar nerve entrapment years after having surgery for it before?

Can the ulnar nerve become entrapped again years later?

Answer:

Thank you very much for your question.

Optimal surgical management of cubital tunnel syndrome (Ulnar Nerve Entrapment at the Elbow) remains uncertain despite the publication of numerous case series, observational studies, systematic reviews, and, in recent years, randomized controlled studies.

There is a trend toward an improved clinical outcome with transposition of the ulnar nerve as opposed to simple decompression.

There were no recurrences with Anterior submuscular transposition of the ulnar nerve in a 1995 clinical study of Pasque CB and Rayan GM, all patients had either fair or poor pre-operative grades. 84% had excellent or good post-operative grades and only 16% had fair grades.


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