McGOWAN, J Bone Joint Surg Br 1950 - The Results of Transposition of the Ulnar Nerve for Traumatic Ulnar Neuritis

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The Results of Transposition of the Ulnar Nerve for Traumatic Ulnar Neuritis

McGOWAN·J Bone Joint Surg Br·1950·453 citations·Case series

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1. The progress of recovery after transposition of the ulnar nerve has been studied in 46 patients with ulnar neuritis of traumatic or mechanical origin. 2. In assessing the results, the lesions were divided into 3 grades according to the severity of the neurological signs: Grade I, minimal lesions with no detectable motor weakness; Grade II, intermediate lesions; Grade III, severe lesions with paralysis of one or more of the ulnar intrinsic muscles. 3. The earliest and most constant result after operation was the relief of discomfort and ulnar paraesthesiae. 4. The degree of motor recovery varied according to the severity of the lesion at the time of the operation. In Grades I and II cases, all the muscles (with one exception) were acting against gravity and resistance at the final examination. In Grade III cases, the recovery was usually far from complete. Recovery of sensibility was uniformly good. 5. In a further 6 patients with persistent symptoms after transposition, relief was obtained by free mobilisation and placing the nerve deep to the flexor origin.

Copyright remains with the authors and publisher.

The Results of Transposition of the Ulnar Nerve for Traumatic Ulnar Neuritis.

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The Results of Transposition of the Ulnar Nerve for Traumatic Ulnar Neuritis

McGOWAN·J Bone Joint Surg Br·1950·453 citations·Case series

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1. The progress of recovery after transposition of the ulnar nerve has been studied in 46 patients with ulnar neuritis of traumatic or mechanical origin. 2. In assessing the results, the lesions were divided into 3 grades according to the severity of the neurological signs: Grade I, minimal lesions with no detectable motor weakness; Grade II, intermediate lesions; Grade III, severe lesions with paralysis of one or more of the ulnar intrinsic muscles. 3. The earliest and most constant result after operation was the relief of discomfort and ulnar paraesthesiae. 4. The degree of motor recovery varied according to the severity of the lesion at the time of the operation. In Grades I and II cases, all the muscles (with one exception) were acting against gravity and resistance at the final examination. In Grade III cases, the recovery was usually far from complete. Recovery of sensibility was uniformly good. 5. In a further 6 patients with persistent symptoms after transposition, relief was obtained by free mobilisation and placing the nerve deep to the flexor origin.

Copyright remains with the authors and publisher.

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