Postoperative case of late and disabling ulnar nerve palsy

The history of a fractured elbow at the age of one year followed by a disabling ulner nerve palsy at the age of forty-six years presents an unusually long symptom free period. The symptoms began with disturbed sensation, weakness, and finally atrophy, increasing in severity until they became disabling. The operation provided a new route for the ulnar nerve in front of the internal condyle. The improvement after operation was immediate and marked, so that eleven days after operation a neurological examination showed almost complete return of function in the right ulnar nerve. The end result was very satisfactory with freedom from all symptoms and recovery of his full strength and motor power. He is enjoying increased function and a larger range of motion at the elbow than at any other time during his life.