Low ulnar nerve palsy

Low ulnar nerve palsy causes a complex disability that can be difficult to treat. Over the past 100 years an improved understanding of this disorder has led to the development of effective treatment options. Succesful treatment depends on a thorough understanding of normal anatomy, the patient-specific functional deficit, and the individual needs of the patient. A surgeon must tailor the selected tendon transfer(s) to the individual patient and should not apply the same transfers to every patient. A variety of different treatment options are reviewed with a discussion of the strengths and weakness of the author's preferred surgical procedures.