fig5

Figure 5. Failed superficial nerve transposition. (a and b) Arcade of Struthers (*) was not released during the first surgery, causing nerve kinking and compression. At the epitrochlear level, the nerve appears to lie within good tissue without tension (>); (c) following debridement, the nerve lies in a soft and vascular tissue bed without tension. An adipofascial flap is harvested (*); (d) anterior submuscular transposition with muscular Z-lengthening is performed. The adipofascial flap protects the nerve in the proximal epitrochlear region