Table 1.

Survey Questions.

1. Your patient presents with mild occasional paresthesias of the ring and small fingers with subjective weakness for greater than 6 months. Tinel sign and elbow flexion test are positive. The patient has no demonstrable weakness. EMG/NCV and sensory exam are normal. What is your preferred treatment?
• Open in situ decompression	• Subcutaneous transposition
• Endoscopic decompression	• Medial epicondylectomy
• Submuscular transposition	• Continue conservative management and activity modification
2. Your patient presents with moderate paresthesias and sensory deficits of the ring and small fingers for greater than 6 months. There is obvious weakness of the extrinsic musculature. Tinel sign and elbow flexion test are positive. EMG/NCV reports mild to moderate ulnar nerve entrapment at the elbow. What is your preferred treatment?
• Open in situ decompression	• Subcutaneous transposition
• Endoscopic decompression	• Medial epicondylectomy
• Submuscular transposition	• Continue conservative management and activity modification
3. Your patient presents with severe constant paresthesias and sensory deficits of the ring and small fingers for greater than 6 months. Sensory deficit with TPD of 5 mm is present. There is interosseous muscle atrophy with profound weakness. Tinel sign and elbow flexion test are positive. EMG/NCV shows moderate ulnar nerve entrapment at the elbow. What is your preferred treatment?
• Open in situ decompression	• Subcutaneous transposition
• Endoscopic decompression	• Medial epicondylectomy
• Submuscular transposition	• Continue conservative management and activity modification
4. Your patient presents with severe constant paresthesias and sensory deficits of the ring and small fingers for greater than 6 months. Sensory deficit with TPD of 5 mm is present. There is interosseous muscle atrophy with profound weakness. Tinel sign and elbow flexion test are positive. EMG/NCV shows moderate ulnar nerve entrapment at the elbow. In addition, the patient has significant medical comorbidities including CAD, CKD, and uncontrolled DM. What is your preferred treatment?
• Open in situ decompression	• Subcutaneous transposition
• Endoscopic decompression	• Medial epicondylectomy
• Submuscular transposition	• Continue conservative management and activity modification
5. Your patient presents with severe constant paresthesias and sensory deficits of the ring and small fingers for greater than 1 year. Sensory deficit with TPD of >10 mm is present. There is interosseous muscle atrophy with profound weakness. Tinel sign and elbow flexion test are positive. EMG/NCV suggests severe ulnar nerve entrapment at the elbow with positive waves and fibrillations. What is your preferred treatment?
• Open in situ decompression	• Subcutaneous transposition
• Endoscopic decompression	• Medial epicondylectomy
• Submuscular transposition	• Continue conservative management and activity modification
6. Your patient presents with severe constant paresthesias and sensory deficits of the ring and small fingers for greater than 1 year. Sensory deficit with TPD of >10 mm is present. There is interosseous muscle atrophy with profound weakness. Tinel sign and elbow flexion test are positive. EMG/NCV suggests severe ulnar nerve entrapment at the elbow with positive waves and fibrillations. In addition, the patient has significant medical comorbidities including CAD, CKD, and uncontrolled DM. What is your preferred treatment?
• Open in situ decompression	• Subcutaneous transposition
• Endoscopic decompression	• Medial epicondylectomy
• Submuscular transposition	• Continue conservative management and activity modification
7. Will your treatment algorithm change with age?
• Yes
• No
8. Will your treatment algorithm change if ulnar nerve subluxation is present?
• Yes
• No

Note. EMG = electromyogram; NCV = nerve conduction velocity; TPD = 2-point discrimination; CAD = coronary artery disease; CKD = chronic kidney disease; DM = diabetes mellitus.