00:00

Cubital tunnel decompression with medial epicondylectomy

Overview

Subscribe to get full access to this operation and the extensive Upper Limb & Hand Surgery Atlas.

FREE TRIAL


Learn the Cubital tunnel decompression with medial epicondylectomy surgical technique with step by step instructions on OrthOracle. Our e-learning platform contains high resolution images and a certified CME of the Cubital tunnel decompression with medial epicondylectomy surgical procedure.

Cubital tunnel syndrome is the second commonest upper limb peripheral nerve entrapment. The syndrome is a complex pathophysiological spectrum with nerve compression and nerve tension both playing important roles. Decompression of the nerve may create scar tether points, reduce neural glide and increase tension during normal functional elbow range of motion. Creation of instability renders the nerve vulnerable to further irritation and compression against the posterior and medial aspect of the medial epicondyle during movement. Transposition of the nerve has been proposed as a solution to both compression and tension by decompressing the nerve and then rerouting it in a more anterior plan such that the course is shorter and there is no tension during elbow flexion.

I use this procedure in approximately 1:5 of my primary surgery cases and in all my revision cases. Frequently when a nerve has been transposed and has secondary compression points I will relocate the nerve after performing a neurolysis and medial epicondylectomy. These are specific steps to the procedure that cannot be omitted or the results will not be predictable.

 

Clinicians should seek clarification on whether any implant demonstrated is licensed for use in their own country.

In the USA contact: https://www.fda.gov/medical-devices/products-and-medical-procedures

In the UK contact:  https://www.gov.uk/government/organisations/medicines-and-healthcare-products-regulatory-agency

In the EU contact: https://www.ema.europa.eu/en/human-regulatory/overview/medical-devices 


Author: Mr Dominic Power FRCS (TR & Orth)

Institution: The Queen Elizabeth Hospital,Birmingham,UK.


Clinicians should seek clarification on whether any implant demonstrated is licensed for use in their own country.

In the USA contact: fda.gov
In the UK contact: gov.uk
In the EU contact: ema.europa.eu

Accreditations

Logo Logo Logo Logo Logo Logo Logo

Associates & Partners

Logo Logo Logo Logo Logo Logo