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Cubital canal syndrome


Cubital canal syndrome is caused by ulnar nerve compression at the level of elbow by hypertrophied fibrous tissues or other anatomical variations.

It manifests as a pain to palpation in medial elbow area, numbness and tingling in Vth finger. In more advanced stages sever pain may disturb sleeping and atrophy of intrinsic muscles of the hand impairs its normal function. Characteristic history of symptoms and physical examination are frequently sufficient to diagnose this pathology. Sometimes X-ray, ultrasonography (USG), electromyography (EMG) or magnetic resonance (MR) studies are required to confirm initial diagnosis.

Decompression of ulnar nerve in elbow area is performed in local anesthesia.

Skin incision (8cm) is located on medial aspect of the elbow.

Soft tissues are transected and ulnar nerve is released from compression. Although local elbow pain should improve significantly after the surgery it may take several months for entire nerve to regenerate and neurological symptoms to subside. In some cases ulnar nerve is transpositioned anteriorly in subcutaneous tunnel to prevent recurrence of the symptoms in future.

In postoperative period hand must be kept in elevation till wound heals completely and edema resolves. Early fingers movements are encouraged.

Skin sutures are removed 14 days after the surgery.  Hand therapy should be implemented from post-op day 4 and continued for 4-6 weeks.

Return to normal activity involving operated extremity is possible 4 weeks after the surgery.

Although, obtained results are very good and long-lasting, symptoms rarely reoccur.

Duration  up to 60 min.
Anesthesia  local
Stay in the facility  up to 90 min.
Recovery  14 d + rehabilitation 6-8 weeks
Sutures  removed at post-op day 14
Contraindications untreated mental illnesses, blood clotting disorders, uncontrolled hypertension, cardiac arrhythmias, uncontrolled diabetes, active infections, autoimmune diseases, cancer
Recommendations before the procedure ulnar compression pre-op.pdf
Recommendations after the procedure ulnar compression post-op.pdf

This short information doesn’t replace medical consultation in the office.

Zalecenia pooperacyjne

Zalecenia przedoperacyjne

Postoperative recommendations

Preoperative recommendations