All-Arthroscopic Ulnar Nerve Release and Subcutaneous Transposition

Cubital tunnel syndrome is a common compressive neuropathy in the upper limb. When nonoperative management has failed to sufficiently improve the condition, various surgical techniques including in situ decompression and ulnar nerve anterior transposition have been undertaken to decompress the nerve...

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Main Authors: Chuan Zhang, M.D., Wang-Yu Lu, M.D., Jiang-Tao Ma, M.D., Wen-Sheng Wang, M.D., Sui-Zhu Huang, M.D.
Format: Article
Language:English
Published: Elsevier 2025-03-01
Series:Arthroscopy Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2212628724004006
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author Chuan Zhang, M.D.
Wang-Yu Lu, M.D.
Jiang-Tao Ma, M.D.
Wen-Sheng Wang, M.D.
Sui-Zhu Huang, M.D.
author_facet Chuan Zhang, M.D.
Wang-Yu Lu, M.D.
Jiang-Tao Ma, M.D.
Wen-Sheng Wang, M.D.
Sui-Zhu Huang, M.D.
author_sort Chuan Zhang, M.D.
collection DOAJ
description Cubital tunnel syndrome is a common compressive neuropathy in the upper limb. When nonoperative management has failed to sufficiently improve the condition, various surgical techniques including in situ decompression and ulnar nerve anterior transposition have been undertaken to decompress the nerve, and these can be performed via open or arthroscopic assisted approaches. With open surgery or arthroscopic surgery, good clinical results have been reported. We describe a technique of all-arthroscopic medial bi-portal ulnar nerve release with an anterolateral portal for transient nerve retraction and transposition. This technique allows for a more complete release and maximum protection of the ulnar nerve while reducing surgical scars, relieving postoperative pain, and shortening the recovery time.
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publishDate 2025-03-01
publisher Elsevier
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series Arthroscopy Techniques
spelling doaj-art-ee516f35646f43a4bd5f688512c5634e2025-08-20T03:44:10ZengElsevierArthroscopy Techniques2212-62872025-03-0114310325310.1016/j.eats.2024.103253All-Arthroscopic Ulnar Nerve Release and Subcutaneous TranspositionChuan Zhang, M.D.0Wang-Yu Lu, M.D.1Jiang-Tao Ma, M.D.2Wen-Sheng Wang, M.D.3Sui-Zhu Huang, M.D.4Address correspondence to Chuan Zhang, M.D., Shoulder and Elbow Surgery Center & Sports Medicine Center, Luoyang Orthopedic Hospital of Henan Province & Orthopedic Hospital of Henan Province, Zhengzhou 450046, China.; Shoulder and Elbow Surgery Center & Sports Medicine Center, Luoyang Orthopedic Hospital of Henan Province & Orthopedic Hospital of Henan Province, Zhengzhou, ChinaShoulder and Elbow Surgery Center & Sports Medicine Center, Luoyang Orthopedic Hospital of Henan Province & Orthopedic Hospital of Henan Province, Zhengzhou, ChinaShoulder and Elbow Surgery Center & Sports Medicine Center, Luoyang Orthopedic Hospital of Henan Province & Orthopedic Hospital of Henan Province, Zhengzhou, ChinaShoulder and Elbow Surgery Center & Sports Medicine Center, Luoyang Orthopedic Hospital of Henan Province & Orthopedic Hospital of Henan Province, Zhengzhou, ChinaShoulder and Elbow Surgery Center & Sports Medicine Center, Luoyang Orthopedic Hospital of Henan Province & Orthopedic Hospital of Henan Province, Zhengzhou, ChinaCubital tunnel syndrome is a common compressive neuropathy in the upper limb. When nonoperative management has failed to sufficiently improve the condition, various surgical techniques including in situ decompression and ulnar nerve anterior transposition have been undertaken to decompress the nerve, and these can be performed via open or arthroscopic assisted approaches. With open surgery or arthroscopic surgery, good clinical results have been reported. We describe a technique of all-arthroscopic medial bi-portal ulnar nerve release with an anterolateral portal for transient nerve retraction and transposition. This technique allows for a more complete release and maximum protection of the ulnar nerve while reducing surgical scars, relieving postoperative pain, and shortening the recovery time.http://www.sciencedirect.com/science/article/pii/S2212628724004006
spellingShingle Chuan Zhang, M.D.
Wang-Yu Lu, M.D.
Jiang-Tao Ma, M.D.
Wen-Sheng Wang, M.D.
Sui-Zhu Huang, M.D.
All-Arthroscopic Ulnar Nerve Release and Subcutaneous Transposition
Arthroscopy Techniques
title All-Arthroscopic Ulnar Nerve Release and Subcutaneous Transposition
title_full All-Arthroscopic Ulnar Nerve Release and Subcutaneous Transposition
title_fullStr All-Arthroscopic Ulnar Nerve Release and Subcutaneous Transposition
title_full_unstemmed All-Arthroscopic Ulnar Nerve Release and Subcutaneous Transposition
title_short All-Arthroscopic Ulnar Nerve Release and Subcutaneous Transposition
title_sort all arthroscopic ulnar nerve release and subcutaneous transposition
url http://www.sciencedirect.com/science/article/pii/S2212628724004006
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