Ulnar Nerve Transposition

Question 1

What is Cubital Tunnel Syndrome (Tennis Elbow)?

Answer 1

When the Ulnar Nerve become compressed and inflamed at the elbow

Question 2

What are possible causes for Cubital Tunnel Syndrome?

Answer 2

• Prior fracture
• Swollen joint
• Repetitive bending motion at the elbow

Question 3

What are some symptoms of Cubital Tunnel Syndrome?

Answer 3

• Numbness in Digits 4 and 5
• Weakened grip
• Muscles atrophy
• Claw Hand

Question 4

What is an Ulnar Nerve Transposition?

Answer 4

Moving the inflamed Ulnar Nerve more superficially from under the Medial Epicondyle

Question 5

What is Patient Positioning for an Ulnar Nerve Transposition?

Answer 5

• Supine
• Operative arm on hand table
  
  • Arm may be extended or flexed at elbow
• Tourniquet may be used on upper arm

Question 6

Where is the incision made for an Ulnar Nerve Transposition?

Answer 6

Medial to the elbow above the Ulnar Nerve

Question 7

What happens after dissecting the Ulnar Nerve from the Cubital Tunnel?

Answer 7

Umbilical tape is placed around the Ulnar Nerve to gain control

Question 8

Where is the Ulnar Nerve transposed to?

Answer 8

Above medial epicondyle of Humerus to prevent impingement

Question 9

How do we secure the Ulnar Nerve to its new position?

Answer 9

3-0 Vicryl on a SH needle

Question 10

What suture do we use to close the Dermis of the elbow?

Answer 10

3-0 Vicryl on an SH needle

Question 11

What suture do we use to close the Skin of the elbow?

Answer 11

4-0 Monocryl on a PS2 needle

Question 12

What are the dressings for an Ulnar Nerve Transposition?

Answer 12

• Steristrips
• 4x4s
• Webril
• 4 in. and 6 in. Ace Wrap
  
  • Wrap from hand to above elbow
• Posterior splint may be used