Ulnar Nerve Decompression

What is an ulnar nerve decompression?

Ulnar nerve decompression, is a procedure to treat ulnar nerve entrapment. You may be familiar with the ulnar nerve because it creates the numbing and/or painful sensation when you hit your “funny bone”. The “funny bone” isn’t a bone, instead, it’s the inner elbow region where the ulnar nerve is less protected from the external environment. The ulnar nerve is most frequently trapped in the cubital tunnel in the elbow, and when squeezed causes cubital tunnel syndrome. In ulnar nerve decompression, the surgeon will make a small incision around the inner elbow to examine the joint region, including the cubital tunnel. The surgeon will perform a cubital tunnel decompression to remove the tissue responsible for compressing the ulnar nerve to restore healthy elbow movement and relieve pain. This may be done as an open or arthroscopic surgery. Using the arthroscopic technique requires a small incision and arthroscope (camera) to minimize muscle loss and damage. The surgeon will determine the appropriate treatment after considering a patient’s age, concerns, injury severity, activity levels and overall elbow joint health.

Who needs an ulnar nerve decompression?

Patients commonly describe feelings of numbness/tingling and pain in their hand after their ulnar nerve is compressed. More specifically, the medial aspects of the hand (pinky and ring finger) and the forearm will show these symptoms. Ulnar nerve compression may occur from overuse and/or repetitive motions in the elbow from activities like resting the elbow against a surface or keeping it in a flexed position. This is commonly seen in baseball pitchers, cyclists, hand tool users and those making continuous phone calls. Individual differences in elbow join anatomy may also predispose certain patients to ulnar nerve compression if their ulnar nerve does not remain in place (subluxing nerve). Additionally, those who had elbow dislocations and/or fractures have an increased riskUlnar nerve decompression surgery candidates are those who did not respond favourably to conservative treatments like physiotherapy, postural changes, and/or wearing an elbow splint.

More about ulnar nerve decompressions...

In addition to performing the ulnar nerve decompression, the surgeon may also need to perform an anterior transposition of the ulnar nerve and/or a medial epicondylectomy. Ulnar nerve anterior transposition would involve moving the ulnar nerve in front of the elbow. In a medial epicondylectomy, the bony prominence of the inner elbow may be removed. The surgeon may make the incision at the wrist if the ulnar nerve compression is located there in the Guyon canal.

Life after ulnar nerve decompressions...

More information coming soon!