Ulnar Nerve Neurolysis with Anterior Transposition
To correct cubital tunnel syndrome is called an ulnar nerve neurolysis with anterior transposition. This involves exposing the nerve and moving it to a place in the elbow where it is less compressed. This surgery typically lasts about 1 hour and is performed on an outpatient basis meaning you will be able to go home that day. You will have a small scar along the inner aspect of your elbow that fades over time. This procedure is commonly performed in combination with a carpal tunnel release.
Things to know:
- You will be discharged in a temporary splint that must be kept clean and dry until you are seen for follow up.
- You will follow up with us in the office 1-2 days after the procedure. You will be sent for a custom splint that is removable for showering ONLY.
- After 48 hours you may shower. While showering, you may use soap and water, but be sure to pat the incision dry. It is important that you do not submerge your surgical incision in water (i.e. no bath tubs, swimming pools, washing dishes, etc.). While showering, it is important you do not use your hand/arm. After showering, pat incision dry and replace splint.
- It is important to elevate your arm on a couple of pillows to alleviate pain and swelling.
- Sutures will remain in place for 10-14 days. Some stitches may be absorbable, not requiring removal in our office.
- Typically follow up appointments are scheduled in two-week intervals following surgery, so we can monitor your recovery.
- You will keep the splint on for 4 weeks, and then begin occupational/physical therapy.
Postoperative restrictions are as follows:
- NO use of the affected hand.
- Must wear splint at all times, except while showering