elbow

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Cubical Tunnel ReleaseThe outpatient procedure, performed under general or regional anesthesia, alleviates compression of the ulnar nerve.T his nerve travels along the inner side of the elbow and down to the hand .Cubical tunnel release is used to treat cubical tunnel syndrome.PreparationAnesthesia is administered ,and the patient is positioned to allow access to the inner side of arm. The area is cleaned and sterilized.Accessing the JointThe surgeon makes an incision along the inner side of the elbow to access the cubical tunnel ,The open space is surrounded by muscle and bone that provides a channel for the ulnar nerve.Relieving the Compression The surgeon carefully opens the roof of cubical tunnel at the site of the compression creating more space for the ulnar nerve. The nerve is often moved out of tunnel and repositioned along a new path to prevent it from being compressed in the future. If the nerve is compressed in multiple places, more than one section of the tunnel may require treatment.End of procedure and AftercareThe incision is closed with sutures, and the arm is bandaged and placed in splint. The patient is allowed to go home the same day. Physical therapy may required after the arm has healed


Ulnar Nerve Transposition at the Elbow

This outpatient procedure, performed under general or regional anesthesia, repositions the ulnar nerve to prevent it from sliding against or becoming pinched by the medical epicondyle (the bony bump on the inner side of the elbow). Ulnar nerve transposition is used to treat cubital tunnel syndrome.

Preparation

Anesthesia is administered, and the patient is positioned to allow access to the inner side of the arm. The area is cleaned and sterilized.

Accessing the Joint

The surgeon makes an incision along the inner side of the elbow to access the ulnar nerve and medial epicondyle.

Rerouting the Nerve

The surgeon carefully moves the ulnar nerve from behind the medial epicondyle to a new position in front of this bony bump. The nerve can

be routed over, through, or under the muscles of the forearm. The new placement will prevent the nerve from being compressed against the medial epicondyle when the elbow is bent .

End of procedure and Aftercare

The incision is closed with sutures, and the arm is bandaged and placed in a splint. The patient is allowed to go home the same day . The patient may be required to wear a splint for one to two weeks after the surgery. Occupational of physical therapy may be required after the arm has healed.



About Throwing Injuries of the ElbowRepetitive throwing places severe stress on the elbow joint. The throwing motionstretches the tendons and ligaments on the inner side of the elbow and compressesthe structures on the outer side. These forces can damage tissue and the bone,especially in young athletes whose bones have not fully matured.Medical EpicondylitisThis condition commonly called golfer’s elbow, results from overuse of the musclesand tendons of the forearm. This can gradually deteriorate the common flexortendon, which attaches to the medical epicondyle (the bony bump on the inner sideof the elbow).It can be usually treated without surgery.Medical Ulnar Collateral Ligament (UCL) InjuryRepetitive throwing can sprain or tear the MUCL ligament, typically the anterior bandlocated on the inner side of the elbow between the ulna and humerus. A MUCLinjury causes pain on the inner side of elbow. A complete tear may require a type ofreconstructive surgery commonly called Tommy John Surgery.Medical ApophysitisThis condition commonly called Little League elbow, Usually occurs in children beforethe reached pubery. Children’s bones have growth plates on the end - areas thatallow the bones to expand. Repetitive throwing can damage the ligaments or fracturethe growth plates, causing pain and swelling on the inner side of elbow. In severecases, surgery may required.Osteochondritis DessicansRepetitive throwing can disrupt the blood supply to the cartilage that cushions theend of the bones. This can cause sections of cartilage and bone to pull away or break

or loose completely. This condition commonly causes pain on the outer side of theelbow and may cause joint to click or lock. Surgery may be required to remove anyloose fragments

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