The Endoscopic Decompression of the Ulnar Nerve-Technique and Indication
The neurolysis of peripheral nerve compression syndromes demands a wide exposure of the effected nerve when conventional surgical procedures are applied. A large skin incision has to be made to achieve the appropriate overview to dissect the nerve. In most cases the compression is located close to a joint, so that the incision has to include the joint or be close to it. The disadvantage of such incisions is the creation of long scars, which might also hinder function during the first weeks after the operation. To avoid postoperative complications, which might occur depending on the surgical approach, plaster immobilization is recommended (Eversman et al. 1993, Mackinnon et al. 1988).
KeywordsUlnar Nerve Muscular Atrophy Cubital Tunnel Wide Exposure Arcuate Ligament
Unable to display preview. Download preview PDF.
- Dellon AI, Mackinnon SE, Hudson AR, Hunter DA (1986) Effect of Submuscular Versus Intramuscular Placement of Ulnar Nerve: Experimental Model in the Primate. J Hand Surg UB: 117–119Google Scholar
- Eversman Jr. WW (1993) Entrapment and Compression Neuropathies. In: Green DP (ed) Operative Hand Surgery, Vol 2, 3rd Edition, Medical Publishers, New York, pp 305–317Google Scholar
- Ferlic DC (1991) In Situ Decompression of the Nerve at the Elbow. In: Gelberman RH (ed) Operative Nerve Repair and Reconstruction, Vol 2. Lippincott, Philadelphia, New York, 1063–1067Google Scholar
- Mackinnon SE, Dellon AL (1988) Surgery of the Peripheral Nerve. Thieme Medical Publishers, New York, pp 305–317Google Scholar
- Macnicol MF (1997) Results of Operations for ulnar neuritis. J Bone Jt Surg (Br) 61: 159–164Google Scholar
- Millesi H, Zöch G, Rath T (1990) The Gliding Apparatus of Peripheral Nerve and its Clinical Significance. Ann Hand Surg 9: 87–89Google Scholar
- Nathan PA, Meyers LD, Keniston RC, Meadows L (1992) Simple Decompression of the Ulnar Nerve: An Alternative to Anterior Transposition. J Hand Surg 17B: 251–254Google Scholar