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Ulnar nerve transposition is an outpatient surgical procedure. The ulnar nerve runs in the inner arm to a bony protrusion on the inner section of the elbow. The nerve provides sensation for the muscles of the hand and forearm.
Ulnar nerve transposition is a procedure performed to move the ulnar nerve from behind the medial epicondyle to a suitable position where it is not irritated or pinched by this bony prominence. The word transposition means to change in position.
Ulnar nerve compression at the elbow is called cubital tunnel syndrome. Numbness and tingling in the pinky and ring fingers are common symptoms of cubital tunnel syndrome. In most cases, symptoms can be managed with nonsurgical treatments like changes in activities and bracing.
During an ulnar nerve transposition, Dr. Romeo essentially creates a new pathway for the nerve, giving it more space and protection from contact with the elbow bones. Also, because the nerve is in front of the elbow joint, flexion of the elbow does not cause any pressure on the ulnar nerve.
Ulnar nerve transposition is a procedure that moves the ulnar nerve from behind the medial condyle of the elbow to a better position so that it is no longer irritated or pinched. This is done in individuals where the ulnar nerve is being compressed against the medial epicondyle (inside of the elbow), which causes the function of the nerve to be ...
Ulnar nerve anterior transposition: In this surgery, your surgeon moves your ulnar nerve from behind the medial epicondyle to the front (closest to your skin). The procedure stops the nerve from getting caught on your bone.
ulnar nerve to innervate the joint capsule. Occasionally, an anomalous muscle called the anconeus epitrochlearis is encountered covering the ulnar nerve. This muscle arises from the medial border of the olecranon and inserts onto the medial epicondyle.
Ulnar nerve transposition is indicated to relieve the pressure placed on the compressed ulnar nerve. Conditions that may require ulnar nerve transposition include: Compression of the ulnar nerve caused due to injury or excessive pressure placed on the elbow.
The following elbow ulnar nerve transposition guidelines were developed by HSSRehabilitation and are categorized into four phases with the ultimate goal of returning the overhead athlete to full competition.
If the ulnar nerve is significantly compressed, or if it moves out of position after other treatments to relieve pressure, it may be moved to the front of the elbow in a procedure called ulnar nerve anterior transposition surgery.