In an ulnar tunnel release procedure, the ulnar nerve is relieved of pressure as it passes through the elbow's ulnar tunnel. It runs along the inner side of the elbow and is sometimes called the "funny bone" nerve. When the ulnar nerve becomes compressed or irritated, it causes hand and finger pain, numbness, tingling, and weakness.
The following should be done before releasing the ulnar tunnel:
In consultation with a surgeon, patients usually discuss their symptoms, medical history, and treatment options. To determine the severity of nerve compression, the surgeon may order imaging tests, such as X-rays or nerve conduction studies.
Preoperative Instructions: Patients may receive instructions on how to prepare for surgery, such as fasting before the procedure, discontinuing certain medications that may increase bleeding risk, and arranging transportation home.
During cubital tunnel release surgery:
According to the surgeon's recommendation and the patient's preferences, the procedure is generally performed under local anesthesia with sedation or general anesthesia.
The surgeon makes an incision on the inner side of the elbow to expose the ulnar tunnel and the ulnar nerve.
Decompression of the Ulnar Nerve: The surgeon identifies and releases any structures compressing the nerve, such as tight ligaments, scar tissue, or bony prominences, so that it can function normally again.
After decompressing the ulnar nerve, the surgeon closes the incision with sutures or surgical staples and applies a sterile dressing.
After cubital tunnel release surgery:
It is normal for patients to experience some discomfort, swelling, and bruising around the surgical site in the immediate postoperative period. Pain medications and ice packs can help alleviate these symptoms.
The elbow and hand may require physical therapy exercises to improve range of motion, strength, and flexibility.
After surgery, patients are typically advised to avoid strenuous activities and heavy lifting for several weeks. Although full recovery may take several months, patients are generally able to resume normal daily activities within a few weeks.
There are some risks and potential complications associated with ulnar tunnel release surgery, including:
You may need antibiotics or additional treatment if you develop an infection at the surgical site.
In rare cases, the ulnar nerve or surrounding nerves may be injured during surgery, resulting in temporary or permanent damage.
A large amount of scar tissue may form at the surgical site, causing symptoms similar to ulnar tunnel syndrome, and requiring further treatment or revision surgery.
After cubital tunnel release surgery, patients are typically advised to:
In order to monitor healing, assess nerve function, and address any concerns or complications, patients should attend all scheduled follow-up appointments.
In the early stages of recovery, patients may need to wear a splint or brace to protect the elbow.
After surgery, patients should contact their surgeon if they experience worsening pain, swelling, numbness, tingling, or other unusual symptoms.
In order to relieve the symptoms of ulnar tunnel syndrome and restore elbow and hand function, ulnar tunnel release surgery is an effective treatment option. The majority of patients experience significant improvement in symptoms and quality of life after surgery with proper preparation, skilled surgical technique, and attentive postoperative care.
