- In situ ulnar nerve decompression
- Goal
- Releasing the fascial structures superficial to the ulnar nerve along the medial aspect of the elbow
- Incision
- 4-cm incision midway between the olecranon and medial epicondyle
- Release
- Arcade of Struthers
- Osborne’s ligament
- Superficial and deep fascia of Flexor Carpi Ulnaris
- Fascial bands between the two heads (humeral and ulnar) of FCU muscle
- Ulnar nerve travels between these heads and can be compressed here
- Goal
- Decompression and transposition (submuscular, intramuscular, or subcutaneous)
- decompress the nerve and circumferentially dissect the nerve to allow for transposition
- excise the medial intermuscular septum
- anteriorly transpose the nerve
- secured with subcutaneous tissue,
- placed anterior to a fascial sling,
- or placed within or beneath the flexor pronator mass
- Medial Epicondylectomy
- decompress the nerve and then perform an oblique osteotomy of the medial epicondyle
- preserve the insertion of the MCL + repair the periosteum
https://www.youtube.com/watch?v=-MB-TvmAIK8&ab_channel=Dr.VinayKumarSingh
