Endoscopic Cubital Tunnel Release

Ulnar nerve compression

Endoscopic Cubital Tunnel Release was developed in Germany by Dr. Hoffmann this procedure allows a longer more complete nerve decompression providing superior results than the traditional Open surgery in well selected cases.

Endoscopic cubital tunnel release at EHI:

  • Performed through one small 20mm incision.
  • Fast, Outpatient procedure
  • Soft bandage – No immobilization needed
  • Use of hand next day
  • Minimal to no scars
  • Minimal pain
  • Faster recovery
  • Outstanding results

Open surgery VS endoscopic procedure:

Traditional Open Surgery

Traditional methods require 8-16 cm long incisions, invasive tissue dissection, often the nerve is transposed from its normal anatomical position. This maximally invasive procedure leads to weeks and months of recovery.

The endoscopic treatment

The endoscopic operation requires only one 20mm incision and allows a nerve release over a distance of up to 30 cm. Functional impairment is minimal and the resting period of the operated arm is only a few days. In most cases patient may return to work the day following surgery if no heavy manual labor is involved.

When performed by an expert:

This endoscopic technique allows for a much better nerve release than the conventional open technique, thanks to the perfect magnified HD view of the anatomy and the ability to reach further with no unnecessary tissue damage.

  • Traditional Open Surgery: Nerve release distance between 8 and 12 cm.
  • Endoscopic Procedure: Nerve release distance between 18 and 30 cm (therefore more effective)

Outcomes: Open Vs Endoscopic Surgery

Published studies have shown that the endoscopic method is superior. The nerve recovers quicker. Reasons: one of them is the preservation of blood supply. In the open technique, especially when the nerve is transposed, fine vessels, that nourish the nerve, are destroyed. Another reason is, that with the endoscopic technique nerve release is longer and more complete, addressing multifocal compression situations.

Return to work and sports:

Except heavy manual labor, most patients are able to resume work within 2-3 days. In case of heavy manual labor it takes 2 weeks.

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