Ulnar nerve laceration and repair
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Updated: Jul 12, 2026

Metacarpal Small Incision for Carpal Tunnel Syndrome
Published on: April 5, 2024
H James Pfaeffle1, Thanapong Waitayawinyu, Thomas E Trumble
1Hand and Microvascular Surgery, Department of Orthopaedics and Sports Medicine, University of Washington, 4245 Roosevelt Way NE, P.O. Box 354743, Seattle, WA 98195-4743, USA.
Abstract:
Patient age, the site and extent of the injury, and the delay of treatment significantly influence the outcome after repair of ulnar nerve injuries. Ulnar nerve repairs in older patients, high-level injury, and delayed cases may result in a poor prognosis. High-level lesions and lesions that are close to the elbow can also benefit from nerve transposition. Splinting in wrist flexion and/or elbow extension with carpal tunnel and Guyon's canal releases are necessary for lesions that are closer to the wrist. Arterial repairs combined with nerve repairs especially in low-level injury can provide superior outcomes.
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