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Related Experiment Video

Updated: Oct 16, 2025

Screening of Axonal Degeneration in Carpal Tunnel Syndrome Using Ultrasonography and Nerve Conduction Studies
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Screening of Axonal Degeneration in Carpal Tunnel Syndrome Using Ultrasonography and Nerve Conduction Studies

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Cubital tunnel syndrome.

Abdus S Burahee1, Andrew D Sanders1, Colin Shirley1

  • 1The Peripheral Nerve Injury Service, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.

EFORT Open Reviews
|October 20, 2021
PubMed
Summary

Cubital tunnel syndrome (CuTS) involves ulnar nerve dysfunction. While simple decompression is common, new nerve transfer techniques show promise for severe cases.

Keywords:
cubital tunnel syndromeneuropathyulnar nerve

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Area of Science:

  • Orthopedics
  • Neurology
  • Surgical Innovation

Background:

  • Cubital tunnel syndrome (CuTS) is a prevalent upper limb neuropathy affecting ulnar nerve function.
  • Pathophysiology involves dynamic/static compression, tension, ischemia, subluxation, inflammation, and fibrosis.
  • Current surgical management lacks a universally superior technique, with simple decompression being most frequent.

Purpose of the Study:

  • To review the current understanding and management strategies for cubital tunnel syndrome.
  • To explore emerging techniques like distal nerve transfer for severe cases.

Main Methods:

  • Literature review of cubital tunnel syndrome pathophysiology and surgical interventions.
  • Analysis of the efficacy and limitations of various surgical approaches.
  • Discussion of novel adjunctive treatments.

Main Results:

  • No single surgical technique for CuTS has demonstrated superiority.
  • Simple decompression is the most common and effective procedure with low complication rates.
  • Distal nerve transfer is an emerging technique for severe intrinsic muscle weakness.

Conclusions:

  • Management of cubital tunnel syndrome is tailored to clinical presentation.
  • Simple decompression remains a primary surgical option.
  • Distal nerve transfer represents a promising future direction for severe ulnar nerve denervation.