All-Arthroscopic Ulnar Nerve Release and Subcutaneous Transposition.

Area of Science:

• Orthopedic Surgery
• Neurology
• Minimally Invasive Procedures

Background:

• Cubital tunnel syndrome is a frequent upper limb compressive neuropathy.
• Nonoperative treatments for cubital tunnel syndrome often fail, necessitating surgical intervention.
• Current surgical options include open or arthroscopic in situ decompression and ulnar nerve anterior transposition.

Purpose of the Study:

• To describe a novel all-arthroscopic medial bi-portal ulnar nerve release technique.
• To detail the use of an anterolateral portal for transient nerve retraction and transposition.
• To evaluate the benefits of this technique in terms of nerve protection, scar reduction, pain relief, and recovery time.

Main Methods:

• Development and description of an all-arthroscopic medial bi-portal approach for ulnar nerve release.
• Utilization of an anterolateral portal for controlled nerve manipulation.
• Surgical technique focused on complete nerve decompression and protection.

Main Results:

• The described technique facilitates a more complete release of the ulnar nerve.
• Maximum protection of the ulnar nerve is achieved during the procedure.
• The technique aims to reduce surgical scars, alleviate postoperative pain, and shorten recovery periods.

Conclusions:

• The all-arthroscopic medial bi-portal ulnar nerve release is a viable surgical option for cubital tunnel syndrome.
• This technique potentially offers advantages over traditional methods, including improved outcomes and patient experience.
• Further clinical studies are warranted to validate the long-term efficacy and benefits of this arthroscopic approach.