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Cubital Tunnel Release Under Local and Regional Anesthesia: A Scoping Review
Madeline E Hubbard1, Amr AlMasri1, Nasimul S Huq2,3
1Department of Medicine, McMaster University, Hamilton, ON, Canada.
Plastic Surgery (Oakville, Ont.)
|December 29, 2025
Summary
Local anesthesia (LA) and regional anesthesia (RA) are safe and effective for cubital tunnel syndrome (CuTS) release surgery. These anesthetic techniques show comparable complication rates to general anesthesia (GA) and may improve patient outcomes.
Area of Science:
- Orthopedics
- Anesthesiology
- Neurosurgery
Background:
- Cubital tunnel syndrome (CuTS) involves ulnar nerve compression at the elbow.
- Surgical release is indicated when conservative treatments fail.
- Anesthesia options for CuTS release, including local anesthesia (LA) and regional anesthesia (RA), are increasingly explored.
Purpose of the Study:
- To conduct a scoping review of current literature.
- To summarize the safety and efficacy of LA and RA for CuTS release.
Main Methods:
- Scoping review following PRISMA-ScR guidelines.
- Searched MEDLINE, EMBASE, Web of Science, and CINAHL.
- Included 21 studies with 1385 patients (1406 elbows).
Main Results:
- Complication rates: LA (2.9%), RA (2.3%), General Anesthesia (GA) (2.5%).
- RA and LA showed similar safety profiles to GA.
- LA may reduce postoperative pain, and both LA and RA offer potential benefits like intraoperative feedback and improved pain management.
Conclusions:
- LA and RA are safe and feasible anesthetic options for CuTS release.
- These techniques offer comparable safety to GA.
- LA and RA may provide advantages in postoperative pain control and patient satisfaction.
Keywords:
cubital tunnel releaseliterature reviewlocal anesthesiaregional anesthesiaulnar nerve decompressionMore Related Videos
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