Treatment of Cubital Tunnel Syndrome with Intermittent Paresthesias in Ulnar Nerve Distribution

This protocol is for patients presenting with cubital tunnel syndrome characterised by intermittent paresthesias in the ulnar nerve distribution, with no first dorsal interosseous muscle weakness, no intrinsic hand muscle atrophy, and no axonal loss on electrodiagnostic studies.

Clinical Scenario

The sub-population has intermittent sensory symptoms consistent with CuTS while retaining full intrinsic hand muscle strength, with a normal-atrophy examination and electrodiagnostic studies negative for axon loss. This staging defines the management pathway selected by the protocol.

Management Approach

The protocol specifies a surgical approach involving repositioning of the ulnar nerve in a revision context. The precise technique, procedural details, and decision framework are contained in the full structured regimen.

Instant Access to Structured Evidence-Based Regimens

References

Patients with intermittent symptoms and clinical examination consistent with CuTS without evidence of axon loss, weakness, or atrophy are candidates for nonoperative treatment.
The most common revision surgery is submuscular transposition of the ulnar nerve (75%).
In the revision setting, we recommend anterior submuscular transposition.

DOI: 10.1016/j.jhsg.2022.07.008

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