What is the indication for an endoscopic cubital tunnel release for ulnar neuropathy?

Updated: Jun 08, 2018
  • Author: Charles F Guardia, III, MD; Chief Editor: Nicholas Lorenzo, MD, MHA, CPE  more...
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Answer

Endoscopy of nonjoint cavities is widely performed, and endoscopic carpal tunnel release is a popular, though still debated, method of releasing the median nerve at the wrist. [39] With this experience in mind, some authors have attempted endoscopic cubital tunnel release. This technique allows local decompression while offering the ability to decompress the nerve at all potential sites of compression. The possible advantages of this technique include limited invasiveness, reduced complication rates, and quicker rehabilitation. [183, 184]

Tsu-Min Tsai et al, after performing an endoscopic cubital tunnel release on 85 elbows in 76 patients and monitoring them for an average of 32 months, found that 42% had excellent results, 45% had good results, 11% had fair results, and 2% had poor results. [185] These results are comparable to those achieved with the other decompressive techniques, for which the overall rate of good-to-excellent results is 85-90%.


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