====== Ulnar nerve entrapment treatment ======

Mild cases of [[cubital tunnel syndrome]] often respond to physical therapies such as: Avoidance of undue pressure on the [[elbow]] during daily activities. Wearing a protective elbow pad over the "funny bone" during daily activities. Wearing a splint during sleep to prevent over-bending of the elbow.

Education of patients and orthotics may help to relieve [[symptom]]s, but in more severe cases surgical release is effective. There is ongoing debate within the profession as to what constitutes the optimum surgical approach. The [[procedure]] is associated with some risk of [[complication]]s, and persistent cases referred for re‐exploration may not respond to surgery
((http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2599973/)).
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[[Postsurgical Electrostimulation]] enhanced muscle [[reinnervation]] and functional [[recovery]] following surgery for severe [[cubital tunnel syndrome]]. It may be a clinically useful adjunct to surgery for severe [[ulnar neuropathy]], in which functional recovery with conventional treatment is often suboptimal
((Power HA, Morhart MJ, Olson JL, Chan KM. Postsurgical Electrostimulation
Enhances Recovery Following Surgery for Severe Cubital Tunnel Syndrome: A
Double-Blind Randomized Controlled Trial. Neurosurgery. 2019 Aug 20. pii: nyz322.
doi: 10.1093/neuros/nyz322. [Epub ahead of print] PubMed PMID: 31432080.
)).

===== Technique =====
Understanding the anatomy is crucial for the success of the nerve release. During ulnar nerve release for cubital tunnel syndrome, a motor branch is frequently crossed anteriorly over the ulnar nerve from its medial/ulnar side proximally to the lateral/radial side distally. Little has been noted about this crossing branch in the literature
((Majid SS, Patel NT, Mrowczynski OD, Goldman E, Rizk EB, Harbaugh KS. The Crossing Motor [[Ulnar Nerve]] Branch at [[Elbow]]. Oper Neurosurg (Hagerstown). 2024 Apr 16. doi: 10.1227/ons.0000000000001155. Epub ahead of print. PMID: 39222350.))


===== Ulnar nerve submuscular transposition =====
[[Ulnar nerve submuscular transposition]]