Median and Ulnar Nerve Compressions: Simplifying Diagnostics and Surgery at the Elbow and Hand | Journal CME Article-Journal CME Article: Median and Ulnar Nerve Compressions: Simplifying Diagnostics and Surgery at the Elbow and Hand Video 5

Journal CME Article: Median and Ulnar Nerve Compressions: Simplifying Diagnostics and Surgery at the Elbow and Hand Video 5

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Video Transcription

Video Summary

The video describes a surgical procedure performed to release the median nerve, often entrapped under the biceps aponeurosis in the elbow. The process involves local anesthesia without sedation, using a small needle to minimize pain. After anesthesia, a small transverse incision is made in the elbow's flexion crease. The surgeon carefully dissects to expose the median nerve, using blunt scissors and bipolar cautery as needed, while preserving nerve branches. Post-release, the patient's finger strength is tested intraoperatively to ensure successful nerve release. This technique allows immediate assessment of nerve function with the patient awake.

Keywords

median nerve release

biceps aponeurosis

local anesthesia

nerve function assessment

surgical technique