Surgery Spotlight: Release of Guyon's Canal and Cubital Tunnel: Part I-Surgery Spotlight: Release of Guyon's Canal and Cubital Tunnel: Part I

Surgery Spotlight: Release of Guyon's Canal and Cubital Tunnel: Part I

Video Transcription

Video Summary

Dr. Mike Neumeister from Southern Illinois University School of Medicine presents a surgical procedure for a patient with double crush syndrome affecting the ulnar nerve. The patient previously had a carpal tunnel release. In this case, a modified incision extends slightly to perform a Guillain's Canal release. He explains the importance of identifying neurovascular bundles and the fibrous septum dividing carpal tunnel and Guillain's Canal. He emphasizes the need for careful examination for nerve compression and specific surgical techniques like traction and counter-traction for successful release. Attention is also given to the cubital tunnel at the elbow, where different release techniques are discussed, focusing on preserving structures like the medial antebrachial nerve to avoid neuromas. The procedure concludes with careful suturing and application of a simple dressing, advising minimal restriction post-surgery for the patient.

Asset Caption

Michael W. Neumeister, MD demonstrates release of Guyon's Canal and the cubital tunnel for a double crush syndrome of the ulnar nerve.

Surgeon

Michael W. Neumeister, MD This product is not certified for CME.

Keywords

surgery spotlight

Surgical Videos

Hand

Nerve

Michael W. Neumeister MD; Memben

double crush syndrome

ulnar nerve

Guillain's Canal release

neurovascular bundles

cubital tunnel