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

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

Video Transcription

Video Summary

The video transcript describes a surgical procedure for decompressing the ulnar nerve at the cubital tunnel, commonly known as cubital tunnel release. The surgeon navigates through various fascial planes and anatomical structures to release tight bands and septa compressing the nerve, aiming to alleviate symptoms without causing further nerve damage. They take care to preserve branches of the medial umbrical nerve to avoid complications such as painful neuromas or dysesthesias. The procedure involves a small incision and careful manipulation to minimize postoperative pain. The surgeon prefers in situ release for most cases, only considering more aggressive techniques like submuscular transposition for severe, recurrent cases. Post-procedure, resorbable stitches are recommended to minimize visible scarring. The transcript also touches on related procedures like Guillain's canal release to address the double crush syndrome, emphasizing the precision and caution needed during surgery to ensure optimal outcomes and nerve preservation.

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

cubital tunnel release

ulnar nerve decompression

in situ release

double crush syndrome

nerve preservation