Cubital Tunnel Syndrome - Flower Mound, TX
Dr. Kulwicki, a leading orthopedic surgeon in Flower Mound, TX, provides treatment for a wide range of orthopedic conditions. He specializes in using surgical and non-surgical techniques to treat Cubital Tunnel Syndrome.

Cubital Tunnel Syndrome

The Ulnar Nerve begins from the side of the neck and runs down till the hand, providing sensation to the ring as well as little finger. It passes through a cubital tunnel at the edge of elbow. When the nerve gets compressed at this site, it may lead to a decrease in the blood flow due to the traction force. This condition is termed as a Cubital Tunnel Syndrome.

Risk Factors For Cubital Tunnel Syndrome

  • Prior fractures or dislocations in the elbow
  • Cysts or swelling near the elbow joint
  • Arthritis
  • Patients having Diabetes
  • Obesity

Causes Of Cubital Tunnel Syndrome

  • Keeping the arm bent for a very long period while sleeping may cause the ulnar nerve to overstretch around the elbow.
  • Fluid build-up in the elbow may put pressure on the nerve
  • Intense physical activity may lead to bone spur that lays stress on the Ulnar Nerve
  • Damaged ligaments due to rapid twisting motions while playing sports
  • Leaning on forearm for long periods may compress the ulnar nerve

Symptoms Of Cubital Tunnel Syndrome
 
  • Frequent numbness as well as tingling in the ring and little finger
  • Loss of grip while holding things
  • Difficulty in finger coordination
  • Muscle weakness in the hand if nerve remains constricted for a longer time interval
  • Inward bending of fingers called as “Ulnar Claw Hand” may occur
  • Loss of sensation

Diagnosis Of Cubital Tunnel Syndrome

  • The orthopedic doctor may diagnose the condition through physical examination.
  • He may perform an electromyography test to assess the functioning of the nerve.

Treatment For Cubital Tunnel Syndrome

Non-surgical treatment

  • Medication: The doctor may prescribe anti-inflammatory medicines to reduce swelling around the nerve
  • Brace/Splint: Wearing a splint or a  brace while sleeping may help to keep the elbow straight
  • Exercises: The doctor may suggest  some nerve gliding exercises to prevent pain and stiffness in arm or wrist

Surgical treatment

  • Cubital Tunnel Release: During this procedure, the surgeon may cut and divide the ligament of Cubital Tunnel. This is done to create space for the ulnar nerve to glide freely and decrease the pressure on it.
  • Ulnar Nerve Anterior Transposition:  The surgeon may move the nerve from its original position to prevent it from getting stretched or stuck on the bony ridge while bending the elbow. The transposition may either be subcutaneous (on the top of muscle), intermuscular (within the muscle) or sub muscular (under the muscle).
  • Medial Epicondylectomy: A part of medial epicondyle (connects bones and muscles at the elbow) is removed to decrease the intraneural pressure formed by the compression of Ulnar Nerve.  This surgery helps to prevent the loss of blood supply to the fingers because of Pinched Nerve

For treatment of Cubital Tunnel Syndrome, visit Dr. Kulwicki. To schedule an appointment with the orthopedic surgeon in Flower Mound, TX, you can call at (972) 899 – 4679.