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Endoscopic treatment of compression of the ulnar nerve in the elbow channel

Syndrome of the ulnar nerve, along with carpal tunnel syndrome is one of the most common syndromes of peripheral nerve compression. The narrowing of the nerve in the elbow groove going for different reasons. Such reasons, which can not be resolved outside neurolysis of soft tissue, requiring further ventral displacement of the nerve.

This is done, for example, found trends of nerve luxation from a groove or bony anatomic changes. In both cases, you must first open neurolysis, then the ventral displacement. In all cases, endoscopy may be performed external neurolysis through an access length of two centimeters.

Endoscopic treatment of compression of the ulnar nerve in the elbow channel in Moscow, the operation on the nerve, the release of the nerve, neurolysis, endoscopic treatment of compression of the ulnar nerve, Endoscopic treatment of compression of the ulnar nerve in the elbow channel

Ulnar nerve and the area of sensitive disorders in his illness at hand.

After applying the tourniquet can run a skin incision about two centimeters in the projection on the ulnar nerve. In this case, there are nerves and marked a rubber leash. This is followed by the formation of subcutaneous pocket through which the distal and proximal relative to the cut progresses retractor. After the introduction of optics surgeon gets a clear picture of anatomy and the endoscopic scissors can perform neurolysis. Randomly dissected blood vessels, thanks to the optical effect of increasing the visible and therefore deliberately coagulated. Branches of the nerves is also clearly presented and therefore can not be injured.

Intra-and postoperative course of treated patients evolved without complications, and the results show, with little postoperative morbidity, good involution of the symptoms of complications. Immobilization of the operated limb in a cast can be easily discarded. Adverse effects caused by scar still has not been established.

Minimal invasive treatment of peripheral nerve compression makes it possible to achieve the functional benefits of a reduction in scarring compared to the usual way. Eliminated the need for plaster immobilization of the operated limb, as well as the prevention of scar formation in the loading area of the operated limb provide early mobilization and restoration of function. Atraumatic dissection in the direction of the nerve may help to reduce postoperative morbidity and symptoms of complications. Duration of operation, meanwhile, is no more than the traditional method, and the percentage of complications was lower.


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