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Title
1. Introduction and Surgical Approach
2. Incision
3. Superficial Dissection
4. Identify and Preserve Medial Antebrachial Cutaneous Nerve
5. Ulnar Nerve Dissection
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a. Identify Ulnar Nerve and Examine Movement
b. Start Dissection Posterior to the Medial Epicondyle
c. Mobilize Nerve Circumferentially
d. Mobilize Nerve Distally and then Proximally
e. Transpose Ulnar Nerve Anteriorly and Complete Dissection Posteriorly
f. Release First Branch to the FCU if Necessary
g. Complete Dissection Distally Between the Two Heads of the FCU
6. Release Intermuscular Septum
7. Cubital Tunnel Closure
8. Subcutaneous Transposition
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a. Mark for Submuscular Transposition with Z-Lengthening
b. Raise Posterior Limb to Form Fascial Sling
c. Close Fascial Sling to Anterior Skin Flap Subcutaneous Tissue to Secure Ulnar Nerve
9. Assessment of Stability and Tension
10. Closure
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Subcutaneous Ulnar Nerve Transposition
Jasmine Phun
1
;
Asif M. Ilyas, MD, MBA, FACS
2
1
Sidney Kimmel Medical College
2
Rothman Institute at Thomas Jefferson University
Tags:
Orthopaedics
Hand Surgery
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Procedure Outline
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Authors
Jasmine Phun
Asif M. Ilyas, MD, MBA, FACS
Filmed At:
Rothman Institute
Article Information
Publication Date
8/30/2021
Article ID
296
Production ID
0296
Volume
2021
Issue
296
DOI
https://doi.org/10.24296/jomi/296