Cubital Tunnel Syndrome - Carrollton, TX
Dr. Fagelman is a board certified orthopedic surgeon serving the patients in Carrollton, TX.  He is well-known for providing complete treatment of conditions like elbow fractures, elbow pain, Cubital Tunnel Syndrome etc.

Cubital Tunnel Syndrome

The ulnar nerve runs through a cubital tunnel (present at the inside of elbow) and provides sensation to the middle, ring and little finger of the hand. The nerve travels from neck, down to the hand and may get caught at several locations, most common being the point behind the inside part of the elbow. The condition when the nerve gets constricted at this particular site is referred to as Cubital Tunnel Syndrome or Ulnar Nerve Entrapment.

Causes Of Cubital Tunnel Syndrome

  • Leaning on the elbow for long periods
  • Fluid buildup in the elbow
  • A direct blow to the inside of the elbow
  • Prior fractures or dislocations
  • Repetitive movement and bending of the wrist
  • Cysts near the elbow joint

Symptoms Of Cubital Tunnel Syndrome

  • Pain
  • Numbness or tingling in the ring and middle finger
  • Difficulty in moving and coordinating the fingers
  • Muscle wasting

Diagnosis Of Cubital Tunnel Syndrome

To assess the severity and possible causes of the condition, the doctor may begin by asking few questions. He may inquire about any previous injury and the duration on the symptoms. For further analysis a physical test may also be conducted, during which the doctor may–

  • Tap over the funny bone to see if that affects the little and middle finger.
  • Check whether the ulnar nerve slides from its normal position when the arm is bent.
  • Ask the patient to move his/her neck, arm or shoulder to see what causes discomfort.
  • Recommend imaging tests and nerve conduction studies to rule out the other possible causes

Treatment For Cubital Tunnel Syndrome

Non- Surgical Treatment

  • To alleviate the symptoms the doctor may prescribe anti-inflammatory medicines.
  • Braces and splints may be suggested to keep the elbow straight.
  • Nerve gliding exercises may be recommended to prevent stiffness in the arm.

Surgical Treatment

  • Cubital Tunnel Release - In this procedure the orthopedic surgeon may cut and divide the ligament of the cubital tunnel. This division increases the surface area of the tunnel and provides more space for the nerve to glide. With time the ligament heals and a new tissue is formed.
  • Ulnar Nerve Anterior Transposition – The pinched nerve may be moved from its place behind the medial epicondyle (bony protuberance at the medial side of femur’s distal end) to the front. This may prevent the nerve from getting pinched and irritated from the bony projection.
  • Medial Epicondylectomy – In this outpatient surgery the orthopedic surgeon may remove the medial epicondyle to relieve pressure from the ulnar nerve.

For the treatment of Cubital Tunnel Syndrome, contact Dr. Fagelman. To schedule an appointment with the specialist, call at (972) 492 – 1334.