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Ulnar Nerve Transposition

A surgical procedure that repositions the ulnar nerve at the elbow to relieve compression and eliminate numbness, tingling, and weakness in the ring and small fingers.

What You Should Know

The ulnar nerve passes through a tight space behind the inner side of the elbow known as the cubital tunnel. When the nerve is compressed or irritated in this area, it causes numbness and tingling in the ring and small fingers, weakness of grip, and difficulty with fine motor tasks. This condition is called cubital tunnel syndrome.

When conservative measures such as elbow padding, activity modification, and anti inflammatory medications fail to provide lasting relief, surgical transposition of the ulnar nerve offers a more definitive treatment.

How the Procedure Works

Dr. Waldron makes an incision along the inner side of the elbow and carefully frees the ulnar nerve from its groove behind the elbow. The nerve is then repositioned to a new location in front of the joint, where it is protected from further compression and stretching during elbow movement.

  • Incision along the inner elbow
  • Complete mobilization of the ulnar nerve
  • Repositioning to a protected location in front of the elbow
  • Soft tissue coverage to secure the nerve in its new position

What Recovery Looks Like

The procedure is performed on an outpatient basis. A soft dressing and sometimes a splint are worn for one to two weeks. Light activity can resume within a few days, though heavy lifting and repetitive elbow bending should be avoided for about six weeks. Numbness and tingling improve gradually over weeks to months.

Why Choose Pacific Coast Neurosurgery?

Board-certified neurosurgeon

25+ years of experience

Minimally invasive techniques

Laguna Hills, California

Conditions Treated With This Procedure

Learn more about the conditions that may benefit from this surgical approach.

Frequently Asked Questions

Find answers to the most common questions about this procedure. If you need more information, please contact our office.

What is the difference between cubital tunnel syndrome and carpal tunnel syndrome?

Cubital tunnel syndrome involves compression of the ulnar nerve at the elbow, causing symptoms in the ring and small fingers. Carpal tunnel syndrome involves compression of the median nerve at the wrist, causing symptoms in the thumb, index, and middle fingers.

How long does it take for the nerve to fully recover?

Nerve recovery depends on the severity and duration of compression before surgery. Mild cases may improve within weeks. More severe or longstanding compression may take several months for maximum recovery.

Will I need physical therapy after surgery?

Some patients benefit from hand therapy to restore range of motion and strength. Dr. Waldron will recommend therapy based on your individual recovery progress.

Take the Next Step Toward Better Health

Every patient deserves a thorough evaluation and a clear understanding of their options. Dr. Waldron will take the time to review your imaging, explain your diagnosis, and walk you through each treatment path so you can make the most informed decision about your care.

Schedule a Consultation