Ulnar Nerve Decompression and Transposition
Overview
The ulnar nerve passes behind the inner side of the elbow through the cubital tunnel. Compression or irritation can cause pins and needles, numbness in the ring and little fingers, hand weakness, clumsiness and aching around the elbow.
Surgery aims to relieve pressure on the nerve and prevent worsening nerve dysfunction.
Who may benefit from surgery?
Surgery may be considered for persistent numbness, progressive symptoms, weakness, muscle wasting, failed non-operative treatment or nerve compression confirmed on examination and nerve studies.
What does the procedure involve?
Ulnar nerve decompression releases tight structures around the nerve. In selected cases, the nerve is moved to a safer position in front of the elbow, called transposition, particularly if it is unstable or under tension.
Recovery after ulnar nerve surgery
Recovery depends on how long and how severely the nerve has been compressed. Tingling may improve quickly, but numbness and weakness can take months and may not fully recover if compression was severe.
Rehabilitation protocol
You will receive an ulnar nerve decompression or transposition protocol covering wound care, motion and return to use.
FAQs
What are the symptoms of cubital tunnel syndrome?
Pins and needles, numbness in the ring and little fingers, hand weakness and symptoms worse with elbow bending.
When is transposition needed?
It may be needed if the nerve is unstable, tight or likely to remain irritated in its original position.
Will numbness recover completely?
It depends on nerve damage severity and duration. Early treatment has a better chance of recovery.
Can I move my elbow after surgery?
Movement is usually encouraged, but restrictions depend on the exact procedure.
Can symptoms recur?
Recurrence is possible but uncommon when compression is adequately relieved.
Book or Refer Today
For persistent ulnar nerve symptoms, book a consultation to assess nerve function and treatment options.
Wrist and Hand
Reconstructive Orthopaedics Melbourne (ROM)
We restore mobility, reduce pain, and improve quality of life — through reconstructive orthopaedic surgery driven by evidence and advanced biomechanics.