Our Services

Alaska Hand-Elbow-Shoulder is home to Alaska's premier upper extremity surgical specialists. We provide care for orthopedic injuries and conditions of the hand, wrist, elbow, and shoulder as well as fracture care and sports medicine. Call AkHES today to schedule your appointment.

Cubital Tunnel Syndrome

What is Cubital Tunnel Syndrome?

Cubital Tunnel Syndrome occurs when the ulnar nerve in the elbow becomes irritated, pinched or compressed. The cubital tunnel is a narrow groove in the elbow that the ulnar nerve passes through. When pressure is increased in the tunnel, the ulnar nerve becomes compressed and blood supply to the nerve is restricted. Trauma or direct injury to the elbow, as well as repetitive motion such as leaning on the elbow or keeping the elbow flexed for long periods of time may cause this increased pressure.

Signs and Symptoms:

Cubital tunnel syndrome causes numbness or tingling in the ring and/or small fingers, weakness in the fingers and hand, and a sharp pain or dull ache on the inner side of the elbow when the elbow is touched. Diagnostic tests such as nerve conduction studies, electromyogram or x-rays may be required to confirm the diagnosis.

Conservative Options:

Conservative options for alleviating cubital tunnel symptoms include rest, avoiding activities that provoke symptoms, and anti-inflammatory medications.

Surgical Options:

If conservative options are not effective, surgery may be recommended to release the ulnar nerve from the cubital tunnel. Removal of a small amount of bone will allow the nerve to glide smoothly and reduce chances of recurrent irritation or compression.

Anatomy of medical elbow

Anatomy of elbow

Dr. McNamara’s Post Op Protocol: Release with Medial Epicondylectomy

Dr. Gray’s Post Op Protocol: in Situ Release

Note: These instructions are to serve as guidelines and are subject to Physician discretion.  Actual progress may be faster or slower depending on the individual.