As demands for faster return to function, improvement in surgical scarring, and minimal
disruption to personal schedule have increased, so also have the demands increased
for minimally invasive procedures under the wide awake, local anesthetic, no tourniquet
method. However, owing to the subcutaneous yet constrained position of the ulnar nerve
at the elbow, wide-awake endoscopic cubital tunnel release has remained a technical
challenge. We describe a 2-stage local anesthetic injection method that safely introduces
local anesthetic within the cubital tunnel and simultaneously achieves comfort, sufficient
visualization, and the ability to decompress multiple compression sites through a
minimal incision.
Key words
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References
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Article info
Publication history
Published online: June 03, 2022
Accepted:
April 2,
2022
Received:
March 15,
2022
Footnotes
Dr Tosti is a consultant for Mission Surgical Innovations. No benefits in any form have been received or will be received by the other author related directly or indirectly to the subject of this article.
Identification
Copyright
© 2022 by the American Society for Surgery of the Hand. All rights reserved.
