The Upper Hand: Chuck & Chris Talk Hand Surgery Chuck and Chris Talk Surgical Techniques for Cubital Tunnel Syndrome
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Aug 21, 2022 Chuck and Chris discuss surgical techniques for cubital tunnel syndrome, including decision-making between decompression and transposition. They also explore tendon re-approximation techniques and advanced surgical approaches, emphasizing the importance of post-op care and patient criteria. The podcast delves into the use of ultrasound in predicting outcomes and reflects on past surgical practices and lessons learned.
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Table Saw Injury Case
- Chuck Goldfarb and Chris Dy discuss a case of a table saw injury over the index PIP joint.
- The patient had a jagged laceration, likely involving tendon and joint damage.
Extensor Tendon Repair
- For extensor tendon repairs, prioritize a strong repair over specific suture type.
- Use a figure-of-eight or horizontal mattress stitch with a strong suture like Ethibond.
Cubital Tunnel Surgery Considerations
- When deciding between cubital tunnel decompression vs. transposition, consider patient age and disease severity.
- Young patients, especially athletes, might benefit from transposition, while decompression may suit older patients with less severe, stable cases.