The Upper Hand: Chuck & Chris Talk Hand Surgery Mailbag Cases and Reasons to be Thankful
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Dec 1, 2024 The hosts delve into the nuances of carpal and cubital tunnel syndrome surgeries, discussing when to combine procedures. They explore innovative techniques like dry arthroscopy for ligament injuries and highlight new tools for nerve repair. Personal anecdotes bring a festive touch, as they reflect on the joys of collaboration and community gratitude, all while sharing quirky Halloween tales and cultural contrasts. It's a mix of surgical insights and heartfelt appreciation, wrapped in humor and engaging storytelling.
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Carpal and Cubital Tunnel Treatment
- Treat carpal tunnel if symptoms are clear, regardless of electrodiagnostic findings.
- Consider treating cubital tunnel concurrently if symptoms are more than mild, especially with sensory/motor changes.
Non-operative Cubital Tunnel Care
- Prioritize non-operative care for mild cubital tunnel, such as nighttime splinting and avoiding hyperflexed elbows.
- Often, treating carpal tunnel alone can alleviate whole-hand symptoms, including those related to the ulnar nerve.
Cubital Tunnel and Carpal Tunnel Release
- Non-operative care, like splinting and avoiding hyperflexion, is effective for mild cubital tunnel syndrome.
- Studies show that carpal tunnel release increases distal ulnar tunnel volume, potentially indirectly decompressing the ulnar nerve.