Endoscopic Neurolysis and Transposition of the Ulnar Nerve

Because of the superficial position, the ulnar nerve is often compressed. In the hands of an experienced surgeon, the endoscopic ulnar nerve decompression is a minimally invasive and safe procedure. Before the surgery, medical history, clinical and neurologic specialist evaluation, and diagnostic imaging are important. If these preparations are done and ulnar nerve compression concludes, the surgical indication is given. The exact positioning of the patient on the back and the arm on a hand table is essential. Special instruments for the endoscopic nerve decompression are needed. The most published complications are similar to open surgery. Studies comparing open and endoscopic nerve decompression show that the endoscopic technique is superior.