This operation releases an entrapped ulna nerve at the elbow. The operation is performed under general anaesthetic as a day case procedure. An incision is made just behind the inside knuckle (medial epicondyle) of your elbow. Your ulna nerve is identified and freed throughout its course around the elbow. Occasionally the nerve is unstable, in that it flips in front of the inner knuckle when the elbow is bent. If the nerve is unstable it is transposed so that it lies in front of the knuckle the whole time.
The operation is effective at resolving the pins and needles you may have been suffering in your little and ring finger. You are also likely to notice slow improvement in fine touch sensation, although your touch sense may never recover fully.
If you already have significant weakness or loss of muscle bulk in your hand, this is unlikely to improve even though the nerve recovers, because the muscles’ nerve endings will have degraded. The operation should however, stop further progression of weakness and so preserve what power you have.
You will go home a few hours after your operation with a sling to rest your arm. Please start taking your painkillers as soon as you get home. You can take down your bulky bandages after 3 days, but please keep your wound dressed and ry for two weeks. You can begin gentle elbow motion once your bulky bandage is off. You will be seen two weeks after your operation, your wound will be checked and your suture ends will be trimmed. After your wound has healed you can resume normal activities as long as it's comfortable. Scar massage can begin after 3 weeks - this helps to desensitise your scar.
This operation is very safe and the vast majority of patients enjoy a successful outcome. There are however some specific risks of cubital tunnel release:
- The risk of injury to your ulna nerve is very low (1%)
- There are small sensory nerve branches that cross the medial side of the elbow. Care is taken to avoid injury to these, but they may get damaged. Injury to these cutaneous nerves can cause a tender spot as the nerve sprouts new fibres. This is occasionally painful enough to require further treatment
Mr Granville-Chapman was very polite and his examination and explanation of my symptoms and expected treatment was thorough
I found Mr Granville-Chapman to be very knowledgeable and professional. He put me very much at ease and explained all the options that I have thoroughly. He also told me to look for further information on the condition and procedures that I needed on his website, which gave lots of information and detail. It was also easy to understand for those without a medical background. I would highly recommend his services to anyone that has shoulder problems and requires a solution.
I attended for a repair of my right bicep tendon. After a thorough examination, Mr Granville-Chapman arranged an operation to be undertaken within 2 days which was extremely quick; he explained his reasoning which was both thorough and reassuring, explaining both the options of undergoing surgery and deciding to undertake conservative management.On the day of the surgery Mr Granville-Chapman was again very reassuring as although this is minor surgery I was still somewhat apprehensive. He came to fully explain the procedure and afterI woke up was quick to check on how I was doing.Overall I am very happy with the careMr Granville-Chapman
I have been very pleased with my treatment so far. Mr Granville-Chapman combines brisk efficiency with a pleasant, sympathetic manner. My operation, however, is still to come ...
From the initial consultation, through surgery on a fractured wrist, and now post-operative follow up, it has been a very positive and reassuring experience with Mr Granville-Chapman. I would have no hesitation in recommending him to someone else.
A first class clinician. A skilled surgeon with an excellent bedside manner.
A very pleasant Consultant who knows exactly how to make pain go away.
Mr Granville - Chapman has an excellent bedside manner. He engaged with my 12 year old son at an appropriate level and took the time to ensure that he understood the procedure and answer all his questions. He is thoroughly professional and I would not hesitate to recommend him.
I have been very pleased with the attention I have received. Mr. Granville-Chapman has reassured me that my symptoms are normal. It is very easy to make appointments that suit me.
Mr Granville chapman I found be caring informative and professional I would recommend him to all if you have a problem don't hesitate to contact him you won't be disappointed.
I recently broke my right clavicle in a mountain bike accident and it was repaired by Mr Granville-Chapman by adding a plate on top of the bone. Having just finished the last post-op consultation, I can confirm that I have been very happy with the process all along. In particular, Jeremy took time to explain in detail why a plate was needed, what the procedure would entail, and also was very patient answering my questions comprehensively beforehand and after during the recovery phase. Would certainly trust this competent surgeon to fix any future fractures I might sustain.
Mr Granville-Chapman has looked after my 15 year old son brilliantly, explaining the surgery, recovery and best way forward, and Kate has been very supportive helping with logistics etc, thank you so much.
So far my experience with Mr Jeremy Granville-Chapman has been personal and informative with regard to the operation I will be having. I feel confident that my operation will be a success and for this reason I am very happy to have Mr Jeremy Granville-Chapman as my consultant.
Very knowledgeable and helpful. Takes the time to make sure you're getting the treatment you need.
Mr Jeremy Granville -Chapman is not only a highly skilled consultant but is able to put you straight away at ease .My appointments were arranged very swiftly which was great, when you are experiencing severe pain. I am very happy with my treatment so far . many thanks to everyone who was involved in my treatment.
Polite, helpful, professional. Makes an effort to ensure full understanding of issues and procedures to be done. Highly satisfied
Very pleasant. Clear, careful explanations & options/possibilities. I feel well informed, and happy that my concerns are being well addressed, with a plan of review of the symptoms.
Excellent advise with everything explained clearly and a successful treatment which has benefited be greatly.
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