Special Technical ArticlesMini-Open In Situ Cubital Tunnel ReleaseSamora, Julie Balch MD, PhD*; Awan, Hisham M. MD†Author Information *Department of Orthopedic Surgery, Nationwide Children’s Hospital †Department of Orthopaedics, Hand and Upper Extremity Center, The Ohio State University, Columbus, OH The authors declare that they have nothing to disclose. For reprint requests, or additional information and guidance on the techniques described in the article, please contact Hisham M. Awan, MD, at [email protected] or by mail at Department of Orthopaedics, Hand and Upper Extremity Center, The Ohio State University, 915 Olentangy River Road, Suite 3200, Columbus, OH 43212. You may inquire whether the author(s) will agree to phone conferences and/or visits regarding these techniques. Techniques in Orthopaedics: December 2016 - Volume 31 - Issue 4 - p 247-250 doi: 10.1097/BTO.0000000000000176 Buy Metrics Abstract Cubital tunnel syndrome is the second most common nerve entrapment syndrome of the upper extremity. Patients typically present with numbness and paresthesias in the ring and small fingers, elbow pain, and intrinsic weakness. There are several surgical treatment options, including in situ decompression, medial epicondylectomy, subcutaneous transposition, and submuscular transposition. Potential complications include incomplete release, hematoma formation, and medial antebrachial cutaneous nerve injury. Recently, many authors have described an endoscopic cubital tunnel release that is performed through a smaller incision, is less invasive, and results in a faster recovery time. We describe a simple mini-open in situ release for ulnar nerve compression at the elbow. A 1 cm incision just posterior to the medial epicondyle is made and blunt dissection is utilized. The ulnar nerve is released on its posterior aspect under direct visualization. A Langenbeck retractor and Jameson tenotomy scissors are used to release the nerve proximally. The superficial and deep flexor carpi ulnaris fascia are released distally. This mini-open technique uses a smaller incision than the endoscopic technique, without the added cost of the endoscopic equipment. Copyright © 2016 Wolters Kluwer Health, Inc. All rights reserved.