Treatment of Dislocated Ulnar Nerve with Paresthesia

Initial Assessment and Conservative Management

• Initial evaluation should include radiographs of the elbow to rule out bony abnormalities or joint pathology that may contribute to nerve compression, as recommended by the American College of Radiology 1, 2

Surgical Options

• Medial epicondylectomy may be considered in specific cases where other approaches are not suitable, according to the American College of Radiology 1

Potential Complications and Considerations

• Proper positioning during surgery is critical to prevent additional nerve injury, with the American Society of Anesthesiologists (ASA) recommending that the forearm should be positioned to decrease pressure on the postcondylar groove of the humerus, and either supination or neutral forearm position is recommended, and excessive elbow flexion (>90°) should be avoided as it may increase risk of ulnar neuropathy 3