What Is Ulnar Nerve Transposition at the Elbow?

If you’ve ever felt numbness, tingling, or weakness in your ring and pinky fingers, you may be experiencing ulnar nerve compression—commonly known as cubital tunnel syndrome . When conservative treatments fail, one effective surgical option is ulnar nerve transposition at the elbow.

At Plano Orthopedic & Sports Medicine Center, we specialize in advanced orthopedic procedures that relieve pain and restore function. Here’s what you need to know about this condition and how surgery can help.

Understanding the Ulnar Nerve

The ulnar nerve runs from your neck, through your shoulder and elbow, and down into your hand. At the elbow, it passes through a narrow space called the cubital tunnel. Because this tunnel is small and close to the surface, the ulnar nerve is vulnerable to compression—especially when the elbow is frequently bent or leaned on.

What Causes Ulnar Nerve Compression?

Ulnar nerve entrapment at the elbow can result from:

• Repetitive elbow flexion (e.g., frequent computer use or heavy lifting)

• Direct trauma or prolonged pressure on the elbow

• Anatomical abnormalities or previous injuries

Symptoms of Ulnar Nerve Entrapment

If the ulnar nerve is compressed or irritated, you might notice:

• Numbness or tingling in the ring and pinky fingers

• Hand or finger weakness

• Difficulty with fine motor tasks (like buttoning a shirt)

• Pain or discomfort in the elbow or forearm

What Is Ulnar Nerve Transposition?

Ulnar nerve transpositionis a surgical procedure that relocates the ulnar nerve from its vulnerable position behind the elbow to a new, more protected location in front of the elbow. This relieves pressure and allows the nerve to heal properly.

There are three common techniques:

1. Subcutaneous transposition– the nerve is moved under the skin

2. Intramuscular transposition– the nerve is moved within the muscle

3. Submuscular transposition– the nerve is placed beneath the muscles

Your surgeon will choose the best approach based on the severity of compression, your anatomy, and lifestyle needs.

What to Expect During Surgery

Ulnar nerve transposition is typically performed under general anesthesia and may take about one hour. Most patients go home the same day. Postoperative recovery includes:

• Immobilization of the elbow for a short period

• Physical therapy to restore motion and strength

• Gradual return to normal activity within weeks to months

Is Surgery Right for You?

If nonsurgical treatments like bracing, physical therapy, or anti-inflammatory medications haven’t provided relief, you may be a candidate for surgery. At Plano Orthopedic & Sports Medicine Center, our experienced elbow specialists will evaluate your condition and discuss the best treatment plan for your recovery.

Trust the Experts in Elbow Care

With decades of experience and a commitment to personalized orthopedic care, POSMChelps patients in Plano and the surrounding DFW area get back to doing what they love—pain-free.

Schedule a Consultation Today

If you’re experiencing elbow pain, numbness, or weakness, don’t wait. Contact Plano Orthopedic & Sports Medicine Centerto schedule a consultation and find out if ulnar nerve transposition surgery is right for you.

Call us or visit posmc.com to learn more.