Term
| What are the names of the 2 tunnels the Ulnar Nerve travels through? |
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Definition
| Cubical Tunnel and Guyon’s Canal |
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Term
| What does the Ulnar Nerve give feeling to? |
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Definition
| Little finger and half of the ring finger |
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Term
| What position will the patient be in for an Ulnar Nerve Transposition? |
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Definition
| Supine with arm suspended or extended |
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Term
| What are the two different surgical approaches/procedures that can be used to correct Ulnar Nerve Pain? |
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Definition
| Ulnar Nerve Decompression and Ulnar Nerve Transposition |
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Term
| What type of incision will be used? |
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Definition
| Long incision over Ulnar Nerve |
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Term
| What is used to dissect the nerve free from the surrounding soft tissues? |
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Definition
| Metzenbaum scissors and hemostatic forceps |
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Term
| What is the wound classification? |
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Definition
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Term
| What type of dressing is applied Post-Op? |
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Definition
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Term
| What bony landmark is commonly referred to as the “Funny Bone”? |
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Definition
| Medial Epidondyle of the Humerus(elbow) |
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Term
| What instrument may be needed to retract the digits during the procedure? |
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Definition
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Term
| What are the 3 different items that can be used to pass around the freed segment of the nerve to aid in handling it for further dissection? |
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Definition
| Moist umbilical tapes, vessel loops, or Penrose |
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Term
| How is Ulnar nerve decompression accomplished? |
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Definition
| Cutting the ligament of Osborne where the nerve passes through the medial aspect of the elbow. |
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Term
| What are possible complications of this procedure? |
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Definition
| Nerve damage, new constriction points, infection, and blood clots |
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Term
| Where might the surgical technologist be positioned during the procedure? |
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Definition
| Sitting on opposite side of surgeon with affected arm between them. |
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Term
| What types of anesthetic may be used? |
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Definition
| Local, regional, or general |
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Term
| What type of specialists(surgeons) may perform peripheral nerve procedures like a Ulnar Nerve Transposition? |
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Definition
| Neurosurgeon, Plastic Surgeon, Hand Surgeon, or Orthopedic Surgeon |
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Term
| What preoperative diagnostic test/procedure may be performed prior to the surgery? |
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Definition
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Term
| Besides providing feeling to some of the fingers of the hand, what other functions does the Ulnar Nerve provide? |
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Definition
| Controls most of little muscles in hand for fine movements and some of bigger muscles in forearm for strong grip. |
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Term
| What special task should the surgical technologist be prepared to assist with during the transposition? |
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Definition
| Bone reshaping, if necessary |
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Term
| Why might the muscle and fascia be slit with scissors after entering each end by the nerve? |
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Definition
| To prevent kinking of the nerve at each of the points |
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Term
| Where is the fascia loosely reapproximated at the end of the case? |
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Definition
| Fascia edge remaining on the epicondyle |
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Term
| Where is the nerve transposed(moved) during the procedure? |
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Definition
| Slightly more anterior location in elbow(in front of medial epicondyle instead of behind) |
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