menuclose
Hand and Upper Extremity

Trigger Finger Release

Opening the tight tendon sheath at the base of a finger or thumb so the tendon glides without catching or locking.
Learn more
Hand and Upper Extremity

Cubital Tunnel Release

Relieving pressure on the ulnar nerve where it passes behind the elbow, sometimes moving the nerve to the front, to stop numbness in the ring and small fingers.
Learn more
Hand and Upper Extremity

Wrist Fracture Repair

Realigning a broken wrist and holding it with a plate and screws so it heals in position and motion can start early.
Learn more
Hand and Upper Extremity

Scaphoid Fracture Repair

Fixing a broken scaphoid bone with a compression screw, and reconstructing scaphoid fractures that have failed to heal, including vascularized bone grafting.
Learn more
Hand and Upper Extremity

Distal Biceps Tendon Repair

Reattaching a biceps tendon that has torn from the forearm bone at the elbow, to restore the strength to turn and lift.
Learn more
Hand and Upper Extremity

Dupuytren Contracture Release

Releasing or removing the thickened cords in the palm that pull fingers into a bent position, by needle release, enzyme injection or open surgery.
Learn more
Hand and Upper Extremity

Ganglion Cyst Removal

Removing a fluid-filled cyst from the wrist or hand along with the stalk that connects it to the joint, to relieve pain and lower recurrence.
Learn more
Hand and Upper Extremity

Thumb CMC Arthroplasty

Reconstructing the arthritic joint at the base of the thumb by removing the worn bone and stabilizing the thumb with a tendon or implant, to restore pain-free pinch.
Learn more
ContactTalk toa real person.
Two clinics, one number to call or text. Same-day appointments for acute injuries whenever we can. The front desk will match you with the right surgeon.
Provo1055 N 300 W, Ste 104
Orem700 W 800 N, Ste 330
What it is

Cubital Tunnel Release

The ulnar nerve runs behind the inner elbow in a shallow groove, the funny bone, and stretches with every bend.
Pressure or traction there causes numbness in the ring and small fingers and, over time, weakness in the hand.Release opens the tissue roof over the nerve. When the nerve is unstable or the groove is shallow, the surgeon moves it to the front of the elbow, a transposition.
Performed by
Toby Johnson, MD, Hand and Upper Extremity surgeon at Ridgeline Orthopedic Specialists
Dr. JohnsonHand and Upper Extremity
M. Shane Frazier, DO, Hand and Upper Extremity surgeon at Ridgeline Orthopedic Specialists
Dr. FrazierHand and Upper Extremity
Travis Peterson, DO, Hand and Upper Extremity surgeon at Ridgeline Orthopedic Specialists
Dr. PetersonHand and Upper Extremity
Cubital Tunnel Release

Who It Helps

Surgery fits patients with persistent numbness despite elbow padding and night splinting, especially with nerve testing that confirms compression or any hand weakness or muscle wasting.Mild intermittent symptoms often improve by keeping the elbow straighter at night and off hard surfaces.
Cubital Tunnel Release

What to Expect

Outpatient surgery under general anesthesia or a regional block, thirty to sixty minutes.A soft dressing or splint for a few days to two weeks depending on whether the nerve was moved.Dr. Johnson, Dr. Frazier and Dr. Peterson all perform both techniques and will explain which fits your anatomy.Outpatient surgery at a Utah Valley surgery center, with hand therapy arranged near your home in Provo, Orem or Lehi. Dr. Johnson, Dr. Frazier and Dr. Peterson operate at Utah Valley Hospital and Orem Community Hospital.
Cubital Tunnel Release

Recovery Timeline

Motion begins within days for a simple release.After transposition, the elbow is protected for about two weeks, then motion resumes. Desk work within a week or two, lifting at six weeks.Tingling often improves quickly. Constant numbness and weakness recover over months and sometimes incompletely if long-standing.
Milestones
Days 1 to 3Motion (simple release)
Week 2Motion (transposition)
Week 1 to 2Desk work
Week 6Lifting
Cubital Tunnel Release

Risks and Considerations

Incomplete relief, tenderness over the nerve and elbow stiffness are the common issues.Infection and nerve injury are rare.Severe long-term compression can leave permanent numbness; surgery prevents further loss.
Cubital Tunnel Release

Your Surgeons

Dr. Johnson, Dr. Frazier and Dr. Peterson perform this procedure at Utah Valley Hospital, Orem Community Hospital, American Fork Hospital and Mountain View Hospital.
Dr. Johnson, MD
Weill Cornell graduate, hand fellowship at Allegheny General. Twenty-one years in practice and seventeen as a collegiate team physician.
Dr. Frazier, DO
Fellowship trained in hand and upper extremity surgery at the University of Pittsburgh. Seventeen years in practice. Fluent in Spanish.
Dr. Peterson, DO
Hand surgery fellowship at UMass Chan. Office-based, wide-awake carpal tunnel release. Fifteen years in practice. Speaks German.
ContactTalk toa real person.
Two clinics, one number to call or text. Same-day appointments for acute injuries whenever we can. The front desk will match you with the right surgeon.
Provo1055 N 300 W, Ste 104
Orem700 W 800 N, Ste 330