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The procedure described by CPT® Code 64718 involves neuroplasty and/or transposition of the ulnar nerve at the elbow. This surgical intervention is primarily aimed at addressing conditions related to nerve entrapment and compression, which can lead to pain, numbness, and weakness in the affected arm and hand. The ulnar nerve is a critical nerve that runs from the neck down to the hand, passing through several anatomical structures, including the cubital tunnel at the elbow. When the ulnar nerve becomes compressed or entrapped, it can result in a condition commonly known as cubital tunnel syndrome. The surgical procedure entails making an incision along the inner aspect of the elbow to access the ulnar nerve. During the operation, the surgeon carefully dissects the surrounding soft tissues to identify the nerve and remove any scar tissue or adhesions that may be causing the compression. In some cases, an anterior transposition of the ulnar nerve may be performed, which involves relocating the nerve from its original position behind the elbow to a new position in front of it. This repositioning can help alleviate pressure on the nerve and improve function. The procedure concludes with the closure of the soft tissues in layers, ensuring proper healing and recovery.
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