Cubital tunnel syndrome is the second most common compressive neuropat
hy. With increasing prevalence of entrapment neuropathies, the present
ation of ulnar nerve compression with a painful upper extremity appear
s to be more common. Though our knowledge and understanding of this di
sease is increasing, the principles of management remain. Reaching the
timely and appropriate diagnosis and instituting an appropriate treat
ment regimen help to restore and preserve normal function. Though ther
e are many ways to reach these means, the avoidance of complications i
s paramount to achieve a reliable and pain-free outcome. Preventing in
jury to the medial antebrachial cutaneous nerve, complete release of a
ll sites of compression, and avoidance of creating new compressive sit
es are the keys to this end.