Diagnosing ulnar neuropathy at the elbow on MRI: importance of the longitudinal extent of the hyperintense ulnar nerve

2022 ◽  
Author(s):  
Sujin Kim ◽  
Bo Mi Chung ◽  
Wan Tae Kim ◽  
Guen Young Lee ◽  
Joonho Hur ◽  
...  
Keyword(s):  
Ulnar Nerve ◽  
Ulnar Neuropathy

A CASE REPORT OF ACUTE CUBITAL TUNNEL SYNDROME CAUSED BY VENOUS THROMBOSIS

Hand Surgery ◽  
2015 ◽  
Vol 20 (01) ◽  
pp. 137-139 ◽  
Author(s):  
Yoshihiro Abe ◽  
Masahiko Saito
Keyword(s):  
Case Report ◽  
Venous Thrombosis ◽  
Ulnar Nerve ◽  
Cubital Tunnel Syndrome ◽  
Nerve Compression ◽  
Ulnar Neuropathy ◽  
Cubital Tunnel ◽  
Ulnar Nerve Compression ◽  
Compression Neuropathy ◽  
Tunnel Syndrome

Compression neuropathy of the ulnar nerve at the elbow is well-recognised as cubital tunnel syndrome (CuTS). Many causes of ulnar neuropathy at the elbow have been identified. A previously unreported finding of ulnar nerve compression in the cubital tunnel caused by a thrombosed proximal ulnar recurrent artery vena comitans is described.

scholarly journals ELBOW ULNAR NEUROPATHY: TREATMENT BY ANTERIOR TRANSPOSITION OF THE ULNAR NERVE

2016 ◽  
Vol 24 (4) ◽  
pp. 184-186
Author(s):  
Antonio Tufi Neder Filho ◽  
Regina de Azevedo Alves ◽  
Arlindo Gomes Pardini Júnior ◽  
Marcelo Riberto ◽  
Milton Mazer
Keyword(s):  
Ulnar Nerve ◽  
Ulnar Neuropathy ◽  
Anterior Transposition

Role of diffusion tensor imaging in the evaluation of ulnar nerve involvement in leprosy

2021 ◽  
pp. 20210290
Author(s):  
Ankita Aggarwal ◽  
Chandan Jyoti Das ◽  
Neena Khanna ◽  
Raju Sharma ◽  
Deep Narayan Srivastava ◽  
...  
Keyword(s):  
Diffusion Tensor Imaging ◽  
Peripheral Neuropathy ◽  
Ulnar Nerve ◽  
Diffusion Tensor ◽  
Cross Sectional Area ◽  
Ulnar Neuropathy ◽  
Control Group ◽  
Sectional Area ◽  
Cross Sectional

Objective: Early detection of peripheral neuropathy is extremely important as leprosy is one of the treatable causes of peripheral neuropathy. The study was undertaken to assess the role of diffusion tensor imaging (DTI) in ulnar neuropathy in leprosy patients. Methods: This was a case–control study including 38 patients (72 nerves) and 5 controls (10 nerves) done between January 2017 and June 2019. Skin biopsy proven cases of leprosy, having symptoms of ulnar neuropathy (proven on nerve conduction study) were included. MRI was performed on a 3 T MR system. Mean cross-sectional area, fractional anisotropy (FA) and apparent diffusion coefficient (ADC) values of ulnar nerve at cubital tunnel were calculated. Additional ancillary findings and appearance of base sequences were evaluated. Results: Ulnar nerve showed thickening with altered T2W signal in all the affected nerves, having an average cross-sectional area of 0.26 cm2. Low FA with mean of 0.397 ± 0.19 and high ADC with mean of 1.28 ± 0.427 x 10 −3 mm2/s of ulnar nerve in retrocondylar groove was obtained. In the control group, mean cross-sectional area was 0.71cm2 with mean FA and ADC of 0.53 ± 0.088 and 1.03 ± 0.24 x 10 −3 mm2/s respectively. Statistically no significant difference was seen in diseased and control group. Cut-off to detect neuropathy for FA and ADC is 0.4835 and 1.1020 × 10 −3 mm2/s respectively. Conclusion: DTI though is challenging in peripheral nerves, however, is proving to be a powerful complementary tool for assessment of peripheral neuropathy. Our study validates its utility in infective neuropathies. Advances in knowledge: 1. DTI is a potential complementary tool for detection of peripheral neuropathies and can be incorporated in standard MR neurography protocol. 2. In leprosy-related ulnar neuropathy, altered signal intensity with thickening or abscess of the nerve is appreciated along with locoregional nodes and secondary denervation changes along with reduction of FA and rise in ADC value. 3. Best cut-offs obtained in our study for FA and ADC are 0.4835 and 1.1020 × 10 −3 mm2/s respectively.

Surgery of ulnar neuropathy at the elbow: 16 cases treated by decompression without transposition

1973 ◽  
Vol 38 (6) ◽  
pp. 780-785 ◽  
Author(s):  
Donald H. Wilson ◽  
Robert Krout
Keyword(s):  
Ulnar Nerve ◽  
Nerve Palsy ◽  
Medial Epicondyle ◽  
Ulnar Neuropathy ◽  
Cubital Tunnel ◽  
Content Type ◽  
Anterior Transposition ◽  
Ulnar Nerve Palsy ◽  
Flexor Carpi Ulnaris ◽  
Fine Print

✓ The authors report 16 consecutive cases of ulnar nerve palsy at the elbow successfully relieved by simple division of the tendinous insertions of the flexor carpi ulnaris, which form the roof of the “cubital tunnel.” They believe the more complex procedures of anterior transposition of the nerve or resection of the medial epicondyle are unnecessary, and even undesirable.

scholarly journals Ulnar Neuropathy due to Intraneural Ganglion Cyst of the Ulnar Nerve at the Elbow

2018 ◽  
Vol 07 (03) ◽  
pp. 260-264 ◽  
Author(s):  
Byung-chul Son ◽  
Jin-gyu Choi ◽  
Hak-cheol Ko
Keyword(s):  
Ulnar Nerve ◽  
Elbow Joint ◽  
Glenohumeral Joint ◽  
Ganglion Cyst ◽  
Ulnar Neuropathy ◽  
Intraneural Ganglion ◽  
Intraneural Ganglion Cyst ◽  
Articular Branch ◽  
Right Hand ◽  
Ganglion Cysts

AbstractIntraneural ganglion cysts are rare mucinous cyst originating within the epineurium of peripheral nerves. They occur most commonly in the peroneal nerve. However, they have also been described in many nerves in the vicinity of synovial joints. Intraneural ganglion cysts in the upper extremity are rare. Those at the elbow joint comprise only 9% of intraneural ganglion ever reported.A 66-year-old and right-handed male patient presented with a sudden onset of right-hand weakness. He initially noticed paresthesia with decreased sensation in the lateral two digits and radial palm in his right hand. Physical examination showed thenar muscle atrophy and muscle weakness of the abductor pollicis brevis in the right hand. Preoperative diagnosis of intraneural ganglion cyst was made on the basis of characteristic magnetic resonance imaging (MRI) findings. On exploration, the ulnar nerve was identified proximal to the elbow joint. Its articular branch was addressed and divided from the elbow joint.To the best of our knowledge, addressing the articular branch connecting the glenohumeral joint for the treatment of intraneural ganglion at the elbow has only been reported twice. We experienced a rare occurrence of intraneural ganglion cyst at the elbow manifesting an ulnar neuropathy. Here, we report intraoperative findings for the articular branch-connected to intraneural ganglion of the ulnar nerve at the elbow. Early diagnosis of intraneural ganglion with precise identification of the pathology and addressing the articular branch with atraumatic dissection of ganglion cyst are essential to achieve successful treatment for this rare lesion.

ABNORMAL ULNAR NERVE ANATOMY IN THE DISTAL FOREARM PRE-DISPOSES TO POST-TRAUMATIC ULNAR NEURITIS AT THE WRIST

Hand Surgery ◽  
2005 ◽  
Vol 10 (02n03) ◽  
pp. 303-305
Author(s):  
C. J. Yeo ◽  
C. P. Little ◽  
S. C. Deshmukh
Keyword(s):  
Ulnar Nerve ◽  
Anatomical Variations ◽  
Ulnar Neuropathy ◽  
Distal Forearm ◽  
Guyon’S Canal ◽  
Post Traumatic ◽  
Guyon's Canal ◽  
Ulnar Neuritis ◽  
Surgical Release

Anatomical variations of the ulnar nerve have been described at the level of the elbow and in Guyon's canal, while the path in the forearm has always been assumed to be constant. We present a case of compressive ulnar neuropathy at the wrist pre-disposed by a presumed congential variation of the path of the ulnar nerve at the level of the wrist which improved following surgical release of the constriction caused as a result of it.

ULNAR GROOVE PLASTY FOR FRICTION NEUROPATHY AT THE ELBOW

Hand Surgery ◽  
2001 ◽  
Vol 06 (02) ◽  
pp. 205-209 ◽  
Author(s):  
Akihito Tsujino ◽  
Naoyuki Ochiai
Keyword(s):  
Ulnar Nerve ◽  
Full Range ◽  
Scar Tissue ◽  
Ulnar Neuropathy ◽  
Cubital Tunnel ◽  
Anatomical Position ◽  
Elbow Motion ◽  
Sensory Functions ◽  
Adhesion Friction

In this paper, we report on a new operation for ulnar neuropathy caused by friction at the elbow. The operation consists of ulnar groove plasty proximal to the cubital tunnel. The ulnar nerve is replaced into this reconstructed groove. Patients are relieved of discomfort, and motor and sensory functions are recovered. The nerve is kept stable throughout the full range of elbow motion and showed neither irritation nor adhesion. Friction ulnar neuropathy is traditionally treated by anterior transpositon or medial epicondylectomy. The ulnar nerve may become entrapped in scar tissue after these operations. We believe that this anatomical position is optimum for the nerve and that this procedure is essential for treatment of friction neuropathy.

Severe Tardy Ulnar Nerve Palsy caused by Traumatic Cubitus Valgus Deformity: Functional Outcome of Subcutaneous Anterior Transposition

2008 ◽  
Vol 33 (5) ◽  
pp. 575-580 ◽  
Author(s):  
S. M. JAVAD MORTAZAVI ◽  
P. HEIDARI ◽  
S. ASADOLLAHI ◽  
M. FARZAN
Keyword(s):  
Ulnar Nerve ◽  
Symptom Relief ◽  
Valgus Deformity ◽  
Cubital Tunnel Syndrome ◽  
Ulnar Neuropathy ◽  
Objective Measures ◽  
Cubitus Valgus ◽  
Ulnar Nerve Palsy ◽  
Tunnel Syndrome ◽  
Male Patients

Ten male patients with McGowan’s grade III ulnar neuropathy due to traumatic cubitus valgus deformity underwent anterior subcutaneous ulnar transposition. Evaluation was performed using subjective and objective measures, and a modified Bishop score. After operation, subjective sensory and motor disturbances were improved or resolved in most of the patients, while objective measures improved less well. Improvement in two-point discrimination (2PD) was consistently associated with symptom relief. All of the patients reported satisfaction with the operation. There were no complications or recurrences. The results of ulnar nerve transposition in our patients were comparable to the results of this operation in patients with severe idiopathic cubital tunnel syndrome. Although the outcome of surgery is not always satisfactory in severe ulnar neuropathy, symptom relief may justify performing the operation.

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