Bilateral anomalous course of the ulnar nerve at the wrist causing ulnar and median nerve compression syndrome

1987 ◽  
Vol 67 (5) ◽  
pp. 754-756 ◽  
Author(s):  
Renato J. Galzio ◽  
Vincenzo Magliani ◽  
Danilo Lucantoni ◽  
Corrado D'Arrigo
Keyword(s):  
Median Nerve ◽  
Ulnar Nerve ◽  
Nerve Compression ◽  
Content Type ◽  
Nerve Compression Syndrome ◽  
Median Nerve Compression ◽  
Compression Syndrome ◽  
Fine Print

✓ The case of a patient with a bilateral compression syndrome of the ulnar and median nerves at the wrist is described. Both ulnar nerves, which were surgically explored at different times, followed an anomalous course and passed into the canalis carpi side by side with the median nerve. This variation in the course of the ulnar nerve is extremely rare and causes a unique syndrome with characteristic electromyographic patterns.

Bilateral median nerve compression at the level of Struthers' ligament

2000 ◽  
Vol 92 (4) ◽  
pp. 693-696 ◽  
Author(s):  
Atif Aydinlioglu ◽  
Bayram Cirak ◽  
Fuat Akpinar ◽  
Nihat Tosun ◽  
Ali Dogan
Keyword(s):  
Median Nerve ◽  
Motor Function ◽  
Surgical Decompression ◽  
Nerve Entrapment ◽  
Nerve Compression ◽  
Sensory Disturbance ◽  
Content Type ◽  
Median Nerve Compression ◽  
Function Loss ◽  
Fine Print

✓ Struthers' ligament syndrome is a rare cause of median nerve entrapment. Bilateral compression of the median nerve is even more rare. It presents with pain, sensory disturbance, and/or motor function loss at the median nerve's dermatomal area. The authors present the case of a 21-year-old woman with bilateral median nerve compression caused by Struthers' ligament. She underwent surgical decompression of the nerve on both sides. To the authors' knowledge, this case is the first reported bilateral compression of the median nerve caused by Struthers' ligament. The presentation and symptomatology of Struthers' ligament syndrome must be differentiated from median nerve compression arising from other causes.

Struthers ligament: a source of median nerve compression above the elbow

1973 ◽  
Vol 38 (6) ◽  
pp. 778-779 ◽  
Author(s):  
Richard V. Smith ◽  
Robert G. Fisher
Keyword(s):  
Median Nerve ◽  
Surgical Procedure ◽  
Nerve Entrapment ◽  
Nerve Compression ◽  
Historical Background ◽  
Complete Relief ◽  
Content Type ◽  
Median Nerve Compression ◽  
Supracondylar Process ◽  
Fine Print

✓ A case of median nerve entrapment at the elbow by a non-osseous fibrous ligament (Struthers) is presented. A relatively simple surgical procedure with ligament division afforded complete relief of symptoms. The existence of Struthers' ligament without a bony supracondylar process is reaffirmed, and the historical background of its identification outlined.

scholarly journals The Association Between Concomitant Ulnar Nerve Compression at the Elbow and Carpal Tunnel Syndrome

Hand ◽  
2018 ◽  
Vol 15 (3) ◽  
pp. 335-340 ◽  
Author(s):  
Brandon Shulman ◽  
Jonathan Bekisz ◽  
Christopher Lopez ◽  
Samantha Maliha ◽  
Siddharth Mahure ◽  
...  
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Median Nerve ◽  
Ulnar Nerve ◽  
Carpal Tunnel ◽  
Nerve Compression ◽  
Concomitant Treatment ◽  
Ulnar Nerve Compression ◽  
Median Nerve Compression ◽  
Number Of Patients ◽  
Tunnel Syndrome

Background: Many patients treated for ulnar nerve compression at the elbow (UNE) are concomitantly treated for carpal tunnel syndrome (CTS). We sought to investigate the association between the conditions. Methods: The Statewide Planning and Research Cooperative System (SPARCS) database was used to determine the number of patients with UNE concomitantly treated for CTS in New York State from 2003 to 2014. We then retrospectively reviewed each patient who received surgical treatment for UNE (n = 222 patients) or CTS (n = 1063 patients) at our tertiary care institution in 2014 and 2015 to assess concomitant treatment. Results: In the SPARCS database, the percentage of patients surgically treated for concomitant UNE and CTS steadily increased from 23% in 2003 to 45% in 2014. At our institution, 50 of 222 patients (23%) surgically treated for UNE underwent concomitant carpal tunnel releases. For concomitantly treated patients, 94% had examinations consistent with UNE and CTS, 87% of patients had median nerve compression on electrodiagnostic tests, and 72% of patients had UNE on electrodiagnostic tests. Conclusions: Most patients concomitantly treated for UNE and CTS have objective findings of both conditions. At least one-fourth of patients indicated for operative ulnar nerve release also require a carpal tunnel release—far beyond the prevalence of CTS in the general population. A diagnosis of UNE merits a comprehensive workup by the treating surgeon and a high suspicion for concomitant median nerve compression.

Compressive Ulnar Neuropathy Caused by Olecranon Bursitis and Concomitant Epidermal Cyst: A Case Report

2017 ◽  
Vol 22 (04) ◽  
pp. 503-507 ◽  
Author(s):  
Hiroshi Yamazaki ◽  
Michitaka Shinone ◽  
Hiroyuki Kato
Keyword(s):  
Case Report ◽  
Ulnar Nerve ◽  
Rare Case ◽  
Nerve Compression ◽  
Epidermal Cyst ◽  
Epithelial Cyst ◽  
Ulnar Nerve Compression ◽  
Nerve Compression Syndrome ◽  
Compression Syndrome ◽  
Olecranon Bursitis

Epidermal cyst is a dermal or subcutaneous epithelial cyst that contains keratin and is lined by true epidermis. Although extremely rare, it can cause pathology including nerve compression syndrome. We report a rare case of ulnar nerve compression in the elbow that was caused by olecranon bursitis and concomitant epidermal cyst in a 67-year-old man. The ulnar nerve was immediately adjacent to the olecranon bursa and was significantly compressed. There was no connection between the tumor and the ulnar nerve. Pain, numbness, and weakness in his ring and little fingers disappeared after resection of the cyst and bursa.

Metaphrase: An Aid to the Clinical Conceptualization and Formalization of Patient Problems in Healthcare Enterprises

1998 ◽  
Vol 37 (04/05) ◽  
pp. 373-383 ◽  
Author(s):  
N. E. Olson ◽  
K. D. Keck ◽  
W. G. Cole ◽  
M. S. Erlbaum ◽  
D. D. Sherertz ◽  
...  
Keyword(s):  
Ulnar Nerve ◽  
Related Problem ◽  
Cubital Tunnel Syndrome ◽  
Nerve Compression ◽  
Beth Israel Hospital ◽  
Ulnar Nerve Compression ◽  
Nerve Compression Syndrome ◽  
Compression Syndrome ◽  
Tunnel Syndrome ◽  
Problem Lists

AbstractPatient descriptors, or “problems,” such as “brain metastases of melanoma” are an effective way for caregivers to describe patients. But most problems, e.g., “cubital tunnel syndrome” or “ulnar nerve compression,” found in problem lists in an Electronic Medical Record (EMR) are not comparable computationally – in general, a computer cannot determine whether they describe the same or a related problem, or whether the user would have preferred “ulnar nerve compression syndrome.” Metaphrase is a scalable, middleware component designed to be accessed from problemmanager applications in EMR systems. In response to caregivers' informal descriptors it suggests potentially equivalent, authoritative, and more formally comparable descriptors. Metaphrase contains a clinical subset of the 1997 UMLS Metathesaurus and some 10,000 “problems” from the Mayo Clinic and Harvard Beth Israel Hospital. Word and term completion, spelling correction, and semantic navigation, all combine to ease the burden of problem conceptualization, entry and formalization.

Atypical carpal tunnel syndrome with compression of the ulnar and median nerves

1981 ◽  
Vol 54 (5) ◽  
pp. 668-669 ◽  
Author(s):  
Vagn Eskesen ◽  
Jarl Rosenørn ◽  
Ole Osgaard
Keyword(s):  
Carpal Tunnel Syndrome ◽  
Median Nerve ◽  
Ulnar Nerve ◽  
Carpal Tunnel ◽  
Clinical Signs ◽  
Content Type ◽  
Nerve Involvement ◽  
Tunnel Syndrome ◽  
Fine Print

✓ Clinical signs of ulnar nerve involvement at the wrist level were found in a 51-year-old man. The electrophysiological changes were indicative of a median nerve involvement in the carpal tunnel. At operation, the compressed ulnar nerve was found in the carpal tunnel, together with the median nerve. This localization of the ulnar nerve has not been described previously.

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