Cubital tunnel syndrome: Anatomy, clinical presentation, and management

Abstract

Cubital tunnel syndrome is the second most common peripheral nerve compression seen by hand surgeons. A thorough understanding of the ulnar nerve anatomy and common sites of compression are required to determine the cause of the neuropathy and proper treatment. Recognizing the various clinical presentations of ulnar nerve compression can guide the surgeon to choose examination tests that aid in localizing the site of compression. Diagnostic studies such as radiographs and electromyography can aid in diagnosis. Conservative management with bracing is typically trialed first. Surgical decompression with or without ulnar nerve transposition is the mainstay of surgical treatment. This article provides a review of the ulnar nerve anatomy, clinical presentation, diagnostic studies, and treatment options for management of cubital tunnel syndrome.

Determinants of Anxiety and Depression in Patients with Cubital Tunnel Syndrome

“…According to the guideline of the American Association of Electrodiagnostic Medicine [16], all patients underwent the nerve conduction study. Con rmatory criteria included: (1) motor nerve conduction velocity (MNCV) across the elbow less than 50 m/s; (2) an MNCV difference of greater than 10 m/s between the elbow segment and forearm segment; (3) a conduction block with compound muscle action potential decreased more than 20% (amplitude measured from the elbow to upper arm). Electrodiagnostic studies were performed by a specialist technician using a Dantec Keypoint Portable Nerve Conduction/ electromyography machine (Dantec Dynamics, Bristol, Bristol, UK) and reported by a consultant neurophysiologist.…”

“…Cubital tunnel syndrome (CuTS) is the second most common peripheral nerve entrapment syndrome, caused by compression of the ulnar nerve within the cubital tunnel at the elbow [1,2]. Patients with CuTS are often troubled by symptoms like tingling and pain in the small nger and ulnar half of the ring nger [4].…”

“…Patients with CuTS are often troubled by symptoms like tingling and pain in the small nger and ulnar half of the ring nger [4]. As the condition progresses, muscular weakening and muscular atrophy will occur [5]. Owing to these symptoms, patients' quality of life and the ability to continue employment may be impacted.…”

Relative prevalence of anxiety and depression in cubital tunnel syndrome patients and associated factors

“…CuTS patients were often troubled by symptoms like tingling and pain in the small finger and ulnar half of the ring finger [2]. As the condition progresses, muscular weakening and muscular atrophy will occur [3]. Due to these symptoms, patients' life quality and the ability to continue in employment may be impacted.…”

Determinants of Anxiety and Depression in Patients with Cubital Tunnel Syndrome

“…Cubital tunnel syndrome (CuTS) is the second most common peripheral nerve entrapment syndrome, caused by compression of the ulnar nerve within the cubital tunnel at the elbow [1][2][3]. Patients with CuTS are often troubled by symptoms like tingling and pain in the small nger and ulnar half of the ring nger [4].…”