Cubital Tunnel Syndrome in a Patient in Long-Term Haemodialysis

Abstract

The onset mechanism of cubital tunnel syndrome and carpal tunnel syndrome may be similar in haemodialysis patients. Carpal tunnel syndrome is well recognized as a consequence of dialysis-associated amyloidosis. This case report documents the development of cubital tunnel syndrome in a patient on haemodialysis treatment for 10 years. Proliferating granulation tissue at the elbow had entrapped and displaced the ulnar nerve. This was corrected surgically, and the patient experienced immediate relief of the numbness and the "tingling", but the muscular atrophy had not improved after 8 months.

Ulnar nerve compression—a case of giant uremic tumoral calcinosis

“…Development of dialysis-related amyloidosis (R2-microglobulin deposit) in patients undergoing longterm dialysis is a well known cause of carpal tunnel syndrome and, less frequently, ulnar nerve compression (Gilbert et al 1988, Konishiike et al 1994). However, nerve compression due to tumoral calcinosis is uncommon in dialysis patients.…”

Shoulder Pain in Long-Term Haemodialysis Patients

“…Shoulder pain in long-term haemodialysis patients at night and in a supine position during treatment is secondary to subacromial bursitis; related tenderness in the biceps groove seems to result from stenosing tenosynovitis of the long tendon of biceps (Figs 4a and 4b). It is known that bursae as well as the synovium are target organs for amyloid deposition (Fernandez et al 1990;Reese, Hopkovitz and Lifschitz 1988;Konishiike et al 1994b), and it seems that the change in the relative position of the humeral head in an upright posture gives temporary relief from pain by expanding the volume of subacromial space (Figs 5a and 5b).…”

Relationship Between Cubital Tunnel Syndrome and Chronic Hemodialysis via Forearm Arteriovenous Fistula

“…To the best of our knowledge, only one study has exactly evaluated CTS in HD patients (17). There are also few case reports about this condition (18,19). The present study showed that in carefully selected patients (no history of fracture, surgery, or deformity) with optimal elbow position during HD (elbow extension with a lateral pad), the prevalence of CTS is not high.…”