Ulnar Tunnel Syndrome (Guyon Canal)

Wahl, Elizabeth P; Richard, Marc J.

doi:10.1007/978-3-030-37289-7_19

Cited by 1 publication

(5 citation statements)

References 32 publications

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“…With optimal bicycle fit, adequate rest, frequent hand repositioning, and protective equipment, most cyclist achieve significant symptomatic relief. 8,19,31,32…”

Section: Discussionmentioning

confidence: 99%

“…Cyclist palsy may be prevented and treated with simple bicycle alterations that redistribute pressure. With optimal bicycle fit, adequate rest, frequent hand repositioning, and protective equipment, most cyclist achieve significant symptomatic relief 8,19,31,32 …”

Section: Discussionmentioning

confidence: 99%

“…In symptomatic patients refractory to conservative care over 2-4 mos or who demonstrate intrinsic hand weakness, we recommend cross-sectional imaging and surgical referral for potential exploration and decompression. 32 Past surgical successes have revealed compression of the deep ulnar branch by way of the flexor digiti quinti brevis and opponens digiti quinti muscles. Proper localization of the zone of injury (Fig.…”

Section: Management Principlesmentioning

confidence: 99%

“…The vast majority of patients with cyclist palsy improve with adequate rest, education, and alterations to equipment and bicycle fit. In symptomatic patients refractory to conservative care over 2–4 mos or who demonstrate intrinsic hand weakness, we recommend cross-sectional imaging and surgical referral for potential exploration and decompression 32 . Past surgical successes have revealed compression of the deep ulnar branch by way of the flexor digiti quinti brevis and opponens digiti quinti muscles.…”

Section: Management Principlesmentioning

confidence: 99%

“…1) may be helping in surgical planning. There are retrospective studies, which suggest that patients undergoing surgical intervention for Guyon canal decompression can expect good results, but these cases were not specific to cyclist palsy 32 . It is worth noting that in case reports in which surgical decompression is described, both sensory and motor functions were restored to the affected hand 7 …”

Section: Management Principlesmentioning

confidence: 99%

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The Physiatrist’s Guide to Cyclist Palsy: A Narrative Review

Farag

Sherwood

Kuwabara

et al. 2022

Am J Phys Med Rehabil

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: Ulnar neuropathy at the wrist is a common consequence of long-duration cycling, a condition termed “cyclist palsy.” Although cyclist palsy has been clinically well described in the literature, a gap exists regarding its electrodiagnostic evaluation and management. Patients with cyclist palsy present with a wide variety of sensory or motor impairments, depending on the location of the lesion. Electrodiagnostic studies are essential for accurate localization, with studies suggesting that pure motor lesions sparing the hypothenar muscles are most common among cyclists. This article aims to provide the electromyographer and physiatrist with a clinical approach to cyclist palsy and management strategies, including patient education, equipment changes, and alterations to bicycle fit.To Claim CME CreditsComplete the self-assessment activity and evaluation online at http://www.physiatry.org/JournalCMECME ObjectivesAt the conclusion of this educational module, participants will be able to: (1) Describe the possible clinical presentations of Cyclist Palsy based on Ulnar nerve anatomy in the wrist and hand; (2) State the cycling-related risk factors for Cyclist Palsy; and (3) Outline the principles in management for Cyclist Palsy.LevelAdvancedAccreditationThe Association of Academic Physiatrists is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.The Association of Academic Physiatrists designates this Journal-based CME activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

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“…With optimal bicycle fit, adequate rest, frequent hand repositioning, and protective equipment, most cyclist achieve significant symptomatic relief. 8,19,31,32…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Management Principlesmentioning

confidence: 99%

Section: Management Principlesmentioning

confidence: 99%

Section: Management Principlesmentioning

confidence: 99%

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