Cubital Tunnel Syndrome Flashcards
1
Q
define
A
this is compression of the ulnar nerve behind the medial epicondyle
2
Q
cause
A
Osbourne’s fascia at the origin of flexor carpi ulnaris
3
Q
what does the ulnar nerve supply?
A
medial 2 lumbricals hypothenar muscles deep head FBP adductor pollicus forearm flexor
4
Q
who is cubital tunnel syndrome more common in?
A
men
5
Q
presentation
A
paraesthesia
weakness in 1st dorsal interosseous (abduction of index finger)
6
Q
diagnosis
A
- examination: star fish sign, Warenberg’s sign (abducted pinky), claw hand deformity
- Tinel’s, Phalen’s and Froment’s (adductor pollicis) tests
- NCS
7
Q
management
A
mild= splint, physio, NSAIDs surgery= ulnar nerve decompression
