Cubital Tunnel Syndrome (Ulnar Neuropathy)

Question 1

What causes cubital tunnel syndrome?

Answer 1

1. Ulnar nerve compression at the cubital tunnel along the medial elbow
   *will cause Paresthesia/pain along the ulnar nerve distribution (worse with elbow flexion)

Question 2

What will be found on the PE?

Answer 2

1. Positive Tinel’s sign at elbow
2. +Froments sign
   *hold paper and compensates with flexion of the thumb IP joint

Question 3

What is the treatment

Answer 3

1. Wrist and elbow immobilization (especially with sleep)
2. NSAIDs
3. Intraarticular steroids (chronic)
4. surgery with ulnar nerve decompression as last resort
   *nerve will be placed at the front