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Nerve Compression: Ulnar Nerve of the Elbow

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Disorders of the Hand

Abstract

Ulnar nerve compression neuropathy was first described by Panas in 1878 [1]. Feindel and Stratford initially described the significance of the ‘cubital tunnel’ and coined the term in 1958 [2]. Entrapment of the ulnar nerve is regarded as one of the most common compression neuropathies of the upper extremity, second only to carpal tunnel syndrome [2–4]. Although the nerve can be compressed at any location along its course, the most common location is at the elbow; and the most common site is at the cubital tunnel [5]. Diagnosis is made from a combination of history, examination findings, and provocative tests. Some authors still advocate the use of electrodiagnostic studies to confirm findings and localize the compression. Still, no standard exists for the surgical treatment of cubital tunnel that is refractory to conservative measures [6]. The available evidence at this point is insufficient to identify the best treatment technique [7]. Understanding the anatomy and pathology are critical steps towards successfully diagnosing and managing ulnar nerve compression regardless of the technique used.

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  1. Department of Orthopaedic Surgery, Division of Hand and Upper Extremity Surgery, Allegheny General Hospital, Pittsburgh, PA, USA

    Prasad Sawardeker MD, MS, Katie E. Kindt BS & Mark E. Baratz MD

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  1. Prasad Sawardeker MD, MS
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  2. Katie E. Kindt BS
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Correspondence to Katie E. Kindt BS .

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  1. Wrightington Hospital, Wigan, United Kingdom

    Ian A. Trail

  2. St George's Hospital, London, United Kingdom

    Andrew N.M. Fleming

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Sawardeker, P., Kindt, K.E., Baratz, M.E. (2015). Nerve Compression: Ulnar Nerve of the Elbow. In: Trail, I., Fleming, A. (eds) Disorders of the Hand. Springer, London. https://doi.org/10.1007/978-1-4471-6560-6_14

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