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Ulnar neuropathy at wrist: entrapment at a very “congested” site

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Abstract

Ulnar tunnel syndrome indicates ulnar neuropathy at different sites within the wrist. Several classifications of ulnar tunnel syndrome are present in literature, based upon typical nerve anatomy. However, anatomical variations are not uncommon and can complicate assessment. The etiology is also complex, due to the numerous potential causes of entrapment. Clinical examination, neurophysiological testing, and imaging are all used to support the diagnosis. At present, many therapeutic approaches are available, ranging from observation to surgical management. Although ulnar neuropathy at the wrist has undergone extensive prior study, unresolved questions on diagnosis and treatment remain. In the current paper, we review relevant literature and present the current knowledge on ulnar tunnel syndrome.

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Acknowledgements

We would like to thank Dr. Lisa Hobson-Webb for language editing.

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Authors and Affiliations

  1. IRCCS Fondazione Don Carlo Gnocchi, Piazzale Morandi n.6, 20121, Milan, Italy

    Daniele Coraci, Claudia Loreti, Giulia Piccinini & Luca Padua

  2. Physical Medicine and Rehabilitation Unit, Sant’Andrea Hospital, “Sapienza” University of Rome, Rome, Italy

    Giulia Piccinini

  3. Department of Geriatrics, Neurosciences and Orthopaedics, Catholic University of Sacred Heart, Rome, Italy

    Pietro E. Doneddu, Silvia Biscotti & Luca Padua

Authors
  1. Daniele Coraci
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  2. Claudia Loreti
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  3. Giulia Piccinini
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  4. Pietro E. Doneddu
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  5. Silvia Biscotti
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  6. Luca Padua
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Correspondence to Luca Padua.

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Coraci, D., Loreti, C., Piccinini, G. et al. Ulnar neuropathy at wrist: entrapment at a very “congested” site. Neurol Sci 39, 1325–1331 (2018). https://doi.org/10.1007/s10072-018-3446-7

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  • DOI: https://doi.org/10.1007/s10072-018-3446-7

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