Abstract
The ulnar nerve provides motor innervation to the muscles of the anterior compartment of the forearm, interosseous and hypothenar muscles along with sensory innervation to the skin of the medial half of the palm and dorsal hand and medial one and a half fingers. Compression or injury of the nerve most commonly occurs at the elbow and is the second most common entrapment of the upper extremity. History, physical exam and electrodiagnostic testing can be utilized for diagnosis. Conservative management of ulnar nerve pathology includes medication management, bracing, therapy and injections. If these treatment strategies are not effective, surgical decompression should be considered.
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References
Wynter S, Dissabandara L. A comprehensive review of motor innervation of the hand: variations and clinical significance. Surg Radiol Anat. July 2017. Epub
Minieka M, Nishida T, Benzon H. Entrapment neuropathies. In: Benzon H, editor. Essentials of pain medicine. 3rd ed. Philadelphia: Elsevier; 2011. p. 395–402.
Tsujino A, Macnicol M. Finger flexion sign for ulnar neuropathy. J Hand Surg Br. 1998;23:240–1.
Abrams B, Waldman H. Electromyoagraphy and evoked potentials. In: Benzon H, editor. Practical management of pain. 5th ed. Philadelphia: Elsevier; 2014. p. 171–3.
Hong C, Long H, Kanakamedala R, Chang Y, Yates L. Splinting and local steroid injection for the treatment of ulnar neuropathy at the elbow: clinical and electrophysiological evaluation. Arch Phys Med Rehabil. 1996;6:573–7.
Caliandro P, La Torre G, Padua R, Giannini F, Padua L. Treatment for ulnar neuropathy at the elbow. Cochrane Database Syst Rev. 2012;11(7):CD006839.
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Kirchen, G. (2019). Ulnar Nerve. In: Abd-Elsayed, A. (eds) Pain. Springer, Cham. https://doi.org/10.1007/978-3-319-99124-5_104
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DOI: https://doi.org/10.1007/978-3-319-99124-5_104
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