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Ulnar neuropathy at the elbow.
1Departments of Neurology and Neurophysiology, Neuromuscular Section, University Hospital, State University of New York Health Science Center, Syracuse, New York 13210, USA.
Neurologic Clinics
|July 7, 1999
Summary
Ulnar neuropathy at the elbow, a common nerve entrapment, presents diagnostic challenges. While electrodiagnosis aids management, surgery may be needed for severe cases, with simple decompression often preferred.
Area of Science:
- Neurology
- Orthopedic Surgery
Background:
- Ulnar neuropathy at the elbow is a frequent entrapment neuropathy, second to carpal tunnel syndrome.
- Diagnosis and management are more complex than for carpal tunnel syndrome.
Purpose of the Study:
- To review the diagnosis and management of ulnar neuropathy at the elbow.
- To highlight the role of electrodiagnosis and surgical options.
Main Methods:
- Review of diagnostic techniques, emphasizing electrodiagnosis.
- Discussion of conservative and surgical management strategies.
Main Results:
- Electrodiagnosis is crucial for identifying and localizing ulnar neuropathy at the elbow.
- Sophisticated electrodiagnostic techniques may not always confirm preoperative diagnosis.
- Mild cases are managed conservatively; severe cases require surgery.
Conclusions:
- Simple decompression is generally preferred over transposition for surgical intervention.
- Correlation between electrodiagnostic findings and surgical results is vital for optimal patient outcomes.