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Ulnar nerve problems in the athlete's elbow.

R E Glousman1

  • 1University of Southern California, Inglewood.

Clinics in Sports Medicine
|April 1, 1990
PubMed
Summary
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Ulnar neuritis in athletes often impacts the elbow, particularly in overhand sports. Early treatment and minimal nerve deficits lead to an excellent prognosis for returning to competition.

Area of Science:

  • Orthopedics
  • Sports Medicine
  • Neurology

Background:

  • Ulnar neuritis at the elbow is prevalent in athletes, especially those in overhand sports.
  • It's often linked to medial elbow pain due to high tensile forces.
  • Treatment requires considering associated conditions like ulnar collateral ligament issues.

Purpose of the Study:

  • To evaluate the prognosis of athletes with ulnar neuritis.
  • To identify factors influencing return to competition.
  • To emphasize comprehensive treatment approaches for medial elbow pain.

Main Methods:

  • Review of clinical presentations and preoperative findings.
  • Assessment of neurological deficits, including intrinsic muscle function.
  • Correlation of electrodiagnostic studies (EMG, nerve conduction) with outcomes.

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Main Results:

  • Prognosis is tied to preoperative condition, duration of symptoms, and severity of nerve lesions.
  • Intrinsic muscle dysfunction and significant EMG findings indicate a less favorable outcome.
  • Associated conditions like ulnar collateral ligament attenuation and arthritis negatively impact prognosis.

Conclusions:

  • Athletes with early ulnar neuritis and minimal deficits have an excellent prognosis for returning to play.
  • Comprehensive evaluation and treatment addressing all contributing factors are crucial for optimal outcomes.
  • Long-standing cases with severe neurological involvement have a guarded prognosis.