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Nerve Ultrasound Protocol to Detect Dysimmune Neuropathies
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Ulnar neuropathy: evaluation and management.

Christopher J Dy1,2, Susan E Mackinnon3

  • 1Department of Orthopaedic Surgery - Division of Hand and Upper Extremity Surgery, Washington University School of Medicine, Campus Box 8233, 660 South Euclid Avenue, Saint Louis, MO, 63110, USA.

Current Reviews in Musculoskeletal Medicine
|April 16, 2016
PubMed
Summary
This summary is machine-generated.

Ulnar neuropathy, often from elbow trauma or chronic compression, requires careful evaluation for effective nonoperative or operative management. Advanced techniques like nerve transfers can improve motor recovery for specific ulnar nerve injuries.

Keywords:
Cubital tunnelGuyon’s canalUlnar nerve compressionUlnar nerve transpositionUlnar neuropathy

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Area of Science:

  • Neurology
  • Orthopedic Surgery
  • Nerve Injury Management

Background:

  • Ulnar neuropathy is a frequent condition, arising from acute elbow trauma or chronic compression.
  • Accurate diagnosis and prognosis are essential for guiding treatment strategies.

Purpose of the Study:

  • To review the clinical evaluation and electrodiagnostic assessment of ulnar neuropathy.
  • To discuss optimal surgical timing and techniques for improved patient outcomes.
  • To highlight the role of nerve transfer in managing ulnar nerve injuries.

Main Methods:

  • Clinical assessment of ulnar neuropathy presentation.
  • Electrodiagnostic study interpretation for prognosis.
  • Review of surgical interventions, including decompression at cubital tunnel and Guyon's canal.
  • Evaluation of nerve transfer techniques for motor recovery.

Main Results:

  • Clinical and electrodiagnostic evaluations are key to predicting recovery from ulnar neuropathy.
  • Surgical decompression at both the cubital tunnel and Guyon's canal may be necessary.
  • Supercharged end-to-side nerve transfers can accelerate motor recovery in select cases.
  • Nerve transfer techniques offer new options for acute ulnar nerve injuries.

Conclusions:

  • Optimizing outcomes in ulnar neuropathy relies on understanding clinical nuances and surgical timing.
  • Comprehensive surgical decompression and advanced nerve transfer techniques are vital for managing complex ulnar nerve conditions.