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Ulnar Neuropathy in Cyclists.

Jacob W Brubacher1, Fraser J Leversedge1

  • 1Department of Orthopaedic Surgery, Duke University, 4709 Creekstone Drive, Suite 200, Durham, NC 27707, USA.

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|November 26, 2016
PubMed
Summary
This summary is machine-generated.

Cyclists may develop ulnar nerve issues from bike riding. Prevention includes proper bike fit and padded gloves. Most cases resolve with rest, but surgery may be needed for persistent symptoms.

Keywords:
BikingCubital tunnelCyclingDistal ulnar tunnelGuyon canalUlnar nerve

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Area of Science:

  • Orthopedics
  • Sports Medicine
  • Neurology

Background:

  • Cycling involves repetitive motions and sustained postures.
  • Cyclist's form can subject the ulnar nerve to stress at the elbow and wrist.
  • Ulnar neuropathy is a potential risk for cyclists.

Purpose of the Study:

  • To outline the risks of ulnar nerve compression in cyclists.
  • To describe preventative measures and conservative treatments.
  • To discuss surgical options for persistent cases.

Main Methods:

  • Literature review on cycling biomechanics and ulnar nerve injuries.
  • Analysis of clinical presentations and diagnostic approaches.
  • Evaluation of treatment outcomes for conservative and surgical interventions.

Main Results:

  • Ulnar nerve compression and traction are common in cyclists due to hand positioning and pressure.
  • Bike fitting, padded gloves, and reduced weight-bearing can prevent or alleviate symptoms.
  • Conservative management resolves most cases, but surgical decompression is an option for refractory symptoms.

Conclusions:

  • Ulnar neuropathy is a significant concern for cyclists.
  • Early intervention with conservative measures is recommended.
  • Surgical decompression should be considered for severe or persistent ulnar nerve compression in cyclists.