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Cubital Tunnel Release in a Patient With Parsonage-Turner Syndrome: A Case Report
1Osteopathic Medicine, William Carey University College of Osteopathic Medicine, Hattiesburg, USA.
Cureus
|June 23, 2025
Summary
Parsonage-Turner syndrome (PTS) can coexist with ulnar nerve compression, a rare double crush syndrome. Early diagnosis and surgical intervention are crucial for managing persistent symptoms in affected patients.
Area of Science:
- Neurology
- Peripheral Nerve Disorders
Background:
- Parsonage-Turner syndrome (PTS) is a rare peripheral neuropathy affecting the brachial plexus.
- It can mimic or coexist with other nerve compression issues.
Observation:
- A 39-year-old female with PTS presented with persistent right shoulder, elbow pain, and hand numbness.
- Physical exam showed intrinsic hand muscle atrophy, claw deformity, and positive nerve signs at the elbow.
Findings:
- Electromyography confirmed C8-T1 brachial plexopathy and ulnar nerve entrapment.
- Surgical decompression (cubital tunnel release, ulnar nerve transposition) was performed due to persistent symptoms.
Implications:
- This case highlights the rare overlap of PTS and ulnar nerve compression, suggesting double crush syndrome.
- It emphasizes the need to suspect superimposed compressive neuropathies in PTS patients with focal deficits.
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