Ulnar Tunnel Syndrome
Ulnar tunnel syndrome could be broadly defined as a compressive neuropathy of the ulnar nerve at the level of the wrist. The ulnar tunnel, or Guyon’s canal, has a complex…
ORTHOPEDIC
Carpal Tunnel Syndrome in Pregnancy
During pregnancy, hormonal fluctuations, fluid shifts, and musculoskeletal changes predispose women to carpal tunnel syndrome. While the clinical presentation is similar to other patients, the history obtained must include information…
Late Reconstruction of Ulnar Nerve Palsy
Ulnar nerve palsy results in significant loss of sensation and profound weakness, leading to a dysfunctional hand. Typical clinical findings include loss of key pinch, clawing, loss of normal flexion…
Evaluation and Treatment of Failed Ulnar Nerve Release at the Elbow
Failure after ulnar nerve decompression at the elbow can be defined as either no change in the patient’s symptoms or an initial improvement with recurrence, making the patient history essential…
Cubital Tunnel Syndrome
Compression of the ulnar nerve at the elbow, or cubital tunnel syndrome, is the second most common peripheral nerve compression syndrome in the upper extremity. Diagnosis is made through a…
Acute Carpal Tunnel Syndrome
Acute carpal tunnel syndrome is characterized by rapid onset of median neuropathy caused by sudden increases in carpal tunnel pressures, which leads to ischemia of the median nerve. The most…
Late Reconstruction of Median Nerve Palsy
The median nerve provides sensory innervation to the radial aspect of the hand, including the palm, thumb, index, long, and half of the ring fingers. It provides motor innervation to…
Evaluation and Treatment of Failed Carpal Tunnel Release
Treatment failure and complications are encountered in 1% to 25% of all carpal tunnel releases. Besides hematoma, infection, skin necrosis, and intraoperative iatrogenic injuries, persistence and recurrence should be included…
Physical Examination of Upper Extremity Compressive Neuropathies
A thorough history and physical examination are vital to the assessment of upper extremity compressive neuropathies. This article summarizes relevant anatomy and physical examination findings associated with upper extremity compressive…
Open Versus Endoscopic Carpal Tunnel Release
Carpal tunnel syndrome is a very common hand condition, which after a failure of conservative treatment can be treated successfully with surgical decompression in either an open or endoscopic manner….
