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Ulnar Tunnel Syndrome, Sports Medicine

Richard Okragly, MD and Amanda Chaney, DO, FAAFP, CAQSM Reviewed 04/2019
 


BASICS

DESCRIPTION

  • Compression of the ulnar nerve in Guyon canal at the level of the wrist

  • Guyon canal is bordered by the volar carpal ligament, transverse retinacular ligament, and laterally by the hoo...

DIAGNOSIS

HISTORY

  • Ring (4th) and small (5th) finger paresthesias with variable weakness of grip

  • Localized pain and tenderness over Guyon canal

  • Paresthesias or vascular compromise (coldness and pallor of ...

TREATMENT

Prehospital: 
  • Avoid aggravating activities, including but not limited to 3,4[C]:

    • Repetitive hand motions and activities.

    • Heavy grasping and gripping.

    • Resting the palm against hard surfaces.

MEDICATION

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • Following surgery, proper wound care and pain control are essential.

  • Return to full activity 4 to 8 wk following surgical decompression 3[C].

REFERENCES

1
Brubacher JW, Leversedge FJ. Ulnar neuropathy in cyclists. Hand Clin.  2017;33(1):199–205.
2
Anto C, Aradhya P. Clinical diagnosis of peripheral nerve compression in the upper extremity...

ADDITIONAL READING

Green DP. Green’s Operative Hand Surgery. Vol 2. 2nd ed. London, United Kingdom: Churchill Livingstone Publishing; 1988:1452–1454. 

CLINICAL PEARLS

  • Numbness and tingling in the hand are not always signs of carpal tunnel syndrome.

  • A good history and physical examination are necessary to accurately diagnose this condition.

  • Nerve condu...

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