Cubital Tunnel-Case: Cubital Tunnel

Case: Cubital Tunnel

Pdf Summary

Cubital Tunnel Syndrome is a condition characterized by hand weakness and numbness, specifically in the ring and small fingers. It can cause disrupted sleep and is more common in females. Differential diagnoses include alcoholism, Raynaud's disease, diabetic neuropathy, and others. To diagnose the condition, a physical exam is conducted to check for impaired sensation and perform tests such as Tinel's at the elbow. Conservative measures such as splinting, activity modification, NSAIDs, and hand therapy are usually effective in treating mild cases. Surgical management involves a cubital tunnel release, with various points of compression being targeted for decompression. In-situ decompression and transposition have similar outcomes, but transposition may be preferred for certain cases. Other options include anterior transposition and medial epicondylectomy. It is important to differentiate cubital tunnel syndrome from other conditions like C8/T1 radiculopathy and ulnar tunnel syndrome, and thorough neurophysiologic testing is recommended. Surgeons should release all points of compression during surgery, and in-situ release can be effective if there is no nerve subluxation.

Keywords

Cubital Tunnel Syndrome

hand weakness

numbness

ring finger

small finger

disrupted sleep

females

alcoholism

Raynaud's disease

diabetic neuropathy