CUBITAL TUNNEL SYNDROME

Classic Presentationelbow_cubital_tunnel_syndrome.jpg

The patient complains of inner forearm pain and numbness/tingling into the ring and little finger.  There is often a history of activities, such as throwing, that stretched the elbow to the inside.

Cause

Compression or stretch may cause irritation of the ulnar nerve.  Stretch is usually due to stresses to the inside of the elbow.  Compression may be at the two heads of the flexor carpi ulnaris or may be due to bone spurs in the cubital tunnel.  Pressure in the tunnel is increased with elbow flexion and wrist extension (threefold), and the cocking position of throwing (sixfold).

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