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Ulnar tunnel syndrome, also known as Guyon's canal syndrome or Handlebar palsy, is ulnar neuropathy at the wrist where it passes through the ulnar tunnel (Guyon's canal). [1] The most common presentation is a palsy of the deep motor branch of the ulnar nerve causing weakness of the interosseous muscles .
The ulnar nerve is a nerve that runs near the ulna, one of the two long bones in the forearm. The ulnar collateral ligament of elbow joint is in relation with the ulnar nerve. The nerve is the largest in the human body unprotected by muscle or bone, so injury is common. [ 1 ]
Cubital tunnel syndrome is an entrapment neuropathy, or nerve compression syndrome, a condition caused by compression, traction or friction, of the ulnar nerve at the elbow. [1] Nerve compression is also known as a trapped nerve. The ulnar nerve travels from the shoulder (brachial plexus) down the length of the arm to the hand.
In cases where surgery is needed, cubital tunnel release, where the ligament of the cubital tunnel is cut, thereby alleviating pressure on nerve can be performed. [ 9 ] [ 13 ] [ 14 ] Treatment for the common occurrence of ulnar neuropathy resulting from overuse, with no fractures or structural abnormalities, is treatment massage, ice, and anti ...
The goal of any carpal tunnel release surgery is to divide the transverse carpal ligament and the distal aspect of the volar ante brachial fascia, thereby decompressing the median nerve and providing relief. [8] The transverse carpal ligament is a wide ligament that runs across the hand, from the scaphoid bone to the hamate bone and pisiform.
Darrach's procedure or distal ulna resection is a surgical technique for the surgical removal of the head of ulna.It is performed in cases of radial–ulnar joint pain and instability. [1]
Schematic diagram of the medial side of the elbow showing the ulnar nerve passing through the cubital tunnel. Chronic compression of the ulnar nerve in the cubital tunnel is known as cubital tunnel syndrome. [4] There are several sites of possible compression, traction or friction of the ulnar nerve as it courses behind the elbow. [5]
A hand imitating an ulnar claw. The metacarpophalangeal joints of the 4th and 5th fingers are extended and the Interphalangeal joints of the same fingers are flexed.. An ulnar claw, also known as claw hand or Spinster’s Claw, is a deformity or an abnormal attitude of the hand that develops due to ulnar nerve damage causing paralysis of the lumbricals.