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The history
Published in Caroline J Rodgers, Richard Harrington, Helping Hands: An Introduction to Diagnostic Strategy and Clinical Reasoning, 2019
Caroline J Rodgers, Richard Harrington
Ulnar neuropathy is a differential diagnosis. This may be caused by compression where the ulnar nerve crosses the medial humeral epicondyle, which would cause similar symptoms (cubital tunnel syndrome), or runs through Guyon’s canal.8,9 However, with an ulnar neuropathy, the paraesthesia is felt in the little finger and the medial half of the ring finger, and the motor deficit corresponds to muscles supplied by the ulnar nerve (you can therefore, for example, test finger abduction against resistance, which tests the interosseus muscles).
Distal humeral fractures
Published in Charles M Court-Brown, Margaret M McQueen, Marc F Swiontkowski, David Ring, Susan M Friedman, Andrew D Duckworth, Musculoskeletal Trauma in the Elderly, 2016
Nathan Sacevich, George S. Athwal, Graham King
The management of ulnar neuropathy, either due to the original trauma or operative intervention, remains controversial. Some authors have advocated for routine anterior transposition, while others have recommended in situ decompression alone. Ruan et al.28 reported significantly improved outcomes with transposition versus in situ decompression for patients with preoperative ulnar nerve symptoms. Chen et al.53 found a 33% rate of postoperative ulnar neuritis in patients who had undergone transpositions versus 9% in patients who underwent in situ decompression. In contrast, Vazquez et al.54 found no significant difference in postoperative ulnar nerve symptoms in patients with no preoperative symptoms who underwent transposition versus no transposition and concluded that anterior transposition was not protective. Based on the available evidence, neither in situ release nor anterior transposition can be firmly recommended. Subcutaneous anterior transposition is recommended if direct contact with medial hardware is noted intraoperatively following fracture fixation.55
Industrial and environmental agents
Published in James W. Albers, Stanley Berent, Neurobehavioral Toxicology: Neurological and Neuropsychological Perspectives, 2005
James W. Albers, Stanley Berent
Based on the information presented, neither the diagnosis of ‘neuropathy’ in general, nor ulnar neuropathy in particular, satisfy conventional criteria necessary to verify the diagnosis (Richardson et al., 2000). This does not mean that the diagnoses are incorrect, only that alternative explanations are possible and, in this case, even likely.
Feasibility of a wearable biosensor device to characterize exercise and sleep in neurology residents
Published in Expert Review of Medical Devices, 2021
Kellyann Niotis, Nabeel Saif, Marialaura Simonetto, Xian Wu, Peter Yan, Jessica P. Lakis, Ingrid Estrada Ariza, Adam P. Buckholz, Nivita Sharma, Matthew E. Fink, Richard S. Isaacson
There are further limitations related to aspects of the WHOOP device itself. In addition to the aforementioned uncertain validity of the cardiovascular exertion scores, TotWO may be underestimated because some activities (e.g. weightlifting, yoga) might not generate the sustained HR elevation/Strain to trigger auto-detection of a workout. Additionally, WHOOP requires users to remember to charge it, and participants’ failure to do so led to inconsistencies in the number of days eligible for data analyzation per month between participants. This aligns with participants citing ‘forgot to wear’ and ‘short battery life’ as top barriers to use. One user reported the development of an ‘ulnar neuropathy’ (made by a self-diagnosis) which resolved after no longer using the device. One ‘allergic reaction’ was characterized as skin redness where the sensor touched the epidermis as another reason for study discontinuation. While these were self-reported adverse effects and not clinically diagnosed by a clinician, it is plausible that wearing a tight wrist strap imposes direct pressure on a peripheral nerve to cause a neuropathy, and on the skin resulting in adverse outcomes [39]. Additionally, studies have reported that prolonged use of wearable fitness trackers is associated with the development of a skin rash [40,41]. Newer trackers, including WHOOP Strap 3.0 which was released after completion of this study, have improved battery life. Addressing battery life, education on skin hygiene (e.g. cleaning the device and skin each day) and other reasons for discontinuation may better optimize the use of these devices in future studies.
Pain as a determinant of health-related quality of life in patients with carpal tunnel syndrome; a case-controlled study
Published in Postgraduate Medicine, 2020
Nicolas Anthony Damms, Lucy Moira McCallum, Ptolemaios Georgios Sarrigiannis, Panagiotis Zis
Patients with CTS that was suspected clinically and which was confirmed with nerve conduction studies were invited to participate in our study. To be included patients had to be at least 18 years old and able to provide written informed consent. Patients with ulnar neuropathy that was suspected clinically and which was confirmed with nerve conduction studies were excluded. Also, patients that had undergone previous CTS surgical release were excluded. Individuals with no history of entrapment neuropathies were recruited as controls.
Ultrasound-guided percutaneous electrical stimulation for a patient with cubital tunnel syndrome: a case report with a one-year follow-up
Published in Physiotherapy Theory and Practice, 2022
César Fernández-de-Las-Peñas, José L. Arias-Buría, Youssef Rahou El Bachiri, Gustavo Plaza-Manzano, Joshua A. Cleland
Ulnar neuropathy is the second most common upper extremity nerve entrapment disorder (Robertson and Saratsiotis, 2005) with an annual crude incidence of 25 cases/100,000 persons/year (Mondelli et al., 2005). Symptoms of ulnar neuropathy include paresthesias in the ulnar digits and weakness in the intrinsic muscles of the hand innervated by the ulnar nerve. It has been reported that ulnar neuropathy may resolve spontaneously, but at least 50% of the individuals continue to experience symptoms one-year after onset (Lee and Lim, 2019).