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Ulnar neuropathy

MedGen UID:
57596
Concept ID:
C0154743
Disease or Syndrome
Synonyms: Nerve Disease, Ulnar; Nerve Diseases, Ulnar; Neuropathies, Ulnar; Neuropathy, Ulnar; Ulnar Nerve Disease; Ulnar Nerve Diseases; Ulnar Neuropathies; Ulnar Neuropathy
SNOMED CT: Ulnar neuropathy (359837005)
 
Monarch Initiative: MONDO:0007006

Definition

Disease involving the ulnar nerve from its origin in the brachial plexus to its termination in the hand. Clinical manifestations may include paresis or paralysis of wrist flexion, finger flexion, thumb adduction, finger abduction, and finger adduction. Sensation over the medial palm, fifth finger, and ulnar aspect of the ring finger may also be impaired. Common sites of injury include the axilla, cubital tunnel at the elbow, and Guyon's canal at the wrist. (From Joynt, Clinical Neurology, 1995, Ch51 pp43-5) [from MONDO]

Term Hierarchy

Professional guidelines

PubMed

Michell AW, Sesath HGR
J Clin Rheumatol 2020 Jan;26(1):37-39. doi: 10.1097/RHU.0000000000000828. PMID: 29912777
Caliandro P, La Torre G, Padua R, Giannini F, Padua L
Cochrane Database Syst Rev 2016 Nov 15;11(11):CD006839. doi: 10.1002/14651858.CD006839.pub4. PMID: 27845501Free PMC Article
American Association of Electrodiagnostic Medicine, Campbell WW
Muscle Nerve Suppl 1999;8:S171-205. PMID: 16921634

Recent clinical studies

Etiology

Jarrett CD, Papatheodorou LK, Sotereanos DG
Instr Course Lect 2017 Feb 15;66:91-101. PMID: 28594491
Caliandro P, La Torre G, Padua R, Giannini F, Padua L
Cochrane Database Syst Rev 2016 Nov 15;11(11):CD006839. doi: 10.1002/14651858.CD006839.pub4. PMID: 27845501Free PMC Article
Hanewinckel R, Ikram MA, Van Doorn PA
Handb Clin Neurol 2016;138:263-82. doi: 10.1016/B978-0-12-802973-2.00015-X. PMID: 27637963
Everding NG, Maschke SD, Hoyen HA, Evans PJ
J Hand Surg Am 2013 Dec;38(12):2496-507; quiz 2507. Epub 2013 Nov 5 doi: 10.1016/j.jhsa.2013.06.007. PMID: 24210721
Murthy JM, Meena AK
J Assoc Physicians India 1995 Oct;43(10):673-5. PMID: 8773001

Diagnosis

Cambon-Binder A
Orthop Traumatol Surg Res 2021 Feb;107(1S):102754. Epub 2020 Dec 13 doi: 10.1016/j.otsr.2020.102754. PMID: 33321238
Doughty CT, Bowley MP
Med Clin North Am 2019 Mar;103(2):357-370. doi: 10.1016/j.mcna.2018.10.012. PMID: 30704687
Hanewinckel R, Ikram MA, Van Doorn PA
Handb Clin Neurol 2016;138:263-82. doi: 10.1016/B978-0-12-802973-2.00015-X. PMID: 27637963
Beran R
Aust Fam Physician 2015 Mar;44(3):92-5. PMID: 25770571
Robinson LR
Am J Phys Med Rehabil 2005 Jun;84(6):481. doi: 10.1097/01.phm.0000163717.83109.11. PMID: 15905664

Therapy

Caliandro P, La Torre G, Padua R, Giannini F, Padua L
Cochrane Database Syst Rev 2016 Nov 15;11(11):CD006839. doi: 10.1002/14651858.CD006839.pub4. PMID: 27845501Free PMC Article
Chimenti PC, Hammert WC
Hand Clin 2013 Aug;29(3):435-42. Epub 2013 Jun 12 doi: 10.1016/j.hcl.2013.04.013. PMID: 23895724
Osterman AL, Spiess AM
Hand Clin 2007 Aug;23(3):329-37, vi. doi: 10.1016/j.hcl.2007.06.002. PMID: 17765585
Geiringer SR, Leonard JA Jr
Arch Phys Med Rehabil 1989 Sep;70(9):705-6. PMID: 2549911
Murphy JP, Devers JC
JAMA 1974 Mar 11;227(10):1123-4. PMID: 4359835

Prognosis

Jarrett CD, Papatheodorou LK, Sotereanos DG
Instr Course Lect 2017 Feb 15;66:91-101. PMID: 28594491
Hanewinckel R, Ikram MA, Van Doorn PA
Handb Clin Neurol 2016;138:263-82. doi: 10.1016/B978-0-12-802973-2.00015-X. PMID: 27637963
Carter GT, Weiss MD, Friedman AS, Allan CH, Robinson L
Phys Med Rehabil Clin N Am 2015 Aug;26(3):513-22. Epub 2015 Jun 18 doi: 10.1016/j.pmr.2015.04.002. PMID: 26231962
Everding NG, Maschke SD, Hoyen HA, Evans PJ
J Hand Surg Am 2013 Dec;38(12):2496-507; quiz 2507. Epub 2013 Nov 5 doi: 10.1016/j.jhsa.2013.06.007. PMID: 24210721
Rose MR, Brix KA
Philos Trans R Soc Lond B Biol Sci 2006 Apr 29;361(1468):605-18. doi: 10.1098/rstb.2006.1820. PMID: 16687265Free PMC Article

Clinical prediction guides

Florczynski MM, Kong L, Burns PB, Wang L, Chung KC
J Hand Surg Am 2023 Jan;48(1):28-36. Epub 2022 Nov 10 doi: 10.1016/j.jhsa.2022.10.008. PMID: 36371353Free PMC Article
Coraci D, Loreti C, Piccinini G, Doneddu PE, Biscotti S, Padua L
Neurol Sci 2018 Aug;39(8):1325-1331. Epub 2018 May 19 doi: 10.1007/s10072-018-3446-7. PMID: 29779137
Bolster MA, Zöphel OT, van den Heuvel ER, Ruettermann M
J Hand Surg Eur Vol 2014 Jul;39(6):621-5. Epub 2013 Jul 22 doi: 10.1177/1753193413498547. PMID: 23877730
Friedrich JM, Robinson LR
Muscle Nerve 2011 Apr;43(4):596-600. Epub 2011 Feb 11 doi: 10.1002/mus.21925. PMID: 21319168
Zylicz Z, Nuyten FJ, Notermans SL, Koene RA
Anaesthesia 1984 Nov;39(11):1117-20. doi: 10.1111/j.1365-2044.1984.tb08935.x. PMID: 6095697

Recent systematic reviews

Hewson DW, Kurien T, Hardman JG
Br J Anaesth 2023 Jul;131(1):135-149. Epub 2023 May 15 doi: 10.1016/j.bja.2023.04.010. PMID: 37198029Free PMC Article
Meiling JB, Schappell JB, Twohey EE, Prokop LJ, Cushman DM
PM R 2023 Oct;15(10):1326-1334. Epub 2023 Feb 24 doi: 10.1002/pmrj.12952. PMID: 36730149
Chiaramonte R, Pavone P, Musumeci G, Rosa MD, Vecchio M
J Hand Ther 2022 Apr-Jun;35(2):164-173. Epub 2021 Dec 28 doi: 10.1016/j.jht.2021.11.003. PMID: 34972607
Caliandro P, La Torre G, Padua R, Giannini F, Padua L
Cochrane Database Syst Rev 2016 Nov 15;11(11):CD006839. doi: 10.1002/14651858.CD006839.pub4. PMID: 27845501Free PMC Article
Caliandro P, La Torre G, Padua R, Giannini F, Padua L
Cochrane Database Syst Rev 2011 Feb 16;(2):CD006839. doi: 10.1002/14651858.CD006839.pub2. PMID: 21328287

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