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Ulnar neuropathies: where, why, and what to do?

Consultant Neurologist, Lions Gate Hospital, North Vancouver, British Columbia, Canada

Correspondence to:
Correspondence to:
Dr J Stewart, 204-145 East 13th Street, North Vancouver, BC V7L 2L4, Canada;
john.stewart@telus.net

The first 150 words of the full text of this article appear below.

Ulnar neuropathy alert by Auguste Rodin

Diagnosing and treating ulnar neuropathy is not nearly as straightforward as carpal tunnel syndrome. Here I will attempt to guide the busy practical neurologist to make the diagnosis with confidence and to manage patients effectively. There are four critical questions to be considered in a patient with a possible ulnar neuropathy:

• is it really an ulnar neuropathy?
  
• where is it: elbow or wrist?
  
• if at the elbow, how to treat: conservatively or with surgery?
  
• if not an ulnar neuropathy, what is it: C8 or T1 radiculopathy, plexus lesion, spinal cord lesion, anterior horn cell lesion, other?
  

ANATOMY

Understanding a few basic points about the anatomy of this nerve is key to making the diagnosis of ulnar neuropathy, or one of its mimics. The ulnar nerve is derived from the spinal nerve roots C8 and T1. These fibres pass through the lower trunk and medial cord . . . [Full text of this article]

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