Cubital Tunnel Syndrome
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Search Strategy[edit | edit source]
Databases: CINAHL, Cochrane, Medline with Full Text, PubMed, ScienceDirect, GoogleScholar, EBSCO, ProQuest
Search Terms: cubital tunnel syndrome, ulnar nerve entrapment, compression, medial elbow pain, ulnar elbow pain, nerve entrapment, ulnar nerve, surgery, conservative treatment, rehabilitation, compression injury of upper extremity, coppieters, anterior transposition of ulnar nerve, ulnar nerve decompression, tardy ulnar neuritis, ulnar nerve glide, osborne, neurodynamics
Search Timeline: September 19, 2010 – November 22, 2010
Definition/Description[edit | edit source]
Cubital tunnel syndrome (CBTS) is a progressive entrapment neuropathy of the ulnar nerve at the medial aspect of the
elbow. The ulnar nerve, which is a motor and sensory nerve, is formed from the medial cord of the brachial plexus, which originates from nerve roots C8 and T1.[1][2][3] The ulnar nerve travels down the posterior aspect of the arm to eventually traverse posterior to the medial epicondyle through an area known as the cubital tunnel. The cubital tunnel extends from the medial epicondyle of the humerus to the olecranon process of the ulna.[4] The nerve runs superficial to the ulnar collateral ligament (UCL) and deep to the aponeurotic attachment of the flexor carpi ulnaris (FCU), which is also known as Osborne’s ligament. Once the ulnar nerve reaches the proximal border of Osborne’s ligament it is located in the cubital tunnel.
Epidemiology /Etiology[edit | edit source]
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Characteristics/Clinical Presentation[edit | edit source]
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Differential Diagnosis[edit | edit source]
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Examination[edit | edit source]
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Medical Management (current best evidence)[edit | edit source]
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Physical Therapy Management (current best evidence)[edit | edit source]
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Key Research[edit | edit source]
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Clinical Bottom Line[edit | edit source]
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References[edit | edit source]
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- ↑ Feindel W, Stratford J. Cubital tunnel compression in tardy ulnar nerve palsy. Can Med Assoc J. 1958;78:351.
- ↑ Osborne GV. The surgical treatment of tardy ulnar neuritis. J Bone Joint Surg Br. 1957;39B:782.
- ↑ Tetro AM, Pichora DR. Cubital tunnel syndrome and the painful upper extremity. Hand Clin. 1996;12(4):665-677.
- ↑ Wheeless CR. Cubital tunnel syndrome. http://www.wheelessonline.com/ortho/cubital_tunnel_syndrome. Updated June 5, 2010. Accessed November 1, 2010.