Ulnar Tunnel Syndrome

被引:34
作者
Chen, Shih-Heng [1 ]
Tsai, Tsu-Min [1 ]
机构
[1] Christine M Kleinert Inst Hand & Microsurg, Louisville, KY 40202 USA
来源
JOURNAL OF HAND SURGERY-AMERICAN VOLUME | 2014年 / 39卷 / 03期
关键词
Ulnar tunnel; Guyon canal; pisohamate hiatus; ulnar neuropathy; ulnar nerve compression; HYPOTHENAR HAMMER SYNDROME; GUYONS CANAL SYNDROME; NERVE COMPRESSION; DISTAL RADIUS; MORPHOLOGIC CHANGES; PALMAR BRANCH; MEDIAN NERVE; MOTOR BRANCH; DEEP BRANCH; WRIST;
D O I
10.1016/j.jhsa.2013.08.102
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Ulnar neuropathy at or distal to the wrist, the so-called ulnar tunnel syndrome, is an uncommon but well-described condition. However, diagnosis of ulnar tunnel syndrome can be difficult. Paresthesias may be nonspecific or related to coexisting pathologies, such as carpal tunnel syndrome, cubital tunnel syndrome, thoracic outlet syndrome, C8-T1 radiculopathy, or peripheral neuropathy, which makes accurate diagnosis challenging. The advances in electrodiagnosis, ultrasonography, computed tomography, and magnetic resonance imaging have improved the diagnostic accuracy. This article offers an updated view of ulnar tunnel syndrome as well as its etiologies, diagnoses, and treatments. © 2014 ASSH r Published by Elsevier, Inc. All rights reserved.
引用
收藏
页码:571 / 579
页数:9
相关论文
共 92 条
[1]   Pressure changes in Guyon's canal after carpal tunnel release [J].
Ablove, RH ;
Moy, OJ ;
Peimer, CA ;
Wheeler, DR ;
Diao, E .
JOURNAL OF HAND SURGERY-BRITISH AND EUROPEAN VOLUME, 1996, 21B (05) :664-665
[2]   MORPHOLOGIC CHANGES FOLLOWING ENDOSCOPIC AND 2-PORTAL SUBCUTANEOUS CARPAL-TUNNEL RELEASE [J].
ABLOVE, RH ;
PEIMER, CA ;
DIAO, E ;
OLIVERIO, R ;
KUHN, JP .
JOURNAL OF HAND SURGERY-AMERICAN VOLUME, 1994, 19A (05) :821-826
[3]   Surgical management of Guyon's canal syndrome - An ulnar nerve entrapment at the wrist - Report of two cases [J].
Aguiar, PH ;
Bor-Seng-Shu, E ;
Gomes-Pinto, F ;
de Almeida-Leme, RJ ;
Freitas, ABR ;
Martins, RS ;
Nakagawa, ES ;
Tedesco-Marchese, AJ .
ARQUIVOS DE NEURO-PSIQUIATRIA, 2001, 59 (01) :106-111
[4]   The effect of long-distance bicycling on ulnar and median nerves - An electrophysiologic evaluation of cyclist palsy [J].
Akuthota, V ;
Plastaras, C ;
Lindberg, K ;
Tobey, J ;
Press, J ;
Garvan, C .
AMERICAN JOURNAL OF SPORTS MEDICINE, 2005, 33 (08) :1224-1230
[5]   DELAYED ULNA R-NERVE PALSY FOLLOWING A FRACTURE OF HAMATE [J].
BAIRD, DB ;
FRIEDENBERG, ZB .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1968, A 50 (03) :570-+
[6]   NERVE COMPRESSION SYNDROMES [J].
BROOKS, DM .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1963, 45 (03) :445-446
[7]   NERVE COMPRESSION BY SIMPLE GANGLIA - A REVIEW OF 13 COLLECTED CASES [J].
BROOKS, DM .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1952, 34 (03) :391-400
[8]   Unusual complication of an opposition tendon transfer at the wrist: Ulnar nerve compression syndrome [J].
Brutus, JP ;
Mattoli, JA ;
Palmer, AK .
JOURNAL OF HAND SURGERY-AMERICAN VOLUME, 2004, 29A (04) :625-627
[9]   LOCALIZED NODULAR SYNOVITIS - A RARE CAUSE OF ULNAR NERVE COMPRESSION IN GUYON CANAL [J].
BUDNY, PG ;
REGAN, PJ ;
ROBERTS, AHN .
JOURNAL OF HAND SURGERY-AMERICAN VOLUME, 1992, 17A (04) :663-664
[10]   Guyon's canal lipoma causing ulnar neuropathy [J].
Bui-Mansfield, LT ;
Williamson, M ;
Wheeler, DT ;
Johnstone, F .
AMERICAN JOURNAL OF ROENTGENOLOGY, 2002, 178 (06)