Review Question - QID 6594

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Cubital Tunnel Syndrome QID: 6594 (SAE08UE.32)

QID 6594 (Type "6594" in App Search)

A 17-year-old javelin thrower reports medial-sided elbow pain and diminished grip strength while throwing. He has decreased sensation in the little and ring fingers of his throwing hand only while throwing. The sensory deficits resolve at rest. Examination of the elbow reveals no instability and full motion. He has a positive Tinel’s sign over the cubital tunnel and a positive elbow flexion test. Radiographs are normal. What is the next most appropriate step in management?

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Anterior ulnar nerve transposition

12%

83/701

Cortisone injection

23/701

Nighttime elbow extension splinting

63%

445/701

Medial collateral ligament reconstruction

8/701

Ulnar nerve decompression in situ

20%

141/701

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The patient’s symptoms and examination findings are consistent with ulnar neuritis/cubital tunnel syndrome, most probably exacerbated by javelin throwing. The first step includes rest and extension splinting. Surgical intervention should only be considered after failure of nonsurgical management.

Compressive neuropathies of the ulnar nerve at the elbow and wrist.

M A Posner

General
- Cubital Tunnel Syndrome

M A Posner, Instr Course Lect. 2000

48 responses

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