| Cubital tunnel syndrome | |
|---|---|
| Other names | Ulnar neuropathy at elbow |
| | |
| Nerves of the left upper extremity. (Ulnar nerve labeled at center) | |
| Specialty | Neurology, physical medicine and rehabilitation |
| Symptoms | Hand atrophy, numbness and weakness of hand, 4th, and 5th fingers |
| Causes | Nerve entrapment, Tumor |
| Diagnostic method | Electrodiagnosis, physical examination, imaging |
| Treatment | Positional changes, NSAIDs, surgery |
Cubital tunnel syndrome is an entrapment neuropathy, or nerve compression syndrome, a condition caused by compression, traction, or friction of the ulnar nerve at the elbow. [1] Nerve compression is also known as a trapped nerve. The ulnar nerve travels from the brachial plexus down the length of the arm to the hand. Along its course, it may become compressed at several sites. [2] At the elbow, the ulnar nerve passes through the cubital tunnel, where ulnar nerve compression most commonly occurs. [2] The ulnar nerve provides motor and sensory innervation to the forearm and hand, and its compression can cause numbness and other symptoms associated with cubital tunnel syndrome, commonly in the fourth and fifth fingers. In many cases, the cause is unknown. [3]
Cubital tunnel syndrome is an ulnar neuropathy that can be caused not only by compression at the cubital tunnel level itself, but can also be caused by movement of the elbow. [1] The volume of the cubital tunnel may be reduced when being moved from full extension to a lesser degree of flexion. Symptoms may include a claw hand. [4]
Cubital tunnel syndrome is the second most prevalent compression neuropathy of the upper extremity, following carpal tunnel syndrome. [5] While the symptomatic prevalence is roughly estimated to be around 5.9%, there is a notable lack of epidemiological studies. [6] Furthermore, the prevalence could potentially be underestimated due to a lack of specific diagnostic criteria or self-treatment with conservative measures such as over-the-counter medications and rest. [6]