Unusual presentation of multiple nerve entrapment: a case report

Çıtışlı, Veli; Kocaoğlu, Murat; Göçmen, Selçuk; Korucu, Mustafa

doi:10.11604/pamj.2014.19.283.5665

Cited by 1 publication

(1 citation statement)

References 7 publications

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“…3 They noted that intraoperatively all patients had evidence of median nerve compression at the carpal tunnel and the ulnar nerve compression under Osborne's ligament, and 88% of patients had resolution in numbness in both distributions. 3 Citisli et al 11 published a case of a healthy 38-year-old man with left carpal and cubital tunnel syndrome as well as right cubital tunnel syndrome. Vimercati et al 12 described a case of a healthy 22-year-old male chef who demonstrated symptoms of bilateral cubital and carpal tunnel syndromes.…”

Section: Discussionmentioning

confidence: 99%

The Association Between Concomitant Ulnar Nerve Compression at the Elbow and Carpal Tunnel Syndrome

Shulman

Bekisz

Lopez

et al. 2018

Hand (New York, N,Y.)

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Background: Many patients treated for ulnar nerve compression at the elbow (UNE) are concomitantly treated for carpal tunnel syndrome (CTS). We sought to investigate the association between the conditions. Methods: The Statewide Planning and Research Cooperative System (SPARCS) database was used to determine the number of patients with UNE concomitantly treated for CTS in New York State from 2003 to 2014. We then retrospectively reviewed each patient who received surgical treatment for UNE (n = 222 patients) or CTS (n = 1063 patients) at our tertiary care institution in 2014 and 2015 to assess concomitant treatment. Results: In the SPARCS database, the percentage of patients surgically treated for concomitant UNE and CTS steadily increased from 23% in 2003 to 45% in 2014. At our institution, 50 of 222 patients (23%) surgically treated for UNE underwent concomitant carpal tunnel releases. For concomitantly treated patients, 94% had examinations consistent with UNE and CTS, 87% of patients had median nerve compression on electrodiagnostic tests, and 72% of patients had UNE on electrodiagnostic tests. Conclusions: Most patients concomitantly treated for UNE and CTS have objective findings of both conditions. At least one-fourth of patients indicated for operative ulnar nerve release also require a carpal tunnel release—far beyond the prevalence of CTS in the general population. A diagnosis of UNE merits a comprehensive workup by the treating surgeon and a high suspicion for concomitant median nerve compression.

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