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OrthoVellum

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Hand & Upper Limb
intermediate
X-Type

Cubital Tunnel Syndrome

Nerve Compression

A 45-year-old office worker presents with numbness in the small and ring fingers for 6 months. She notes symptoms worsen when using the phone or sleeping with elbows bent. Examination reveals positive Tinel's at the elbow, positive elbow flexion test, weakness of first dorsal interosseous and finger abduction, and subtle hypothenar wasting. Two-point discrimination is 8mm in the small finger. Regarding cubital tunnel syndrome:

Mark each as TRUE or FALSE

A

The cubital tunnel is formed by the medial epicondyle, olecranon, and Osborne's ligament (arcuate li...

B

Clinical features include numbness in the ulnar one-and-a-half digits (small finger and ulnar half o...

C

The cubital tunnel volume increases with elbow flexion; the ulnar nerve supplies the radial half of ...

D

Provocative tests include Tinel's at the cubital tunnel, elbow flexion test (maximal elbow flexion f...

E

Conservative treatment includes activity modification, night splinting in extension, and avoiding pr...

Answer the questions to see explanations

Click T (True) or F (False) for each option