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OrthoVellum

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Hand & Upper Limb
intermediate
X-Type

Ulnar Nerve Palsy

Peripheral Nerve Pathology

A 52-year-old mechanic presents with 18 months of progressive weakness and wasting of the intrinsic muscles of his left hand. He has clawing of the ring and little fingers, positive Froment's sign, and numbness of the little finger and ulnar half of the ring finger. He failed conservative management including night splinting and activity modification. Nerve conduction studies confirm severe ulnar neuropathy at the elbow with motor conduction velocity of 28 m/s across the elbow segment. Regarding the management of ulnar nerve palsy:

Mark each as TRUE or FALSE

A

Cubital tunnel syndrome is the second most common peripheral nerve compression neuropathy after carp...

B

The McGowan grading system classifies cubital tunnel severity: Grade I (intermittent paresthesias, n...

C

Simple decompression is contraindicated in all patients with ulnar nerve subluxation; the medial ant...

D

Tendon transfers for established ulnar nerve palsy to correct clawing include: static procedures (EC...

E

Prognostic factors for recovery after cubital tunnel surgery include: preoperative duration of sympt...

Answer the questions to see explanations

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