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Ulnar entrapment neuropathy

Compression of the ulnar nerve in the cubital groove at the elbow is called ulnar entrapment neuropathy.

Between the medial epicondyle of the humerus and the olecranon of the ulna lies a tunnel called the cubital tunnel, through which the ulnar nerve passes. Compression of the ulnar nerve while passing through this tunnel can cause numbness and weakness in the 4th and 5th fingers. The 4th and 5th fingers, including the little finger and its arch, curl inward, becoming immobile, and the patient cannot control these fingers.

In this case, a waiting period of one or two months is attempted, and treatment with medication is tried. If, after nerve compression is revealed by EMG, improvement does not occur with medication and time, the patient undergoes surgery, and the tunnel causing the compression is opened and widened.

In the video above, I showed the patient's hand before and after the surgery and how the operation was performed. Usually, pain decreases and movement begins to improve immediately after the surgery. In this case, the surgery was performed when the disease was 2 months old and there was no delay, so the recovery was very quick.

Prof. Dr. Bülent DÜZ

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