متلازمة النفق الزندي مع ضعف العضلة بين العظام الظهرية الأولى وانخفاض سرعة توصيل العصب الزندي

References

DOI: 10.1016/j.jhsg.2022.07.008

• Moderate findings of EDX include decreased conduction velocity.
• Decreased 2-point discrimination, weakness on strength testing (grip and apposition pinch).
• The procedure involves releasing the points of compression from the ulnar nerve without mobilizing it anterior to the medial epicondyle and performing a soft tissue stabilization procedure.
• In situ decompression was the treatment of choice for the majority of members in patients without ulnar nerve subluxation.
• Currently, history or examination consistent with ulnar nerve instability, recurrent disease, and muscle atrophy are the most common indicators for transposition.
• Current indications for medial epicondylectomy include patients with hypermobile nerves, pre-existing vascular disease where transposition could potentially worsen ischemia, and thin patients.