BACKGROUND Inexperienced anesthesiologists are frequently unclear as to whether to stimulate the ulnar or median nerve to monitor the adductor pollicis. The primary purpose of this study was to determine whether monitoring the adductor pollicis by positioning the stimulating electrodes over the median nerve is an acceptable alternative to applying electrodes over the ulnar nerve. METHODS In 2...

In situ ulnar nerve release has been gaining popularity as a simple, effective, and low-morbidity procedure for the treatment of cubital tunnel syndrome. One concern with the technique is how to manage the unstable ulnar nerve after release. It is unclear how much nerve subluxation will lead to problems and surprisingly there is no grading system to assess ulnar nerve instability. I propose suc...

PURPOSE This study was conducted to evaluate the ability of sonography to visualize the ulnar nerve at Guyon's canal and the common peroneal nerve dorsal to the fibular head and to test for correlations between nerve measurements and subject characteristics. METHODS We used a 5-12-MHz linear-array transducer in sonographic evaluation of 15 healthy adult volunteers. We evaluated the correlatio...

Entrapment of the ulnar nerve at the elbow is the second most common focal peripheral neuropathy. Recent advances have facilitated the electrodiagnosis of this common nerve entrapment. The goals of electrodiagnosis are to localize ulnar nerve dysfunction, confirm that the disturbance is confined to the ulnar nerve, and assess the severity of ulnar nerve dysfunction. The goal of this review is t...

OBJECTIVE To investigate whether "diseased nerves" are more prone to entrapment neuropathy than normal nerves. Nerve conduction studies of human neuropathies have shown that electrophysiological abnormalities are often most prominent at potential sites of nerve entrapment, and entrapments are more common in patients with radiculopathies--a concept designated as "double crush". As entrapment neu...

The most frequent disposition of the structures within the ulnar tunnel is for the ulnar nerve to be located medial or posteromedial to the ulnar artery. The structures within the ulnar tunnel are closely related to the medial part of the flexor retinaculum. Lesions of the ulnar nerve and artery during endoscopic decompression of the carpal tunnel have been reported (Agee et al. 1992; Lee et al...

OBJECTIVE The main objective of this study was to describe Martin-Gruber anastomosis anatomically and to recognize its clinical repercussions. METHOD 100 forearms of 50 adult cadavers were dissected in an anatomy laboratory. The dissection was performed by means of a midline incision along the entire forearm and the lower third of the upper arm. Two flaps including skin and subcutaneous tissu...

Direct posterior and posterolateral portals are the standard portals used in posterior elbow arthroscopy. A posteromedial portal in the elbow is not recommended because of its proximity to the ulnar nerve. However, iatrogenic injuries to the ulnar nerve have been reported after elbow arthroscopy using the standard posterior portals, especially in posteromedial elbow joint pathologies. We presen...

Objective: The purpose of this study was to assess the measurement nerve gliding, resulting from joint motion and changes upper extremity position. Methods: extremities ten fresh human cadavers were dissected delineate relationship between positioning gliding distance nerves. Nerve mobilization – stretching therapy (SMG) techniques are mentioned in literature for each radial, medial ulnar excur...

Complications following carpal tunnel release have been reported to occur in 12-20%’ of cases and are numerous and varied. Neurologic complications that have been reported usually involve the palmar cutaneous or motor branch of the median nerve.’ Ulnar nerve injury during carpal tunnel release has been reported rarely. The only cases reported include cases of injury to the main ulnar palmar cut...