Sparing of the flexor carpi ulnaris in ulnar neuropathy at the elbow.

Abstract:

:A common misconception attributes sparing of the flexor carpi ulnaris (FCU) in ulnar neuropathy at the elbow (UNE) to its innervating branch arising "at or above the elbow." We examined the relationship of FCU branches to the medial epicondyle (ME) and humeroulnar aponeurotic arcade (HUA) in 30 cadaver elbows. In only three did the first FCU branch arise at or proximal to the ME. In 36 UNE cases with fibrillations in the first dorsal interosseous, the FCU was normal in 10, mildly abnormal in 11, and severely abnormal in 15. FCU involvement correlated with the severity of the neuropathy and with whether compression was retroepicondylar or at the HUA. We conclude that sparing of the FCU in UNE is unrelated to the level of origin of its innervating branch, but rather is related to the internal neural topography and to the severity and level of compression.

journal_name

Muscle Nerve

journal_title

Muscle & nerve

authors

Campbell WW,Pridgeon RM,Riaz G,Astruc J,Leahy M,Crostic EG

doi

10.1002/mus.880121203

subject

Has Abstract

pub_date

1989-12-01 00:00:00

pages

965-7

issue

12

eissn

0148-639X

issn

1097-4598

journal_volume

12

pub_type

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