J Korean Orthop Assoc.  2015 Jun;50(3):260-263. 10.4055/jkoa.2015.50.3.260.

Postoperative Cubital Tunnel Syndrome due to Deep Flexor Pronator Aponeurosis

Affiliations
  • 1Department of Orthopaedic Surgery, Pusan National University Yangsan Hospital, Pusan National University School of Medicine, Busan, Korea. ninanojune@naver.com

Abstract

Entrapment of the ulnar nerve around the elbow is the second most common compression neuropathy in the upper extremity. Many anatomical regions that possibly compress the ulnar nerve around the elbow joint have been described, however few cases below the flexor carpi ulnaris muscle have been reported. A case with ulnar nerve entrapment at the flexor pronator aponeurosis, secondary to surgery is reported in this study.

Keyword

cubital tunnel syndrome; flexor pronator aponeurosis; ulnar nerve

MeSH Terms

Cubital Tunnel Syndrome*
Elbow
Elbow Joint
Ulnar Nerve
Ulnar Nerve Compression Syndromes
Upper Extremity

Figure

  • Figure 1 (A) Radial head fracture and coronoid process fracture of the right elbow were shown on plain radiograph. (B) Radial head and coronoid process were fixed with plate and screws.

  • Figure 2 (A) Medial epicondyle (black arrowhead) and humeral head of flexor carpi ulnaris (white arrowhead) are shown. Note that the fascia of flexor carpi ulnaris is already divided. (B) The ulnar nerve is compressed by the deep flexor pronator aponeurosis (black arrow).


Reference

1. Kato H, Hirayama T, Minami A, Iwasaki N, Hirachi K. Cubital tunnel syndrome associated with medial elbow Ganglia and osteoarthritis of the elbow. J Bone Joint Surg Am. 2002; 84:1413–1419.
Article
2. Matsuura S, Kojima T, Kinoshita Y. Cubital tunnel syndrome caused by abnormal insertion of triceps brachii muscle. J Hand Surg Br. 1994; 19:38–39.
Article
3. Tiong WH, Kelly J. Ulnar nerve entrapment by anconeus epitrochlearis ligament. Hand Surg. 2012; 17:83–84.
Article
4. Amadio PC, Beckenbaugh RD. Entrapment of the ulnar nerve by the deep flexor-pronator aponeurosis. J Hand Surg Am. 1986; 11:83–87.
Article
5. Karatas A, Apaydin N, Uz A, Tubbs R, Loukas M, Gezen F. Regional anatomic structures of the elbow that may potentially compress the ulnar nerve. J Shoulder Elbow Surg. 2009; 18:627–631.
Article
6. Campbell WW, Pridgeon RM, Sahni SK. Entrapment neuropathy of the ulnar nerve at its point of exit from the flexor carpi ulnaris muscle. Muscle Nerve. 1988; 11:467–470.
Article
7. Lowe JB III, Mackinnon SE. Management of secondary cubital tunnel syndrome. Plast Reconstr Surg. 2004; 113:e1–e16.
Article
8. Gabel GT, Amadio PC. Reoperation for failed decompression of the ulnar nerve in the region of the elbow. J Bone Joint Surg Am. 1990; 72:213–219.
Article
9. Dützmann S, Martin KD, Sobottka S, et al. Open vs retractor-endoscopic in situ decompression of the ulnar nerve in cubital tunnel syndrome: a retrospective cohort study. Neurosurgery. 2013; 72:605–616.
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