Characterised by the ulnar nerve pressure at the level of the elbow. It is the second most common compression neuropathy syndrome after carpal tunnel syndrome.

The ulnar nerve is one of the major nerves of the hand, providing the sensation in the little finger and half the ring finger.

But the most important feature is the small muscles of the hand. These small muscles control fine movements of the hand and fingers.

Ulnar neuritis is caused by compression of the ulnar nerve on the physical tunnel that is behind the medial condyle of humerus. Usually pressure coexists with traction in the nerve.

Symptoms

Symptoms may vary, but usually include

  • numbness along the forearm, of the little finger and half of the ring finger,
  • reduction of the grip force (fist), difficulty in opening jars or turning doorknobs,
  • sense of "clumsy" hand operation
  • causalgia (burning pain sensation) at the elbow and hand

Causes

The most common causes are overuse (repetitive flexion-extension movements of the elbow) and the immediate pressure over the elbow for long periods.

Other problems may be implicated in ulnar neuritis as elbow injuries (fractures or ligamentous damage), local tumours (ganglions) or exostoses.

Treatment

A percentage of cases respond positively to conservative treatment .This treatment involves modification of daily activities to avoid consecutive - repeated flexion of the elbow and avoid applying direct pressure to the area.

Surgery can be done in the daily treatment department or one day stay in hospital, under general or regional anaesthesia.

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There are two basic methods

  • Decompression of the ulnar nerve by simple release of the cubital canal
  • Forward transfer of the ulnar nerve either subcutaneously or below the common tendon of the flexor muscles.

In our clinic, the method of choice is the transfer of the nerve below the common flexor tendon, with excellent results.

After surgery the upper limb is immobilised in a long splint for 2 weeks. After removing the splint, a physiotherapy program is required that includes stretching exercises to restore the full range of flexion - extension of the elbow.

The physiotherapy program will gradually be intensified until fully restore motion and strength.

Contact us

Talk to us about your questions and schedule your appointment!

Our patients says...

I feel the need to say in public a very big thanks to the man first of all, and doctor Antonis Vassiliadis !! He managed a damaged hand with the ulnar nerve completely cut, with a terrible general injury to make it fully functional.

Doctor, thank you !! God bless you.
(I would put some photos, before and after, but I do not know if it is right. However, there are and are available to anyone interested in the miracle of the doctor !!)

Source: Facebook
The best orthopedic hand limb in the country! It has saved me personally and many friends I sent them! Thank you for being there, Mr. Vassiliadis!

Source: Facebook

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