Introduction

Cubital tunnel syndrome occurs due to compression of the ulnar nerve as it passes through the cubital tunnel.

Epidemiology

  • Incidence: 0.00 cases per 100,000 person-years
  • Peak incidence: 40-50 years
  • Sex ratio: 1:1
<1 1-5 6+ 16+ 30+ 40+ 50+ 60+ 70+ 80+

Clinical features

Clincial features
  • Tingling and numbness of the 4th and 5th finger which starts off intermittent and then becomes constant.
  • Over time patients may also develop weakness and muscle wasting
  • Pain worse on leaning on the affected elbow
  • Often a history of osteoarthritis or prior trauma to the area.

Investigations

Investigations
  • the diagnosis is usually clinical
  • however, in selected cases nerve conduction studies may be used

Management

Management
  • Avoid aggravating activity
  • Physiotherapy
  • Steroid injections
  • Surgery in resistant cases