Abstract
ABSTRACT: Additional slips of the triceps brachii have been reported in cadaver studies. We report the case of a 48-year-old man with no history of trauma who presented with a tingling sensation and weakness in his right hand. Electromyography revealed ulnar neuropathy around the elbow, with decreased conduction proximal to the medial epicondyle. On ultrasonography and magnetic resonance imaging, the ulnar nerve was found to be mildly swollen and covered by an additional slip of the triceps brachii muscle above the retrocondylar area. Upon full elbow flexion, this anatomy produced dynamic compression of the vessels surrounding the nerve. Despite conservative treatments for over 2 months, the patient had minimal symptom improvement. Decompression and anterior transposition of the ulnar nerve were performed with favorable results. Additional slips of the triceps brachii muscle can compress neurovascular structures and cause ulnar neuropathy at the elbow. Ultrasonography is useful in the evaluation of such neurovascular compression.
| Original language | English |
|---|---|
| Journal | American Journal of Physical Medicine and Rehabilitation |
| DOIs | |
| Publication status | Accepted/In press - 2016 May 4 |
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ASJC Scopus subject areas
- Rehabilitation
- Physical Therapy, Sports Therapy and Rehabilitation
Cite this
Ulnar Nerve Entrapment by an Additional Slip of the Triceps Brachii : A Case Report. / Kim, K. H.; Park, Jong Woong; Park, Byung Kyu; Kim, Dong Hwee.
In: American Journal of Physical Medicine and Rehabilitation, 04.05.2016.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Ulnar Nerve Entrapment by an Additional Slip of the Triceps Brachii
T2 - A Case Report
AU - Kim, K. H.
AU - Park, Jong Woong
AU - Park, Byung Kyu
AU - Kim, Dong Hwee
PY - 2016/5/4
Y1 - 2016/5/4
N2 - ABSTRACT: Additional slips of the triceps brachii have been reported in cadaver studies. We report the case of a 48-year-old man with no history of trauma who presented with a tingling sensation and weakness in his right hand. Electromyography revealed ulnar neuropathy around the elbow, with decreased conduction proximal to the medial epicondyle. On ultrasonography and magnetic resonance imaging, the ulnar nerve was found to be mildly swollen and covered by an additional slip of the triceps brachii muscle above the retrocondylar area. Upon full elbow flexion, this anatomy produced dynamic compression of the vessels surrounding the nerve. Despite conservative treatments for over 2 months, the patient had minimal symptom improvement. Decompression and anterior transposition of the ulnar nerve were performed with favorable results. Additional slips of the triceps brachii muscle can compress neurovascular structures and cause ulnar neuropathy at the elbow. Ultrasonography is useful in the evaluation of such neurovascular compression.
AB - ABSTRACT: Additional slips of the triceps brachii have been reported in cadaver studies. We report the case of a 48-year-old man with no history of trauma who presented with a tingling sensation and weakness in his right hand. Electromyography revealed ulnar neuropathy around the elbow, with decreased conduction proximal to the medial epicondyle. On ultrasonography and magnetic resonance imaging, the ulnar nerve was found to be mildly swollen and covered by an additional slip of the triceps brachii muscle above the retrocondylar area. Upon full elbow flexion, this anatomy produced dynamic compression of the vessels surrounding the nerve. Despite conservative treatments for over 2 months, the patient had minimal symptom improvement. Decompression and anterior transposition of the ulnar nerve were performed with favorable results. Additional slips of the triceps brachii muscle can compress neurovascular structures and cause ulnar neuropathy at the elbow. Ultrasonography is useful in the evaluation of such neurovascular compression.
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U2 - 10.1097/PHM.0000000000000507
DO - 10.1097/PHM.0000000000000507
M3 - Article
C2 - 27149580
AN - SCOPUS:84965053969
JO - American Journal of Physical Medicine and Rehabilitation
JF - American Journal of Physical Medicine and Rehabilitation
SN - 0894-9115
ER -