Diagnosis of ulnar nerve entrapment anterior to the medial epicondyle by ultrasound elastography and diffusion tensor imaging with fiber tractography: a case report

Surg Radiol Anat. 2022 Feb;44(2):201-205. doi: 10.1007/s00276-021-02881-9. Epub 2022 Jan 13.

Abstract

Ulnar/cubital tunnel syndrome is the second most common compressive neuropathy of the upper limb. Permanent location of the ulnar nerve anterior to the medial epicondyle is extremely rare, with only five cases reported in the literature. Using ultrasound elastography and diffusion tensor imaging with fiber tractography, we diagnosed a case in which ulnar nerve entrapment was associated with anterior nerve location. Surgical release confirmed the diagnosis and the patient was symptom free 3 months after surgery.

Keywords: Cubital tunnel syndrome; Diffusion tensor imaging; Elastography; Nerve surgery; Tractography; Ulnar nerve.

Publication types

  • Case Reports

MeSH terms

  • Cubital Tunnel Syndrome*
  • Diffusion Tensor Imaging
  • Elasticity Imaging Techniques*
  • Humans
  • Ulnar Nerve / diagnostic imaging
  • Ulnar Nerve Compression Syndromes* / diagnostic imaging