Isolated Unilateral Ulnar Motor Neuropathy at Wrist- A Case Report

The ulnar nerve compression neuropathy commonly occurs around the elbow; however, focal compression or injury can also occur at the wrist, axilla, or neck involving the roots of the brachial plexus. Ulnar neuropathy at the wrist is caused by the compression of the ulnar nerve within Guyon’s canal or...

Full description

Bibliographic Details
Main Authors: Anasuya Ghosh, Tandra Ghosh, Charu Bansal, Amit Kumar
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2023-12-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
Online Access:https://www.jcdr.net/articles/PDF/18817/66158_CE[Ra1]_F(IS)_QC&REF(SD_IS)_PF1(AKA_DK)_PFA(AKA_OM)_PN(KM).pdf
_version_ 1797387333080711168
author Anasuya Ghosh
Tandra Ghosh
Charu Bansal
Amit Kumar
author_facet Anasuya Ghosh
Tandra Ghosh
Charu Bansal
Amit Kumar
author_sort Anasuya Ghosh
collection DOAJ
description The ulnar nerve compression neuropathy commonly occurs around the elbow; however, focal compression or injury can also occur at the wrist, axilla, or neck involving the roots of the brachial plexus. Ulnar neuropathy at the wrist is caused by the compression of the ulnar nerve within Guyon’s canal or distal to it, often referred to as ‘ulnar tunnel syndrome.’ It can manifest as mixed, pure sensory, or pure motor neuropathy depending on the specific site of compression and the branches involved. This case report of 21 years old male patient, a college student, discusses the clinical and electrodiagnostic features of a case involving unilateral isolated pure motor neuropathy of the ulnar nerve. The onset of the case was insidious and subacute, characterised by painless and non-progressive symptoms with no history of trauma or injury to the affected limb. The Nerve Conduction Studies (NCS) were conducted, indicating probable compression of the deep motor branch of the ulnar nerve distal to the wrist. The patient was subsequently referred for highresolution Ultrasonography (USG) or Magnetic Resonance Imaging (MRI). Cases of ulnar neuropathy at the wrist are quite rare, and there is limited literature available on this topic.
first_indexed 2024-03-08T22:23:33Z
format Article
id doaj.art-817330e7618949a58b3b25f9f1a7a726
institution Directory Open Access Journal
issn 2249-782X
0973-709X
language English
last_indexed 2024-03-08T22:23:33Z
publishDate 2023-12-01
publisher JCDR Research and Publications Private Limited
record_format Article
series Journal of Clinical and Diagnostic Research
spelling doaj.art-817330e7618949a58b3b25f9f1a7a7262023-12-18T11:51:44ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2023-12-011712010310.7860/JCDR/2023/66158.18817Isolated Unilateral Ulnar Motor Neuropathy at Wrist- A Case ReportAnasuya Ghosh0Tandra Ghosh1Charu Bansal2Amit Kumar3Associate Professor, Department of Anatomy, AIIMS, Kalyani, West Bengal, India.Additional Professor, Department of Physiology, AIIMS, Kalyani, West Bengal, India.Tutor, Department of Physiology, AIIMS, Kalyani, West Bengal, India.Associate Professor, Department of Orthopedics, AIIMS, Kalyani, West Bengal, India.The ulnar nerve compression neuropathy commonly occurs around the elbow; however, focal compression or injury can also occur at the wrist, axilla, or neck involving the roots of the brachial plexus. Ulnar neuropathy at the wrist is caused by the compression of the ulnar nerve within Guyon’s canal or distal to it, often referred to as ‘ulnar tunnel syndrome.’ It can manifest as mixed, pure sensory, or pure motor neuropathy depending on the specific site of compression and the branches involved. This case report of 21 years old male patient, a college student, discusses the clinical and electrodiagnostic features of a case involving unilateral isolated pure motor neuropathy of the ulnar nerve. The onset of the case was insidious and subacute, characterised by painless and non-progressive symptoms with no history of trauma or injury to the affected limb. The Nerve Conduction Studies (NCS) were conducted, indicating probable compression of the deep motor branch of the ulnar nerve distal to the wrist. The patient was subsequently referred for highresolution Ultrasonography (USG) or Magnetic Resonance Imaging (MRI). Cases of ulnar neuropathy at the wrist are quite rare, and there is limited literature available on this topic.https://www.jcdr.net/articles/PDF/18817/66158_CE[Ra1]_F(IS)_QC&REF(SD_IS)_PF1(AKA_DK)_PFA(AKA_OM)_PN(KM).pdfmotor lossneurophysiological findingulnar neuropathyulnar tunnel syndrome
spellingShingle Anasuya Ghosh
Tandra Ghosh
Charu Bansal
Amit Kumar
Isolated Unilateral Ulnar Motor Neuropathy at Wrist- A Case Report
Journal of Clinical and Diagnostic Research
motor loss
neurophysiological finding
ulnar neuropathy
ulnar tunnel syndrome
title Isolated Unilateral Ulnar Motor Neuropathy at Wrist- A Case Report
title_full Isolated Unilateral Ulnar Motor Neuropathy at Wrist- A Case Report
title_fullStr Isolated Unilateral Ulnar Motor Neuropathy at Wrist- A Case Report
title_full_unstemmed Isolated Unilateral Ulnar Motor Neuropathy at Wrist- A Case Report
title_short Isolated Unilateral Ulnar Motor Neuropathy at Wrist- A Case Report
title_sort isolated unilateral ulnar motor neuropathy at wrist a case report
topic motor loss
neurophysiological finding
ulnar neuropathy
ulnar tunnel syndrome
url https://www.jcdr.net/articles/PDF/18817/66158_CE[Ra1]_F(IS)_QC&REF(SD_IS)_PF1(AKA_DK)_PFA(AKA_OM)_PN(KM).pdf
work_keys_str_mv AT anasuyaghosh isolatedunilateralulnarmotorneuropathyatwristacasereport
AT tandraghosh isolatedunilateralulnarmotorneuropathyatwristacasereport
AT charubansal isolatedunilateralulnarmotorneuropathyatwristacasereport
AT amitkumar isolatedunilateralulnarmotorneuropathyatwristacasereport