{"id":587,"date":"2018-11-26T10:49:08","date_gmt":"2018-11-26T10:49:08","guid":{"rendered":"https:\/\/www.neuroecho.se\/?page_id=587"},"modified":"2019-02-18T16:05:17","modified_gmt":"2019-02-18T16:05:17","slug":"case-studies-media-ulnar-nerve-cubital-tunnel","status":"publish","type":"page","link":"https:\/\/www.neuroecho.se\/sv\/case-studies-media-ulnar-nerve-cubital-tunnel\/","title":{"rendered":"Case studies media Ulnar nerve, Cubital tunnel"},"content":{"rendered":"<div data-elementor-type=\"wp-post\" data-elementor-id=\"587\" class=\"elementor elementor-587 elementor-bc-flex-widget\" data-elementor-settings=\"[]\">\n\t\t\t<div class=\"elementor-inner\">\n\t\t\t\t<div class=\"elementor-section-wrap\">\n\t\t\t\t\t\t\t<section class=\"elementor-element elementor-element-8540c92 elementor-hidden-phone elementor-section-boxed elementor-section-height-default elementor-section-height-default elementor-section elementor-top-section\" data-id=\"8540c92\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t<div class=\"elementor-row\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2a745c4 elementor-column elementor-col-100 elementor-top-column\" data-id=\"2a745c4\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-column-wrap  elementor-element-populated\">\n\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t<div class=\"elementor-element elementor-element-70c0bbe elementor-widget elementor-widget-heading\" data-id=\"70c0bbe\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Cubital tunnel <\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d3f0400 elementor-widget elementor-widget-text-editor\" data-id=\"d3f0400\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-text-editor elementor-clearfix\"><p>Patient, man 45 years old, presenting with forearm pain mostly in the elbows, radiating distally and proximally, duration 4-5 months. Predominantly left arm, recently also right arm. Symptoms during light activity, certain movemens and lifting such as mobile phone use.<\/p><p>Electroneurography shows no signs of medial or ulnar nerve involvement. Electromyography shows normal findings contradicting cervical nerve root impact of\u00a0C8-Th1\u00a0on the left side. The decision is made to do echoneurography, which is seen below.<\/p><p>Besides the ulnar nerve neuropathy, during dynamic ultrasound examination with flexion\/extension of the elbow a subluxating ulnar nerve can be seen bilaterally. The nerve positions right on top of the medial epicondyle during elbowflexion &gt;90 degrees wich is a riskfactor for direct trauma.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3fc6b18 elementor-aspect-ratio-169 elementor-widget elementor-widget-video\" data-id=\"3fc6b18\" data-element_type=\"widget\" data-settings=\"{&quot;aspect_ratio&quot;:&quot;169&quot;}\" data-widget_type=\"video.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-wrapper elementor-fit-aspect-ratio elementor-open-inline\">\n\t\t\t<iframe class=\"elementor-video-iframe\" allowfullscreen title=\"youtube-videospelare\" src=\"https:\/\/www.youtube-nocookie.com\/embed\/8Zyb8lfYX5Y?feature=oembed&amp;playlist=8Zyb8lfYX5Y&amp;wmode=opaque&amp;loop=1&amp;controls=1&amp;mute=1&amp;rel=0&amp;modestbranding=1\"><\/iframe>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a0c6507 elementor-widget elementor-widget-text-editor\" data-id=\"a0c6507\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-text-editor elementor-clearfix\"><p>Short axis view image aquisition from medial epicondyle in distal direction past the level of intermuscular aponeurosis. In this case ulnar nerve swelling begins at distal cubital tunnel, reaches it&#8217;s maximum at the level of medial epicondyle with normalization proximally in the upper arm. Ulnar nerve\u00a0CSA 14-15 mm2,\u00a0measured at the level of medial epicondyle. Wich is equivalent to mild-moderate ulnar nerve neuropathy at the elbow.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a1ebba8 elementor-aspect-ratio-169 elementor-widget elementor-widget-video\" data-id=\"a1ebba8\" data-element_type=\"widget\" data-settings=\"{&quot;aspect_ratio&quot;:&quot;169&quot;}\" data-widget_type=\"video.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-wrapper elementor-fit-aspect-ratio elementor-open-inline\">\n\t\t\t<iframe class=\"elementor-video-iframe\" allowfullscreen title=\"youtube-videospelare\" src=\"https:\/\/www.youtube-nocookie.com\/embed\/Fxecmuzw4pc?feature=oembed&amp;playlist=Fxecmuzw4pc&amp;wmode=opaque&amp;loop=1&amp;controls=1&amp;mute=1&amp;rel=0&amp;modestbranding=1\"><\/iframe>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1a8cfcf elementor-widget elementor-widget-text-editor\" data-id=\"1a8cfcf\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-text-editor elementor-clearfix\"><p>Subluxation at the elbow.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7d758b5 elementor-aspect-ratio-169 elementor-widget elementor-widget-video\" data-id=\"7d758b5\" data-element_type=\"widget\" data-settings=\"{&quot;aspect_ratio&quot;:&quot;169&quot;}\" data-widget_type=\"video.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-wrapper elementor-fit-aspect-ratio elementor-open-inline\">\n\t\t\t<iframe class=\"elementor-video-iframe\" allowfullscreen title=\"youtube-videospelare\" src=\"https:\/\/www.youtube-nocookie.com\/embed\/s9haHy_ID1I?feature=oembed&amp;playlist=s9haHy_ID1I&amp;wmode=opaque&amp;loop=1&amp;controls=1&amp;mute=1&amp;rel=0&amp;modestbranding=1\"><\/iframe>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-10de364 elementor-widget elementor-widget-text-editor\" data-id=\"10de364\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-text-editor elementor-clearfix\"><p>Same patient, opposite arm. Normal findings. Ulnar nerve CSA 9 mm2, at the level of medial epicondyle.\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 Normal &lt;10 mm2.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8679571 elementor-widget elementor-widget-spacer\" data-id=\"8679571\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-element elementor-element-78c8516 elementor-section-full_width elementor-hidden-desktop elementor-hidden-tablet elementor-section-height-default elementor-section-height-default elementor-section elementor-top-section\" data-id=\"78c8516\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t<div class=\"elementor-row\">\n\t\t\t\t<div class=\"elementor-element elementor-element-ad86a5d elementor-column elementor-col-100 elementor-top-column\" data-id=\"ad86a5d\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-column-wrap  elementor-element-populated\">\n\t\t\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t<div class=\"elementor-element elementor-element-50cfe1d elementor-widget elementor-widget-heading\" data-id=\"50cfe1d\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Cubital tunnel <\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-dc73c21 elementor-widget elementor-widget-text-editor\" data-id=\"dc73c21\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-text-editor elementor-clearfix\"><p>Patient, man 45 years old, presenting with forearm pain mostly in the elbows, radiating distally and proximally, duration 4-5 months. Predominantly left arm, recently also right arm. Symptoms during light activity, certain movemens and lifting such as mobile phone use.<\/p><p>Electroneurography shows no signs of medial or ulnar nerve involvement. E<span style=\"font-family: Roboto, sans-serif; font-size: 14px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal;\">lectromyography shows normal findings contradicting cervical<\/span><span style=\"font-family: Roboto, sans-serif; font-size: 14px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 300;\">\u00a0<\/span><span style=\"font-family: Roboto, sans-serif; font-size: 14px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal;\">nerve root impact of\u00a0<\/span><span style=\"font-family: Roboto, sans-serif; font-size: 14px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 300;\">C8-Th1\u00a0<\/span><span style=\"font-family: Roboto, sans-serif; font-size: 14px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal;\">on the left side. The decision is made to do echoneurography, which is seen below.<\/span><\/p><p><span style=\"font-family: Roboto, sans-serif; font-size: 14px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal;\">Besides the ulnar nerve neuropathy, during dynamic ultrasound examination with flexion\/extension of the elbow a subluxating ulnar nerve can be seen bilaterally. The nerve positions right on top of the medial epicondyle during elbowflexion &gt;90 degrees wich is a riskfactor for direct trauma.<\/span><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-757f5b5 elementor-aspect-ratio-169 elementor-widget elementor-widget-video\" data-id=\"757f5b5\" data-element_type=\"widget\" data-settings=\"{&quot;aspect_ratio&quot;:&quot;169&quot;}\" data-widget_type=\"video.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-wrapper elementor-fit-aspect-ratio elementor-open-inline\">\n\t\t\t<iframe class=\"elementor-video-iframe\" allowfullscreen title=\"youtube-videospelare\" src=\"https:\/\/www.youtube-nocookie.com\/embed\/8Zyb8lfYX5Y?feature=oembed&amp;playlist=8Zyb8lfYX5Y&amp;wmode=opaque&amp;loop=1&amp;controls=1&amp;mute=1&amp;rel=0&amp;modestbranding=1\"><\/iframe>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-fa03285 elementor-widget elementor-widget-text-editor\" data-id=\"fa03285\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-text-editor elementor-clearfix\"><p>Short axis view image aquisition from medial epicondyle in distal direction past the level of intermuscular aponeurosis. In this case ulnar nerve swelling begins at distal cubital tunnel, reaches it&#8217;s maximum at the level of medial epicondyle with normalization proximally in the upper arm. Ulnar nerve\u00a0CSA 14-15 mm2,\u00a0measured at the level of medial epicondyle. Wich is equivalent to mild-moderate ulnar nerve neuropathy at the elbow.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d1ee303 elementor-aspect-ratio-169 elementor-widget elementor-widget-video\" data-id=\"d1ee303\" data-element_type=\"widget\" data-settings=\"{&quot;aspect_ratio&quot;:&quot;169&quot;}\" data-widget_type=\"video.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-wrapper elementor-fit-aspect-ratio elementor-open-inline\">\n\t\t\t<iframe class=\"elementor-video-iframe\" allowfullscreen title=\"youtube-videospelare\" src=\"https:\/\/www.youtube-nocookie.com\/embed\/Fxecmuzw4pc?feature=oembed&amp;playlist=Fxecmuzw4pc&amp;wmode=opaque&amp;loop=1&amp;controls=1&amp;mute=1&amp;rel=0&amp;modestbranding=1\"><\/iframe>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8ebac34 elementor-widget elementor-widget-text-editor\" data-id=\"8ebac34\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-text-editor elementor-clearfix\"><p>Subluxation at the elbow.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d92ba20 elementor-aspect-ratio-169 elementor-widget elementor-widget-video\" data-id=\"d92ba20\" data-element_type=\"widget\" data-settings=\"{&quot;aspect_ratio&quot;:&quot;169&quot;}\" data-widget_type=\"video.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-wrapper elementor-fit-aspect-ratio elementor-open-inline\">\n\t\t\t<iframe class=\"elementor-video-iframe\" allowfullscreen title=\"youtube-videospelare\" src=\"https:\/\/www.youtube-nocookie.com\/embed\/s9haHy_ID1I?feature=oembed&amp;playlist=s9haHy_ID1I&amp;wmode=opaque&amp;loop=1&amp;controls=1&amp;mute=1&amp;rel=0&amp;modestbranding=1\"><\/iframe>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4540eaa elementor-widget elementor-widget-text-editor\" data-id=\"4540eaa\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-text-editor elementor-clearfix\"><p>Same patient, opposite arm. Normal findings. Ulnar nerve CSA 9 mm2, at the level of medial epicondyle. Normal &lt;10 mm2.<\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-41603e9 elementor-widget elementor-widget-spacer\" data-id=\"41603e9\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>Cubital tunnel Patient, man 45 years old, presenting with forearm pain mostly in the elbows, radiating distally and proximally, duration 4-5 months. Predominantly left arm, recently also right arm. Symptoms during light activity, certain movemens and lifting such as mobile phone use. Electroneurography shows no signs of medial or ulnar nerve involvement. Electromyography shows normal [&hellip;]<\/p>","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-587","page","type-page","status-publish","hentry","entry"],"_links":{"self":[{"href":"https:\/\/www.neuroecho.se\/sv\/wp-json\/wp\/v2\/pages\/587","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.neuroecho.se\/sv\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.neuroecho.se\/sv\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.neuroecho.se\/sv\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.neuroecho.se\/sv\/wp-json\/wp\/v2\/comments?post=587"}],"version-history":[{"count":30,"href":"https:\/\/www.neuroecho.se\/sv\/wp-json\/wp\/v2\/pages\/587\/revisions"}],"predecessor-version":[{"id":2278,"href":"https:\/\/www.neuroecho.se\/sv\/wp-json\/wp\/v2\/pages\/587\/revisions\/2278"}],"wp:attachment":[{"href":"https:\/\/www.neuroecho.se\/sv\/wp-json\/wp\/v2\/media?parent=587"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}