Cubital tunnel syndrome: compressive neuropathy of the ulnar nerv - case report

Mitev, Kiril and Vasileva, Dance (2018) Cubital tunnel syndrome: compressive neuropathy of the ulnar nerv - case report. In: Fourth National Congress with international participation, Bulgarian Society of Neurosonology and Cerebral Hemodynamics, 5-7.10.2018, National Palace of Culture, Sofia, Bulgaria.

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Abstract

Cubital tunnel syndrome (CTS) is the second most common neuropathy after the carpal tunnel syndrome. People with diabetes, cysts and swelling in the elbow joint, arthritis and a repetitive and prolonged activity require that the elbow be permanently flicked and deflected are more susceptible than the other people. The aim of this report is to observe the effect of the applied neurorehabilitation in a patient with first-degree CTS. Case and methods: It's a 26 year old man who complains about unilateral stiffness and tingling of the small and ring finger of his right hand and a sense of weakness in his hand with inability to hold certain objects. In the anamnesis does not provide information about previous injuries, inflammation, tumors and swelling in the elbow joint or systemic diseases as diabetes, chronic renal failure, rheumatic or malignant disease. During the physical examination are noted positive Tinel's sign and negative Phalen's test. On the EMG record, a normal finding was seen, and on CT-scan was also seen clear anatomy of the elbow, forearm and hand. According to these parameters, the patient belongs to the first-degree of CTS. A conservative therapeutic approach is indicated. Resting and restriction of the limb movements was recommended. Also was recommended a medication therapy, tablet Ibuprofen a 400 mg x 2 and gastroprotective tablet Ranitidine a 150 mg x 2 for 10 days and physiotherapy. 15 treatments of electrotherapy (Electroplating) were performed, each of them for 25 minutes and a magnitude of 0,05 mA/cm2; muscle-inhibiting techniques, analytical exercises for upper limbs, muscle strength enhancement exercises, coordination exercises and massage treatments. During the treatment was observed the patient's symptoms change. Results and discussion: During neurorehabilitation, subjective at patient was noted improvement. Upon completion of the treatments, the stiffness and tingling of the small and ring finger in the patient have disappeared and Tinel's sign is negative. Conclusion: The effect of unidirectional current on human tissues has an extremely positive rehabilitative effect in combination with musculoskeletal techniques, analytical exercises for upper limbs, muscle strength enhancement exercises, coordination exercises and massage techniques. By improving local blood and lymphatic flow, effective regenerative power is achieved on the peripheral nerve structures but also the excitatory, analgesic and trophic effect, affect on the improvement of neuromuscular function and pain relief. All this combined with medication therapy and rest from active everyday life offers quality neurorehabilitation and avoids the need for surgery which in itself entails a multitude of complications. Key words: cubital tunnel syndrome, electromyography, neurorehabilitation, ulnar nerve.

Item Type: Conference or Workshop Item (Poster)
Uncontrolled Keywords: Key words: cubital tunnel syndrome, electromyography, neurorehabilitation, ulnar nerve.
Subjects: Medical and Health Sciences > Basic medicine
Medical and Health Sciences > Clinical medicine
Medical and Health Sciences > Health sciences
Medical and Health Sciences > Other medical sciences
Divisions: Faculty of Medical Science
Depositing User: Dance Vasileva
Date Deposited: 16 Oct 2018 07:40
Last Modified: 16 Oct 2018 07:40
URI: http://eprints.ugd.edu.mk/id/eprint/20553

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