ULNAR NERVE PALSY

ROOTS

C8 and T

CAUSES OF PARALYSIS

1. Leprosy.

2. Pressure of bed.

3. Trauma to the medial epicondyle.

4. Shallow ulnar groove.

5. Compression between the two heads of flexor carpi ulnaris, etc Usual site of compression is the cubital tunnel.

CLINICAL FEATURES

Clinical features of ULNAR NERVE PALSY:- The usual symptom is numbness of the little finger and adjacent area of the palm with inability to adduct the little finger. Wasting of the hypothenar space, interosseous space, ulnar side of the thenar eminence and ulnar side of the flexor aspect of forearm may develop. Abductor pollicis brevis is excluded. There may be claw-like deformity of the little and ring fingers. Sensory loss is limited to the little finger and the adjacent part of the ring finger.

TREATMENT OF ULNAR NERVE PALSY

Surgical transposition or decompression may be helpful. In other causes appropriate treatment should be done.

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