Cubital tunnel syndrome: clinical features

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Cubital tunnel syndrome: clinical features. These present as paraesthesias and numbness. Fully referenced neurology checklist.

Sensory features

  • These present as paraesthesias and numbness
  • They affect the medial 1½ fingers
  • The dorsum of the hand is affected: this is spared in Guyon’s canal syndrome
  • There may be associated elbow pain

Weakness

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Froment’s sign

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Ulnar paradox

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Elbow flexion sign

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Other clinical signs

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Grading of ulnar neuropathy

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Differential diagnosis: C8 radiculopathy

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Differential diagnosis: others

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References

  1. Wojewnik B, Bindra R. Cubital tunnel syndrome - Review of current literature on causes, diagnosis and treatment. J Hand Microsurg 2009; 1:76-81.
  2. Trehan SK, Parziale JR, Akelman E. Cubital tunnel syndrome: diagnosis and management. Med Health R I 2012; 95:349-352.
  3. Cutts S. Cubital tunnel syndrome Postgrad Med J 2007; 83:28-31.
  4. Futterman B. Analysis of the papal benediction sign: the ulnar neuropathy of St. Peter. Clin Anat 2015; 28:696-701.
  5. Rolak LA. Neurology Secrets Third edition. Hanley and Belfus Philadelphia 2001 p394.
  6. And 1 more. Subscribe to see the full list

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