Ulnar nerve dysfunction - Cubital tunnel syndrome

Very low urgency
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The ulnar nerve goes from the shoulder to the hand and it is in the elbow where injuries regularly occur by direct trauma, position with prolonged pressure on the nerve and/or inflammation of the tissues or muscles surrounding the nerve. It causes a feeling of numbness and/or pain in the ring finger and little finger, with weakness and clumsiness when performing precise movements. In the long term, it causes atrophy of the muscles in the 4th and 5th fingers and retraction of the tendons causing a "claw hand". It is diagnosed with a physical examination. Additional tests help to find out the cause. The pain is controlled with regular painkillers and, depending on the case, corticosteroids and other types of drugs, as well as splints that relieve symptoms and prevent complications. In extreme situations, there are cases where patients may undergo surgery. It is advisable to consult an outpatient orthopedist to confirm the diagnosis and prevent complications.
Bibliographic references
  1. Timothy J Doherty. Ulnar neuropathy at the elbow and wrist. UpToDate. Oct 14, 2015.
  2. Chimenti PC, Hammert WC. Ulnar neuropathy at the elbow: an evidence-based algorithm. Hand Clin 2013; 29:435.
  3. Landau ME, Campbell WW. Clinical features and electrodiagnosis of ulnar neuropathies. Phys Med Rehabil Clin N Am 2013; 24:49.
  4. Frost P, Johnsen B, Fuglsang-Frederiksen A, Svendsen SW. Lifestyle risk factors for ulnar neuropathy and ulnar neuropathy-like symptoms. Muscle Nerve 2013; 48:507.
  5. Laura Simionescu. Traumatic mononeuropathies. UpToDate. Feb 02, 2016.
Author
Dr. Sara Vitoria
Copyright
© TeckelMedical 2026

Symptoms

    Numb little finger


    Outer part of the ring finger is numb


    Pain in the ring and little fingers


    Claw hand


    Clumsy fingers

Symptoms to watch out for

Hand deformity
Loss of sensibility and/or motility in limbs

Self-care

Take over-the-counter pain relievers or anti-inflammatories.
Perform physical therapy exercises to maintain muscle strength.
Avoid bumping or leaning on the elbow.
Use a wrist or elbow brace.