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Cubital tunnel syndrome

Case contributed by Bahman Rasuli
Diagnosis almost certain

Presentation

Painful right elbow with an associated numbness of little finger for 3 months.

Patient Data

Age: 50 years
Gender: Female
mri

Focal nodular enlargement and increased signal intensity of the ulnar nerve at the level of cubital tunnel on the PD-FS sequence. Subtle subcutaneous edematous changes are noted at the medial aspect of the elbow joint, superficial to the ulnar nerve.

Chronic lateral epicondylitis with partial thickness tear of the common extensor tendon with a small fluid-filled gap also is noted.

Case Discussion

MRI is an important adjunct to the physical examination for the detection of abnormality of the ulnar nerve in cases of suspected cubital tunnel syndrome.

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