Compression of the medial half of the deep branch of the ulnar nerve by an anomalous origin of the flexor digiti minimi: A case report

Journal of Bone and Joint Surgery

Volumn 78, Issue 3, 1996, Pages 427-430

  Spinner, R J ^a   Lins, R E ^a,c   Spinner, M ^b,d  

^a DUKE UNIVERSITY MEDICAL CENTER   (United States)

^b ALBERT EINSTEIN COLLEGE OF MEDICINE   (United States)

^c Hand Treatment Center   (United States)

^d Hand Treatment Center ^*  (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; ARTICLE; CASE REPORT; CUBITAL TUNNEL SYNDROME; FEMALE; FLEXOR MUSCLE; HAND MALFORMATION; HAND MUSCLE; HUMAN; MUSCLE ATROPHY; MUSCLE STRENGTH; NERVE COMPRESSION; POSTOPERATIVE PERIOD; PRIORITY JOURNAL; ULNAR NERVE;

EID: 0029875807     PISSN: 00219355     EISSN: None     Source Type: Journal    
DOI: 10.2106/00004623-199603000-00015     Document Type: Article

References (30)

1. Baruch, A., and Hass, A.: Anomaly of the median nerve [letter]. J Hand Surg., 2: 331-332, 1977.
2. Bergfield, T. G., and Aulicino, P. L.: Variation of the deep motor branch of the ulnar nerve at the wrist. J. Hand Surg., 13A: 368-369, 1988.
3. Bonnel, F.: Histologic structure of the ulnar nerve in the hand. J. Hand Surg., 10A: 264-269, 1985.
4. Dellon, A. L., and Mackinnon, S. E.: Anatomic investigations of nerves at the wrist: II. Incidence of fibrous arch overlying motor branch of ulnar nerve. Ann. Plast. Surg., 21 36-37, 1988.
5. Dodds, G. A., III; Hale, D.; and Jackson, W. T.: Incidence of anatomic variants in Guyon's canal. J. Hand Surg., 15A: 352-355, 1990.
6. Penning, J. B.: Deep ulnar-nerve paralysis resulting from an anatomical abnormality. A case report. J Bone and Joint Surg., 47-A. 1381-1382, Oct. 1965.
7. Froment, M. J.: La paralysie de l'adducteur du pouce et le signe de la préhension. Rev. Neurol. (Paris), 28: 1236-1240, 1914-1915.
8. Gelberman, R. H.: Ulnar tunnel syndrome. In Operative Nerve Repair and Reconstruction, pp. 1131-1143. Edited by R. H. Gelberman. Philadelphia, J. B. Lippincott, 1991.
9. Gonzalez, M. H.; Brown, A.; Goodman, D.; and Black, B.: The deep branch of the ulnar nerve in Guyon's canal: branching and innervation of the hypothenar muscles. Orthopedics, 19: 55-58, 1996.
10. Greenberg, J. A., and Mosher, J. F., Jr.: Distal ulnar neuropathy: coexisting anatomic variants. J. Hand Surg., 17A: 303-305, 1992.
11. Gross, M. S., and Gelberman, R. H.: The anatomy of the distal ulnar tunnel. Clin. Orthop., 196: 238-247, 1985.
12. Hartmann, H.: Note sur l'anatomie des nerfs de la paume de la main. Bull. mem soc anat. Paris. 62: 860, 1887.
13. Hayes, J. R.; Mulholland, R. C.; and O'Connor, B. T.: Compression of the deep palmar branch of the ulnar nerve. Case report and anatomical study. J. Bone and Joint Surg., 51-B(3): 469-472, 1969.
14. Lassa, R., and Shrewsbury, M. M.: A variation in the path of the deep motor branch of the ulnar nerve at the wrist. J. Bone and Joint Surg , 57-A: 990-991, Oct. 1975.
15. Lipscomb, P. R.: Duplication of hypothenar muscles simulating soft-tissue tumor of the hand. Report of a case. J. Bone and Joint Surg., 42-A: 1058-1061, Sept. 1960.
16. Lotem, M.; Gloobe, H.; and Nathan, H.: Fibrotic arch around the deep branch of the ulnar nerve in the hand. Anatomical observations. Plast. and Reconstr. Surg., 52: 553-556, 1973.
17. McCarthy, R. E., and Nalebuff, E. A.: Anomalous volar branch of the dorsal cutaneous ulnar nerve: a case report. J. Hand Surg., 5: 19-20, 1980.
18. Mannerfelt, L.: Studies on the hand in ulnar nerve paralysis. A clinical-experimental investigation in normal and anomalous innervation. Acta Orthop. Scandinavica, Supplementum 87, pp. 19-53, 1966.
19. O'Hara, J. J., and Stone, J. H.: Ulnar neuropathy at the wrist associated with aberrant flexor carpi ulnans insertion. J. Hand Surg., 13A: 370-372, 1988.
20. Rogers, M. R.; Bergfield, T. G.; and Aulicino, P. L.: A neural loop of the deep motor branch of the ulnar nerve: an anatomic study. J. Hand Surg., 16A: 269-271, 1991.
21. Rowntree, T.: Anomalous innervation of the hand muscles. J. Bone and Joint Surg., 31-B(4). 505-510, 1949.
22. Ruder, J. R., and Wood, V. E.: Ulnar nerve-compression at the arch of origin of the adductor pollicis muscle. J. Hand Surg., 18A: 893-895, 1993.
23. Salgeback, S.: Ulnar tunnel syndrome caused by anomalous muscles. Case report. Scandinavian J. Plast. and Reconstr. Surg., 11: 255-258, 1977.
24. Shea, J. D., and McClain, E. J.: Ulnar-nerve compression syndromes at and below the wrist. J. Bone and Joint Surg., 51-A: 1095-1103, Sept. 1969.
25. Starke, W.; Rathay, E.; and Hülsmann, P.: Anatomische Variante als seltene Ursache einer distalen Ulnariskompression. Handchir. Mikrochir. Plast. Chir., 20: 347-348, 1988.
26. Swanson, A. B.; Biddulph, S. L.; Baughman, F. A., Jr.; and de Groot, G.: Ulnar nerve compression due to an anomalous muscle in the canal of Guyon. Clin. Orthop., 83: 64-69, 1972.
27. Tountas, C. P., and Bergman, R. A.: Anatomic Variations of the Upper Extremity. New York, Churchill Livingstone, 1993.
28. Uriburu, I. J. F.; Morchio, F. J.; and Marin, J. C.: Compression syndrome of the deep motor branch of the ulnar nerve (piso-hamate hiatus syndrome). J. Bone and Joint Surg., 58-A: 145-147, Jan. 1976.
29. Wartenberg, R.; A sign of ulnar palsy. J. Am. Med. Assn., 112: 1688, 1939.
30. Zook, E. G.; Kucan, J. O.; and Guy, R. J.: Palmar wrist pain caused by ulnar nerve entrapment in the flexor carpi ulnaris tendon. J. Hand Surg., 13A: 732-735, 1988.