Foreign Body Inside the Tunnel: A Rare Cause of Acute Cubital Tunnel Syndrome

Abstract

Foreign bodies are common entities found in hand surgery practice. However, they are a very rare cause of the acute cubital tunnel syndrome. A 48-year-old male patient was consulted for cubital tunnel symptoms after 2-day unconscious state in the intensive care unit. The ulnar nerve was explored, a piece of glass was removed inside the cubital tunnel, and the nerve was repaired. However, compression neuropathy symptoms due to the acute trauma are interesting. Nerve laceration with a foreign body should be considered in acute-onset cubital tunnel syndrome, in which the foreign body history of a trauma patient cannot be determined explicitly.

Keywords

acute - cubital tunnel syndrome - foreign body

• References

• 1 Choudhari KA, Muthu T, Tan MH. Progressive ulnar neuropathy caused by delayed migration of a foreign body. Br J Neurosurg 2001; 15 (03) 263-265
• 2 Pleser M, Müller A, Veltin J, Ludwig J. [Foreign body retained within ulnar nerve in the distal humerus]. Unfallchirurg 2014; 117 (08) 752-754
• 3 Nakamura I, Hoshino Y. Extraneural hemangioma: a case report of acute cubital tunnel syndrome. J Hand Surg Am 1996; 21 (06) 1097-1098
• 4 Ametewee K. Acute cubital tunnel syndrome from post traumatic calcific neuritis. J Hand Surg [Br] 1986; 11 (01) 123-124
• 5 Abe Y, Saito M. A case report of acute cubital tunnel syndrome caused by venous thrombosis. Hand Surg 2015; 20 (01) 137-139
• 6 Feinberg J. EMG: myths and facts. HSS J 2006; 2 (01) 19-21