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Guyon's Canal Syndrome
Ulnar tunnel syndrome, also known as Guyon's canal syndrome or Handlebar palsy, is caused by entrapment of the ulnar nerve in the Guyon canal as it passes through the wrist. Symptoms usually begin with a feeling of pins and needles in the ring and little fingers before progressing to a loss of sensation and/or impaired motor function of the intrinsic muscles of the hand which are innervated by the ulnar nerve. Ulnar tunnel syndrome is commonly seen in regular cyclists due to prolonged pressure of the Guyon's canal against bicycle handlebars. Another very common cause of sensory loss in the ring and pink finger is due to ulnar nerve entrapment at the cubital tunnel near the elbow, which is known as cubital tunnel syndrome. Causes While being idiopathic in some cases, causative factors of the ulnar tunnel syndrome include tumors, ganglion cysts, repetitive use, anatomical variations, and diseases of the neighboring blood vessels (thrombosis or aneurysm of the ulnar artery). Dia ...
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Ulnar Nerve Entrapment
Ulnar nerve entrapment is a condition where the ulnar nerve becomes physically trapped or pinched, resulting in pain, numbness, or weakness, primarily affecting the little finger and ring finger of the hand. Entrapment may occur at any point from the spine at cervical vertebra C7 to the wrist; the most common point of entrapment is in the elbow (Cubital tunnel syndrome). Prevention is mostly through correct posture and avoiding repetitive or constant strain (e.g. "cell phone elbow"). Treatment is usually conservative, including medication, activity modification, and exercise, but may sometimes include surgery. Prognosis is generally good, with mild to moderate symptoms often resolving spontaneously. Signs and symptoms In general, ulnar neuropathy will result in symptoms in a specific anatomic distribution, affecting the little finger, the ulnar half of the ring finger, and the intrinsic muscles of the hand. The specific symptoms experienced in the characteristic distribution d ...
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Ulnar Canal
The ulnar canal or ulnar tunnel (also known as Guyon's canal or tunnel) is a semi-rigid longitudinal canal in the wrist that allows passage of the ulnar artery and ulnar nerve into the hand. The roof of the canal is made up of the superficial palmar carpal ligament, while the deeper flexor retinaculum and hypothenar muscles comprise the floor. The space is medially bounded by the pisiform and pisohamate ligament more proximally, and laterally bounded by the hook of the hamate more distally. It is approximately 4 cm long, beginning proximally at the transverse carpal ligament and ending at the aponeurotic arch of the hypothenar muscles. Eponym The ulnar tunnel is eponymously named after the French surgeon Jean Casimir Félix Guyon, who originally described the canal in 1861. Clinical significance Entrapment of the ulnar nerve at the ulnar canal can result in symptoms of ulnar neuropathy, including numbness or weakness of certain parts of the hand. (''See full article on ulna ...
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Paresthesia
Paresthesia is an abnormal sensation of the skin (tingling, pricking, chilling, burning, numbness) with no apparent physical cause. Paresthesia may be transient or chronic, and may have any of dozens of possible underlying causes. Paresthesias are usually painless and can occur anywhere on the body, but most commonly occur in the arms and legs. The most familiar kind of paresthesia is the sensation known as "pins and needles" after obdormition, having a limb "fall asleep". A less well-known and uncommon paresthesia is formication, the sensation of insects crawling on the skin. Causes Transient Paresthesias of the hands, feet, legs, and arms are common transient symptoms. The briefest electric shock type of paresthesia can be caused by tweaking the ulnar nerve near the elbow; this phenomenon is colloquially known as bumping one's "funny bone". Similar brief shocks can be experienced when any other nerve is tweaked (e.g. a pinched neck nerve may cause a brief shock-like paresthesi ...
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Ulnar Nerve
In human anatomy, the ulnar nerve is a nerve that runs near the ulna bone. The ulnar collateral ligament of elbow joint is in relation with the ulnar nerve. The nerve is the largest in the human body unprotected by muscle or bone, so injury is common. This nerve is directly connected to the little finger, and the adjacent half of the ring finger, innervating the palmar aspect of these fingers, including both front and back of the tips, perhaps as far back as the fingernail beds. This nerve can cause an electric shock-like sensation by striking the medial epicondyle of the humerus posteriorly, or inferiorly with the elbow flexed. The ulnar nerve is trapped between the bone and the overlying skin at this point. This is commonly referred to as bumping one's "funny bone". This name is thought to be a pun, based on the sound resemblance between the name of the bone of the upper arm, the humerus, and the word "humorous". Alternatively, according to the Oxford English Dictionary, i ...
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Cubital Tunnel
The cubital tunnel is a space of the dorsal medial elbow which allows passage of the ulnar nerve around the elbow. It is bordered medially by the medial epicondyle of the humerus, laterally by the olecranon process of the ulna and the tendinous arch joining the humeral and ulnar heads of the flexor carpi ulnaris. The roof of the cubital tunnel is elastic and formed by a myofascial trilaminar retinaculum (also known as the epicondyloolecranon ligament or Osborne band). Chronic compression of this nerve is known as cubital tunnel syndrome, a form of repetitive strain injury akin to carpal tunnel syndrome (although the role of repetitive stress in causing carpal tunnel syndrome is controversial). See also * Ulnar nerve entrapment * Froment's sign * Medial epicondyle of the humerus References External links Imageat University of Florida The University of Florida (Florida or UF) is a public land-grant research university in Gainesville, Florida. It is a senior member of the ...
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Cubital Tunnel Syndrome
Ulnar nerve entrapment is a condition where the ulnar nerve becomes physically trapped or pinched, resulting in pain, numbness, or weakness, primarily affecting the little finger and ring finger of the hand. Entrapment may occur at any point from the spine at cervical vertebra C7 to the wrist; the most common point of entrapment is in the elbow (Cubital tunnel syndrome). Prevention is mostly through correct posture and avoiding repetitive or constant strain (e.g. "cell phone elbow"). Treatment is usually conservative, including medication, activity modification, and exercise, but may sometimes include surgery. Prognosis is generally good, with mild to moderate symptoms often resolving spontaneously. Signs and symptoms In general, ulnar neuropathy will result in symptoms in a specific anatomic distribution, affecting the little finger, the ulnar half of the ring finger, and the intrinsic muscles of the hand. The specific symptoms experienced in the characteristic distribution d ...
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Repetitive Strain Injury
A repetitive strain injury (RSI) is an injury to part of the musculoskeletal or nervous system caused by repetitive use, vibrations, compression or long periods in a fixed position. Other common names include repetitive stress disorders, cumulative trauma disorders (CTDs), and overuse syndrome. Signs and symptoms Some examples of symptoms experienced by patients with RSI are aching, pulsing pain, tingling and extremity weakness, initially presenting with intermittent discomfort and then with a higher degree of frequency. Definition Repetitive strain injury (RSI) and associative trauma orders are umbrella terms used to refer to several discrete conditions that can be associated with repetitive tasks, forceful exertions, vibrations, mechanical compression, sustained or awkward positions, or repetitive eccentric contractions. The exact terminology is controversial, but the terms now used by the United States Department of Labor and the National Institute of Occupational Safe ...
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Guyon Canal Syndrome Zones
Guyon is a French surname. Geographical distribution As of 2014, 85.7% of all known bearers of the surname ''Guyon'' were residents of France (frequency 1:4,367), 4.8% of the United States (1:427,011), 2.4% of Canada (1:87,614), 1.7% of the Philippines (1:327,626) and 1.1% of Gabon (1:9,351). In France, the frequency of the surname was higher than national average (1:4,367) in the following regions: * 1. Bourgogne-Franche-Comté (1:1,012) * 2. Pays de la Loire (1:1,802) * 3. Centre-Val de Loire (1:2,925) * 4. Brittany (1:3,370) * 5. Auvergne-Rhône-Alpes (1:3,951) * 6. Corsica (1:4,330) People * Adrien Guyon (1866–?), French Olympic fencer *Alexandre Guyon (1829–1905), French actor *Isabelle Guyon (born 1961), French-born researcher in machine learning * James Guyon Jr. (1778–1846), politician and cavalry officer from Staten Island, New York *Jean Guyon du Buisson (1592–1663), master mason and early settler of Quebec, Canada *Jean Casimir Félix Guyon (1831–1920), French ...
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Ulnar Nerve Entrapment
Ulnar nerve entrapment is a condition where the ulnar nerve becomes physically trapped or pinched, resulting in pain, numbness, or weakness, primarily affecting the little finger and ring finger of the hand. Entrapment may occur at any point from the spine at cervical vertebra C7 to the wrist; the most common point of entrapment is in the elbow (Cubital tunnel syndrome). Prevention is mostly through correct posture and avoiding repetitive or constant strain (e.g. "cell phone elbow"). Treatment is usually conservative, including medication, activity modification, and exercise, but may sometimes include surgery. Prognosis is generally good, with mild to moderate symptoms often resolving spontaneously. Signs and symptoms In general, ulnar neuropathy will result in symptoms in a specific anatomic distribution, affecting the little finger, the ulnar half of the ring finger, and the intrinsic muscles of the hand. The specific symptoms experienced in the characteristic distribution d ...
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Cubital Tunnel Syndrome
Ulnar nerve entrapment is a condition where the ulnar nerve becomes physically trapped or pinched, resulting in pain, numbness, or weakness, primarily affecting the little finger and ring finger of the hand. Entrapment may occur at any point from the spine at cervical vertebra C7 to the wrist; the most common point of entrapment is in the elbow (Cubital tunnel syndrome). Prevention is mostly through correct posture and avoiding repetitive or constant strain (e.g. "cell phone elbow"). Treatment is usually conservative, including medication, activity modification, and exercise, but may sometimes include surgery. Prognosis is generally good, with mild to moderate symptoms often resolving spontaneously. Signs and symptoms In general, ulnar neuropathy will result in symptoms in a specific anatomic distribution, affecting the little finger, the ulnar half of the ring finger, and the intrinsic muscles of the hand. The specific symptoms experienced in the characteristic distribution d ...
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Jean Casimir Félix Guyon
Jean Casimir Félix Guyon (21 July 1831 – 2 August 1920) was a French surgeon and urologist born in Saint-Denis, Ile-Bourbon ( Réunion). He studied medicine in Paris, receiving his doctorate in 1858. He was appointed ''médecin des hôpitaux'' in 1864, and was later a professor of surgical pathology (from 1877) and genitourinary surgery (from 1890) at the University of Paris. In 1878 he became a member of the ''Académie de Médecine''. At Hôpital Necker he held clinics that were attended by students worldwide In 1907, he along with urologists from Europe, the United States and South America established the ''Association Internationale d'Urologie''. In 1979 he was commemorated on a postage stamp, issued by France on the occasion of the 18th Congress of the ''Association Internationale d'Urologie'', held in Paris. The Hôpital Félix Guyon, located in Saint-Denis, Réunion, is named in his honour. Although he was primarily known for work with genitourinary anatomy, Guyon i ...
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Ulnar Claw
An ulnar claw, also known as claw hand or spinster's claw, is a deformity or an abnormal attitude of the hand that develops due to ulnar nerve damage causing paralysis of the lumbricals. A claw hand presents with a hyperextension at the metacarpophalangeal joints and flexion at the proximal and distal interphalangeal joints of the 4th and 5th fingers. The patients with this condition can make a full fist but when they extend their fingers, the hand posture is referred to as claw hand. The ring- and little finger can usually not fully extend at the proximal interphalangeal joint (PIP). This can be commonly confused with the " hand of benediction or pope's blessing", which is caused by proximal (at elbow level) median nerve damage. Presentation Patients exhibiting an ulnar claw are also very frequently unable to spread (abduct) or pull together (adduct) their fingers against resistance. This occurs because the ulnar nerve also innervates the palmar and dorsal interossei of ...
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