The Upper Hand: Chuck & Chris Talk Hand Surgery

Cubital Tunnel 1 – Diagnosis and Initial Treatment

Feb 1, 2020
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ADVICE

Screen for Medical Comorbidities

  • Always ask about diabetes, peripheral vascular disease, and other medical issues in patients with cubital tunnel symptoms.
  • This helps rule out other causes and understand the patient's overall condition.
ADVICE

Screen Neck Symptoms Carefully

  • Screen for neck symptoms by checking if pain or shooting sensations start in the neck and radiate down the arm.
  • Differentiating cervical radiculopathy is important to not miss double crush or proximal nerve issues.
ADVICE

Assess Hand Function Details

  • Ask specific questions about hand weakness, clumsiness, and difficulty with fine motor tasks like buttoning.
  • This helps distinguish sensory loss from motor or coordination problems.
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