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    Ulnar Nerve PPT (Likki)

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    Hemalatha Mannepalli

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    © All Rights Reserved
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    Ulnar Nerve PPT (Likki)

    Uploaded by

    Hemalatha Mannepalli
    7 views9 pages

    Original Title

    Ulnar Nerve Ppt (Likki)

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    © © All Rights Reserved

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    Copyright:

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    7 views9 pages

    Ulnar Nerve PPT (Likki)

    Uploaded by

    Hemalatha Mannepalli

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 9

    ULNAR NERVE

    COURSE AND INJURY

    Dr. N. NAGA LIKHITA


    FINAL YEAR POST
    GRADUATE
    NMC,NELLORE
    COURSE
    Ulnar nerve(C8,T1),terminal branch of medial cord of
    brachial plexus , passes medial to brachial artery in
    arm , without supplying any structure.

    8cms above intercondylar line of humerus , it pierces


    inter muscular septum and runs in posterior
    compartment along the anterior border of medial head
    of triceps.
     ARCADE OF STUTHER : It is a canal through which Ulnar nerve
    passes, formed by fascia running from medial head of triceps to inter
    muscular septum .

     Then it runs behind the medial epicondyle , it pierces Osborne's


    fascia and enter the cubital tunnel .

     Later it runs between the 2 heads of FCU and enter the anterior
    compartment ,supply 2 muscles in forearm – FCU (flexor carpi
    ulnaris) and MEDIAL HALF OF FDP (flexor digitorum profundus).

     4cms above wrist joint it gives dorsal cutaneous branch , at pisiform


    bone pierces deep fascia and enters the posterior compartment and
    supplies sensation over dorsum of hand and wrist joint .

     At wrist joint it passes superficial to flexor retinaculum.


     GUYONS CANAL :
     ROOF – VOLAR CARPAL LIGAMENT
     BASE – TRANSVERSE CARPAL LIGAMENT
     MEDIAL – PISISFORM
     LATERAL- HAMATE

     After passing through this canal, Ulnar nerve divides into superficial
    and deep branches

     Superficial branch supplies sensation to medial 1 ½ fingers


     Deep branch supplies to -
    1) Hypothenar muscles (flexor digiti minimi, opponens
    digiti minimi, abductor digiti minimi)
    2) Medial 2 Lumbricals
    3) All Interossei muscles
    4)Adductor pollicis
    INJURIES OF ULNAR NERVE
    Ulnar nerve entrapment can occur at your elbow or
    wrist. Types include:
    Cubital tunnel syndrome: Pressure or pulling and
    stretching of your Ulnar nerve in your elbow region.
    Guyon’s canal syndrome: Pressure on your Ulnar
    nerve in your wrist region.
     Ganglion cysts are noncancerous fluid-filled sacs that form near your
    wrist joint. These cysts cause up to 40% of Guyon’s canal syndrome.
    Another 45% of Guyon’s canal syndrome diagnoses occur for no
    apparent reason (idiopathic). Less commonly, cysts can also cause
    pressure on the Ulnar nerve within your elbow.
    Other causes of Ulnar nerve entrapment and damage
    include:
     Accidents and trauma.
     Arthritis.
     Broken bones and bone spurs.
     Complications from surgeries to treat carpal tunnel or
    shoulder fractures.
     Diabetes.
     Dislocated elbow.
     Pressure from casts or splints or using crutches.
     Tumours or cysts.
    FINDINGS
    CLAWING OF MEDIAL 2 FINGERS - paralysis of
    medial 2 lumbricals , causing extension of MCP and
    flexion of IP JOINTS .
    ULNAR PARADOX
    FROMENT SIGN –

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