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Case Study of Cubital Tunnel Syndrome By: Michael Cox

Case Study of Cubital Tunnel Syndrome By: Michael Cox. History . 16 year old female softball player Complained of pain and numbness on medial aspect of elbow while throwing. Assessment . Patient complains of pain on medial aspect of elbow

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Case Study of Cubital Tunnel Syndrome By: Michael Cox

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  1. Case Study of Cubital Tunnel SyndromeBy: Michael Cox

  2. History • 16 year old female softball player • Complained of pain and numbness on medial aspect of elbow while throwing

  3. Assessment • Patient complains of pain on medial aspect of elbow • Tingling and numbness down in the 4th and 5th fingers • Point tender over medial epicondyle • No swelling or ecchymosis • Positive tenel’s sign • Negative valgus stress test for laxity, some pain • Strength was within normal limits

  4. Diagnosis • Differential diagnosis • Ulnar Nerve pathology • Ulnar collatreral ligament sprain • Diagnosis • Cubital Tunnel syndrome

  5. Rehabilitation and Return to Play • Patient required surgery • Casted for 2 weeks at 90 degrees flexion • at this time wrist ROM and gripping can start • Increase ROM and Isometric strengthening in early stages of healing • Wand exercises • Isometric elbow flx, ext, pronation, supination • Isotonic exercises for the elbow and wrist can start around the 3rd or 4th week • Dumbbell flx, ext, pronation, supination • As ROM and strength increases propriocetption and neuromuscular control exercises are initiated • Joint stabilization • Movements can progress from straight plane to diagonal patterns • Diagonal PNF strengthening • Plyometrics can begin in later stages of rehab, as well as a progression throwing program • Total rehabilitation can take about 8-12 weeks • Full ROM, strength, neuromuscular control with no pain

  6. Uniqueness and Related to LiteratureNot a frequent injuryNo UCL involvementUnderhand motionArticle:

  7. Summary • Patient complaining of pain and numbness while throwing • Diagnosed with Cubital Tunnel Syndrome- referred to orthopedic • Surgery- anterior transposition of ulnar nerve • Rehabilitation takes about 8-12 weeks

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