An ulnar neuropathy should be suspected if certain clinical signs or symptoms are present.


Clinical symptoms of ulnar neuropathy:

(1) numbness, pain or tingling in the fifth finger

(2) subjective weakness in the hand

(3) pain in the elbow, median forearm or hand



• In the neutral anatomic stance the palm is anterior, thumb lateral and fifth finger medial.


Clinical signs of ulnar neuropathy:

(1) atrophy of the first dorsal interosseous muscle

(2) weakness of the finger spreader muscles

(3) reduced perception to pinprick over the fifth finger (referent to the index finger)


total number of findings =

= SUM(number of signs, number of symptoms)


If the total number of findings is >= 1, then nerve conduction studies should be done to confirm the neuropathy..


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