Ulnar Neuropathy Vs C8 Radiculopathy
Stoker ge 1 kim hj 1 riew kd 1.
Ulnar neuropathy vs c8 radiculopathy. It is innervated by the radial nerve but it s primary segmental input is c8. By examining these five muscles one can clinically differentiate cubital tunnel syndrome from c8 t1 radiculopathies. Cervical radiculopathy ulnar neuropathy cubital tunnel syndrome questionnaire abstract study design questionnaire. Stoker and han jo kim and kiehyun daniel riew journal global spine journal year 2013.
1 department of orthopaedic surgery cervical spine service washington university school of medicine st. A survey of 24 spine surgeons article stoker2013differentiatingcr title differentiating c8 t1 radiculopathy from ulnar neuropathy. Suspected left ulnar neuropathy at the elbow. Differentiating c8 t1 radiculopathy from ulnar neuropathy.
Louis missouri united states. A c8 radiculopathy involving both the anterior and posterior primary rami was identified. Contrarily the c8 nerve root can have pain from the lower scapula down the posteromedial aspect of the arm into the ring and little finger. Ulnar nerve sensory loss affects the medial one and a half digits.
Objective to evaluate the ability of spine surgeons to distinguish c8 t1 radiculopa thies from ulnar neuropathy. A survey of 24 spine surgeons author geoffrey e. Methods twenty four self rated experienced cervical spine surgeons completed a. The ulnar nerve innervates all intrinsic hand muscles except the abductor and flexor pollicis brevis opponens pollicis and lateral two lumbricals which are innervated by c8 and t1 via the median nerve which helps differentiating the ulnar neuropathy from c8 radiculopathy.
Following the emg and ncs evaluation the patient had enhanced magnetic resonance imaging studies that confirmed a foraminal c7 t1 herniation and associated small central disc protrusion. Differentiating c8 t1 radiculopathy from ulnar neuropathy. The differences may seem subtle but if a practitioner only suspects ulnar nerve tension they are neglecting the cervical spine. A survey of 24 spine surgeons.
Should a patient have weakness here we would be leaning more towards c8 radiculopathy.
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