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Arch Hand Microsurg > Volume 20(3); 2015 > Article
Journal of the Korean Society for Surgery of the Hand 2015;20(3):148-152.
Published online September 30, 2015.
DOI: https://doi.org/10.12790/jkssh.2015.20.3.148   
Identification of Double Compression Lesion of Ulnar Nerve after Cubital Tunnel Release
Joon Yub Kim, Ho Il Kwak, Jeong Hyun Yoo, Joo Hak Kim, Dong Wook Sohn, Jae Ho Cho
Deaprtment of Orthopedic Surgery, Myongji Hospital, Seonam University College of Medicine, Goyang, Korea. khinael@naver.com
Received: 27 May 2015   • Revised: 28 August 2015   • Accepted: 31 August 2015
Abstract
The double compression syndrome of the ulnar nerve is a rare condition. Herin, we experienced double compression of ulnar nerve at cubital tunnel and Guyon's canal by re-evaluation after surgical decompression of cubital tunnel. We might suspect the double compression lesion in cases of worsening of symptom or nerve conduction velocity findings in a relative short duration of symptom as in our case. Meticulous physical examination might be needed to detect the Guyon's canal syndrome as a comorbidity in the treatment of cubital tunnel syndrome and re-evaluation for dual compression might be recommended if the resolution of symptom was not achieved after surgical decompression of single nerve lesion.
 
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