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Conditions of the Elbow Quiz
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Which nerve is compressed in cubital tunnel syndrome?
- A Ulnar nerve You picked ✓
- B Axillary nerve You picked ✕
- C Median nerve You picked ✕
- D Radial nerve You picked ✕
- E Musculocutaneous nerve You picked ✕
Correct!
Incorrect
The answer is A: Ulnar nerve
Explanation
Why A is correct
See Medial elbow tendinopathy. Option A is correct. The cubital tunnel is a narrow space on the inner side of the elbow, between the medial epicondyle (the bony bump on the inner side of the lower humerus) and the olecranon (the point of the elbow). The ulnar nerve runs through it, which is why a knock to this spot gives the familiar tingling of the 'funny bone'. Cubital tunnel syndrome is the condition caused by sustained pressure or stretch of the nerve here, for example from leaning on the elbow or from repeated elbow bending. Because the ulnar nerve supplies the skin of the little finger and the ulnar half of the ring finger, patients typically report tingling or numbness in those two fingers. The ulnar nerve also supplies most of the small muscles of the hand, so longer-standing compression can weaken finger spreading and grip. Tapping lightly over the nerve at the medial elbow (Tinel's sign) may reproduce the tingling. Cubital tunnel syndrome is the second most common compressive nerve problem of the upper limb, after carpal tunnel syndrome.
- Site: the cubital tunnel lies between the medial epicondyle and the olecranon.
- Nerve: the ulnar nerve runs through it.
- Symptoms: tingling or numbness in the little finger and the ulnar half of the ring finger.
Name the tunnel, then name the nerve that runs through it: carpal tunnel and median nerve, cubital tunnel and ulnar nerve.
Why the other options are incorrect
- B. Axillary nerve: The axillary nerve supplies deltoid and teres minor at the shoulder. It has no course near the cubital tunnel, so it plays no part in this syndrome. Your answer
- C. Median nerve: The median nerve is the nerve compressed at the wrist in carpal tunnel syndrome. It does not run through the tunnel behind the medial epicondyle. Median nerve compression would give tingling in the thumb, index and middle fingers. Your answer
- D. Radial nerve: The radial nerve winds round the back of the humeral shaft and then passes in front of the elbow on the lateral side. It is injured in humeral shaft fractures and gives wrist drop, not tingling in the ring and little fingers. Your answer
- E. Musculocutaneous nerve: The musculocutaneous nerve supplies the muscles at the front of the upper arm and the skin of the lateral forearm. It does not pass behind the medial epicondyle, so it is not compressed in the cubital tunnel. Your answer
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More questions from this set. Start the quiz to answer them and see each explanation.
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1
Which mechanism most commonly causes radial head subluxation in young children?
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2
A 22-year-old recreational golfer has gradual pain on the inner side of the right elbow, worse when gripping the club. Which examination manoeuvre is most likely to reproduce the pain in medial elbow tendinopathy?
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