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Journal of Bone and Joint Surgery, 1969;51:1095-1103.
© 1969 by The Journal of Bone and Joint Surgery, Inc

Ulnar-Nerve Compression Syndromes at and below the Wrist

J. DARRELL SHEA M.D.1 and EDWARD J. McCLAIN M.D.1

1 From the Department of Orthopaedic Surgery, University of Pittsburgh School of Medicine, Pittsburgh

A classification of three specific syndromes of ulnar-nerve compression at the wrist and hand with representative cases is presented and reported cases have been classified according to the location of compression. In Type I (proximal lesion), there is sensory loss in the ulnar distribution as well as some distal loss. In Types II and III (distal lesions), there is, respectively, only pure motor or pure sensory deficit. An outline for preoperative evaluation is suggested for more accurate localization of the site of the injury. Surgical decompression of the usual reversible ulnar neuropraxia is the suggested treatment.


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