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The Journal of Bone and Joint Surgery 78:427-30 (1996)
© 1996 The Journal of Bone and Joint Surgery, Inc.

Compression of the Medial Half of the Deep Branch of the Ulnar Nerve by an Anomalous Origin of the Flexor Digiti Minimi. A Case Report*

R. J. SPINNER, M.D.{dagger}, R. E. LINS, M.D.{ddagger}, DURHAM, NORTH CAROLINA and M. SPINNER, M.D.§, BRONX, NEW YORK

Investigation performed at Duke University Medical Center, Durham, and Albert Einstein College of Medicine, Bronx


   Introduction
 
We describe the case of a patient who had compression of the medial half of the deep branch of the ulnar nerve by an anomalous penetrating tendinous structure, resulting in an unusual pattern of ulnar neuropathy. When the patient was first seen, she had isolated weakness of the intrinsic muscles of the ring and little fingers as well as some of the hypothenar muscles, without evidence of additional ulnar innervated motor or sensory abnormality. To our knowledge, this lesion has not been reported previously.


   Case Report
 
A twenty-year-old woman who worked in the retail industry had a one-year history of a deformity involving the right, dominant hand. She recalled no episode of trauma and related the onset of the problem to lifting hangers with heavy clothing. She had no sensory abnormality or symptoms referable to problems elsewhere in the limb or cervical area and was otherwise healthy.

Before the patient was seen . . . [Full Text of this Article]


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