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Ulnar neuropathy : ウィキペディア英語版 | Ulnar neuropathy
Ulnar neuropathy is a disorder involving the ulnar nerve. Ulnar neuropathy may be caused by entrapment of the ulnar nerve at the elbow or wrist with resultant numbness and tingling into the fourth and fifth fingers. Motor function can be assessed by testing for a positive Froment's sign, or making an OK sign (which the patient will be unable to do). Little finger abduction can be tested as well. ==Pathophysiology== The nerve, axon, and myelin can be affected. Within the axon, fascicles to individual muscles may be involved selectively. Axonal involvement leads to motor unit loss and amplitude/area reduction. Conduction block implies impaired transmission through a segment of nerve. In the absence of changes indicating axonal damage, conduction block implies myelin damage to the involved segment. Significant slowing of conduction and/or significant spreading out of the temporal profile of the recorded response (i.e., abnormal temporal dispersion) with preserved axonal integrity suggests demyelination.
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