Pediatric ulnar mononeuropathies are the most frequent upper extremity mononeuropathies seen in the electromyography laboratory at The Children's Hospital, Boston. Twenty-one children (12 boys and nine girls) with pediatric ulnar mononeuropathy, aged 5 to 18 years, were seen from 1979 to 1991. The causes included acute trauma in 11 children (52%), compression in five children (24%), entrapment in three children (14%), and indeterminate in two children (10%). The sites of nerve injury included the elbow in 10 children (48%), forearm in three children (14%), wrist in five children (24%), hand in one child (4%), and indeterminate in the remaining two children (10%). Prognosis is more favorable in nontraumatic (83% improved) pediatric ulnar neuropathies than with traumatic lesions (56% improved), with at least a 1-year follow-up. (J Child Neurol 1996; 11: 116-120).
Get full access to this article
View all access options for this article.
References
1.
Dawson DM, Hallett M., Millender LH: Entrapment Neuropathies, 2nd ed. Boston, Little Brown, 1990, pp 125-198.
2.
Jones HR Jr: Compressive neuropathy in childhood: A report of 14 cases. Muscle Nerve1986;9:720-723.
3.
Ouvrier RA, McLeod JG, Pollard JD: Peripheral Neuropathy in Childhood. New York, Raven, 1990.
4.
Jones HR Jr: Mononeuropathies in childhood in the upper extremities: A review of 41 cases. J Neurol Sci1990;98(Suppl): 448-449.
5.
Brown W., Bolton CA: Clinical Electromyography, 2nd ed. Boston, Butterworth, 1992.
6.
Jabre JF: Ulnar nerve lesions at the wrist: New technique for recording from the sensory dorsal branch of the ulnar nerve. Neurology1980;30:873-876.
7.
Kimura J.: Electrodiagnosis in Diseases of Nerve and Muscle: Principles and Practice , 2nd ed. Philadelphia, FA Davis, 1989.
8.
Gamstorp I., Shelburne SA Jr: Peripheral sensory conduction in ulnar and median nerves of normal infants, children, and adolescents. Acta Pediatr Scand1965;54:309-313.
9.
Lang HA, Puusa A., Hynninen P., et al: Evolution of nerve conduction velocity in later childhood and adolescence. Muscle Nerve1985;8:38-43.
10.
Thomas JE, Lambert EH: Ulnar nerve conduction velocity and H-reflex in infants and children . J Appl Physiol1960; 15:1-9.
11.
Miller RG, Kuntz NL: Nerve conduction studies in infants and children. J Child Neurol1986; 1:19-26.
Godshall RW , Hansen CA: Traumatic ulnar neuropathy in adolescent baseball pitchers. J Bone Joint Surg1971;53A:359-361.
23.
Cordingley FT, Crawford GP: Ulnar nerve palsy in a haemophiliac due to intraneural haemorrhage. BMJ1984;289:18-19.
24.
Dunn D., Wilensky M.: Median and ulnar nerve palsies after infiltration of intravenous fluid, letter . South Med J1984;77:1345.
25.
Gessini L., Jandolo B., Pietrangeli A., Occhipinti E.: Ulnar nerve entrapment at the elbow by persistent epitrochleoanconeus muscle: Case report. J Neurosurg1981;55:830-831.
26.
Uchida Y., Sugioka Y.: Peripheral nerve palsy associated with congenital band syndrome. J Hand Surg1991; 16B:109-112.
27.
Weeks PM: Radial, median, and ulnar nerve dysfunction associated with a congenital constricting band of the arm. Plast Reconstr Surg1982;69:333-336.
28.
Fissette J. , Onkelinx A., Fandi N.: Carpal and Guyon tunnel syndrome in bums at the wrist. J Hand Surg1981; 6:13-15.
