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Cubital Tunnel Syndrome aka Radial Tunnel Syndrome
- The most common neuropathy of the elbow
- Entrapment of the ulnar nerve as it passes posterior to the medial epicondyle of the elbow
- HX: medial elbow and forearm pain occasionally associated with ulnar digit paresthesias.
- May be due to trauma, degenerative changes or throwing sports.
- PE: Pain with elbow flexion. Tenderness to palpation over the cubital tunnel. Positive Tinnel's sign.
- **Up to a quarter of normal asymptomatic patients will have a positive Tinnel's**
- DDx: Ulnar collateral ligament strain/tear and medial epicondylitis
- Tx: Ice, NSAIDs, activity modification, night splints with elbow in 45 degrees flexion and finally surgical decompression or nerve transposition