title: Late reconstruction of ulnar nerve palsy.
abstract: Ulnar nerve palsy results in significant loss of sensation and profound weakness, leading to a dysfunctional hand. Typical clinical findings include loss of key pinch, clawing, loss of normal flexion sequence of the digits, loss of the metacarpal arch, and abduction of the small finger. Further deficits in hand/wrist function are seen in high-level ulnar nerve palsy, including loss of ring- and small-finger distal interphalangeal flexion, decreased wrist flexion, and loss of dorsal sensory innervation. This article reviews the clinical findings seen in low and high ulnar nerve palsies, and reviews surgical options for correcting certain motor and sensory deficits.
authors.affiliation: Central Texas Pediatric Orthopedics, 1301 Barbara Jordan Boulevard, Austin, TX 78723, USA.
authors.forename: Hilton P
authors.initials: HP
authors.lastname: Gottschalk
authors.forename: Randip R
authors.initials: RR
authors.lastname: Bindra
mesh_terms: D005384:Finger Joint / Q000503:physiopathology; D005385:Fingers / Q000294:innervation / Q000503:physiopathology / Q000601:surgery; D018737:Hand Strength; D006801:Humans; D009068:Movement; D016067:Nerve Transfer / Q000009:adverse effects / Q000379:methods*; D010243:Paralysis / Q000145:classification / Q000209:etiology / Q000503:physiopathology / Q000601:surgery; D011183:Postoperative Complications / Q000517:prevention & control*; D016059:Range of Motion, Articular; D020127:Recovery of Function; D012677:Sensation; D013709:Tendon Transfer / Q000009:adverse effects / Q000379:methods*; D016896:Treatment Outcome; D014459:Ulnar Nerve / Q000503:physiopathology / Q000601:surgery; D020424:Ulnar Neuropathies / Q000209:etiology / Q000503:physiopathology / Q000601:surgery