title: Ulnar Neuropathy After Extracorporeal Shockwave Therapy: A Case Report.
abstract: Currently, extracorporeal shockwave therapy (ESWT) is widely used for treatment of various musculoskeletal disorders. We report a case of ulnar neuropathy secondary to the application of ESWT. A 48-year-old man was diagnosed with medial epicondylitis and underwent 2 sessions of ESWT. Immediately after the second session, he experienced paresthesia and weakness in the right hand. On physical examination, atrophy of the first dorsal interosseus and weakness of the abductor digiti minimi were observed. Electrophysiologic study demonstrated ulnar neuropathy at the elbow with severe partial axonotmesis. Our case report demonstrates that ESWT might cause or contribute to peripheral nerve injury at the site of application.
authors: Department of Rehabilitation Medicine, Seoul National University Hospital, Seoul, South Korea(∗).
authors: Jae Seong
authors: JS
authors: Shim
authors: Department of Rehabilitation Medicine, Seoul National University Hospital, Seoul, South Korea(†).
authors: Sun G
authors: SG
authors: Chung
authors: Department of Rehabilitation Medicine, Seoul National University Hospital, Seoul, South Korea(‡).
authors: Hyun
authors: H
authors: Bang
authors: Department of Orthopedic Surgery, Seoul Jaeil Hospital, Seoul, South Korea(§).
authors: Hyuk Jin
authors: HJ
authors: Lee
authors: Department of Rehabilitation Medicine, Seoul National University Hospital, 101 Daehak-ro, Jongno-gu, Seoul, South Korea, 110-744(‖). Electronic address: KeewonKimM.D@gmail.com.
authors: Keewon
authors: K
authors: Kim
mesh_terms: D004551:Elbow Joint / Q000503:physiopathology*; D004576:Electromyography; D005500:Follow-Up Studies; D019220:High-Energy Shock Waves / Q000627:therapeutic use*; D006801:Humans; D008297:Male; D008875:Middle Aged; D016059:Range of Motion, Articular; D014459:Ulnar Nerve / Q000503:physiopathology*; D020424:Ulnar Neuropathies / Q000503:physiopathology / Q000628:therapy*