Surgical management of acute claw hand in a competitive baseball player.
We describe an unusual case of acute ulnar neuropathy with a flexible claw hand deformity in a baseball pitcher. Treatment involved ulnar nerve decompression at the elbow with subsequent recurrence of symptoms upon return to pitching. Definitive treatment included a wide secondary release of tethered locations resulting in return of function. At final follow-up the patient has returned to unrestricted baseball throwing activities.
a Department of Sports Medicine and Shoulder Surgery , Hospital for Special Surgery , New York , NY , USA.
Lucas S
LS
McDonald
a Department of Sports Medicine and Shoulder Surgery , Hospital for Special Surgery , New York , NY , USA.
Ryan M
RM
Degen
a Department of Sports Medicine and Shoulder Surgery , Hospital for Special Surgery , New York , NY , USA.
David W
DW
Altchek
D001265:Athletic Injuries / Q000175:diagnosis / Q000534:rehabilitation / Q000628:therapy*; D001484:Baseball / Q000293:injuries*; D019299:Decompression, Surgical; D004550:Elbow / Q000294:innervation / Q000473:pathology*; D004551:Elbow Joint / Q000294:innervation / Q000473:pathology*; D006225:Hand / Q000294:innervation / Q000473:pathology*; D006801:Humans; D009068:Movement; D012008:Recurrence; D000068958:Return to Sport; D014459:Ulnar Nerve / Q000473:pathology*
Entrapment syndrome ulnar nerve; acute claw hand; baseball pitcher; cubital tunnel; nerve compression