title: Ulnar Neuropathy in Cyclists.
abstract: The form and function of the cyclist exposes the ulnar nerve to both traction and compressive forces at both the elbow and wrist. Prevention of ulnar neuropathy and treatment of early symptoms include bike fitting, avoidance of excessive or prolonged weight-bearing through the hands, and the use of padded gloves. For persisting or progressive symptoms, a thorough history and physical examination is essential to confirm the diagnosis and to rule out other sites of nerve compression. The majority of compression neuropathies in cyclists resolve after appropriate rest and conservative treatment; however, should symptoms persist, nerve decompression may be indicated.
authors.affiliation: Department of Orthopaedic Surgery, Duke University, 4709 Creekstone Drive, Suite 200, Durham, NC 27707, USA.
authors.forename: Jacob W
authors.initials: JW
authors.lastname: Brubacher
authors.affiliation: Department of Orthopaedic Surgery, Duke University, 4709 Creekstone Drive, Suite 200, Durham, NC 27707, USA. Electronic address: fraser.leversedge@duke.edu.
authors.forename: Fraser J
authors.initials: FJ
authors.lastname: Leversedge
mesh_terms: D001642:Bicycling / Q000293:injuries*; D000072700:Conservative Treatment; D006801:Humans; D009408:Nerve Compression Syndromes / Q000209:etiology / Q000628:therapy; D014459:Ulnar Nerve; D020424:Ulnar Neuropathies / Q000209:etiology* / Q000517:prevention & control / Q000628:therapy*
keywords: Biking; Cubital tunnel; Cycling; Distal ulnar tunnel; Guyon canal; Ulnar nerve