Relato de Caso

ACUTE LESION OF THE MOTOR BRANCH OF THE ULNAR NERVE IN THE WRIST AFTER TUG-OF-WAR TRAINING

Publicado em: 2011

Autores

  • Vladimir Ferreira Seguti
    Orthopedist of the Federal District Health Department - Brasilia, DF, Brazil.
  • Aloísio Fernandes Bonavides
    Orthopedist of the Federal District Health Department; Professor of the Medical Course of Escola Superior de Ciências da Saúde do Distrito Federal - Brasilia, DF, Brazil.
  • Leandro Pretto Flores
    Neurosurgeon of the Federal District Health Department - Brasilia, DF, Brazil.
  • Lisiane Seguti Ferreira
    Clinical Neurophysiologist of the Federal District Health Department; Professor of the Medical Course of Universidade de Brasilia - Brasilia, DF, Brazil.

Resumo

Papers correlating clinical and electrophysiological findings relating to ulnar nerve lesions in the wrist are uncommon in the literature, if compared with elbow injuries. We present the case of a patient with atrophy of the intrinsic musculature of the hand, secondary to injury only of the motor branch of the ulnar nerve, which is located in Guyon's canal close to the hamate hook. We review the anatomical, clinical and neurophysiological aspects of distal ulnar nerve injuries and we emphasize the importance of multidisciplinary approaches. Specifically in relation to the mechanism of injury of this patient (tug-of-war), we did not find any similar cases in the literature. We issue an alert regarding the risks during military physical training.

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