• World Neurosurg · Oct 2020

    Case Reports

    Ulnar neuropathy caused by a muscular arcade of Struthers: a case report.

    • de RuiterGodard C WGCWDepartment of Neurosurgery, Haaglanden Medical Center, The Hague, The Netherlands. Electronic address: g.de.ruiter@haaglandenmc.nl., Japke G H de Jonge, VlakMonique H MMHMDepartment of Clinical Neurophysiology, Haaglanden Medical Center, The Hague, The Netherlands., and Anandi E van Loon-Felter.
    • Department of Neurosurgery, Haaglanden Medical Center, The Hague, The Netherlands. Electronic address: g.de.ruiter@haaglandenmc.nl.
    • World Neurosurg. 2020 Oct 1; 142: 128-130.

    BackgroundThere is still debate in the literature on the existence of the arcade of Struthers and moreover the potential role of this structure to cause compression of the ulnar nerve.Case DescriptionIn this article we present a patient with ulnar neuropathy caused by a muscular arcade of Struthers, which was detected preoperatively using ultrasound. Symptoms completely recovered following decompression of the nerve by transection of this muscular arcade.ConclusionsThis case demonstrates that a muscular arcade of Struthers can cause symptoms of ulnar neuropathy. Ultrasound in this case proved to be helpful in the preoperative workup, clearly demonstrating this unusual site of compression.Copyright © 2020 Elsevier Inc. All rights reserved.

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