How to examine the ulnar nerve - watch orthohub examinations with UK orthopaedic surgeon, Tom Quick

Learn how to examine the ulnar nerve in orthohub’s examinations series.
In our first episode, focusing on the first of the upper limb trunk nerves, get yourself comfy and watch orthopedic surgeon, Tom Quick, examine the ulnar nerve of Louis Collins.
Discover the common pinch points - it’s not just Guyon’s canal! What do those intrinsic muscles actually do anyway and why do you get a claw with UN palsy? What exactly is a claw and what’s the ulnar paradox? What does the UN supply above the elbow?
The exam is illustrated in a beautiful diagram by Tom, which you are free to download and share with all your buddies!
The PDF of the ulnar nerve examination can be found on orthohub here: orthohub.xyz/wp-content/uploa...
The video can be found on orthohub: orthohub.xyz/examination-of-t...
And stay tuned, Median is next…
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About Us:
Founded by a group of orthopaedic surgeons, orthohub provides free innovative interactive orthopaedic education for all. At orthohub we want to shape the future of orthopaedic education through learning how and why decisions are made and the tips and tricks of operating. The art of surgery is more than just knowing how to do something, it's knowing the simple steps that make for better results. Learn more about orthohub at orthohub.xyz/.

[@tebogosekhaulelo8511]

Watched these before my exams and you explained it so well!!

[@alyzavantassel]

So freakin good. :)

[@orthohubxyz]

So glad you liked it! Stay tuned for more exciting content!

[@drchemohdhanifchemat4846]

hi. why u check fds in ulna examination? fds is supplied by median nerve

[@oykolapo]

Thanks for the video. Isn’t the FDS supplied by the median nerve?

[@peterbates1435]

Cheers Roshan, Yes absolutely, FDS is median nerve and I agree it's a little confusing here. My apologies! The reason for Tom examining FDS is that he needs to differentiate it from FDP, which is UN territory for little and ring. FDP gets examined with the PIPJ splinted out straight. Please see the attached pdf (all of the other nerves are coming online with their corresponding examination video) orthohub.xyz/wp-content/uploads/2021/06/orthohub-examination-Ulnar-Nerve.pdf

[@oykolapo]

@@peterbates1435 thanks for the clarification. That makes complete sense. Looking forward to seeing the next videos. Great work!

[@alpha2957]

I had the Ulnar Nerve Retransposition procedure done 7 months ago. It hasn't done anything for me. I still have muscle atrophy between the thumb and index finger and between the last finger and ring finger. My orthopedic, who did the surgery, told me it could take anywhere from 8 to 12 months before it reenervates. A hand plastic surgeon told me it could take 12 to 24 months. In addition, the muscle may not hypertrophy at those locations mentioned earlier. With that said, thank God that I don't have any clawing. I have grip strength with my hand. However, I can't spread the finger between the middle and ring finger, and I don't have any resistance strenght when pressure is applied both laterally and medially with my pinky and ring finger. All the other digits are fine. I know very well that such procedures may take time for the nerve to reenervate. So, I'm keeping my positive outlook, and I continue to work out even though my grip isn't able to hold on ro the weights when doing my sets of exercises without having to readjust my grip. But I'm good with that. Just gotta keep working on it and praying, of course! 🙏🙏🙏 💯💯💯👌👌👌👍👍👍