Abstract

Setting: Secondary care hospital. Patient: A 65-year-old man with ulnar neuropathy (UN) around mid-arm combined with Martin-Gruber anstomosis. Case Description: The patient presented with the left fourth and fifth finger tingling sensation, which had developed after falling down in a drunken state 4 months earlier. Touch and pin-prick sensations were decreased on the left ulnar and dorsal ulnar sensory nerve distribution. According to the Medical Research Council, the left abductor digiti minimi (ADM) and first dorsal interosseous (FDI) muscles were grade 2, and wrist flexion and distal interphalangeal joint flexion of fourth and fifth fingers were grade 3.

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