A Unique Case of Ulnar Tunnel Syndrome in a Bicyclist Requiring Operative Release
LT Stacey Black, MD, MC, USN,CDR, Eric Hofmeister, MD, MC, USN, and CAPT Michael Thompson, MD, MC, USN
LT Black is a Naval Flight Surgeon, HMH- 465, Marine Corps Air Station, Miramar, California.
CDR Hofmeister is a staff Orthopaedic Hand Surgeon and Orthopaedic Intern Director, Department of Orthopaedic Surgery, Naval Medical Center, San Diego, California.
CAPT Thompson is a staff Orthopaedic Hand Surgeon snd Director of Residency Education, Department of Orthopaedic Surgery, Naval Medical Center, San Diego, California.
The continued growth of recreational and competitive sports is accompanied by the need for health care providers to recognize and treat conditions in athletes that have been traditionally associated with other occupational injury. This is particularly important when early diagnosis and prompt intervention for prevention and treatment may alter the outcome. We present an interesting case of ulnar tunnel syndrome in a high-performance bicyclist with compressive ulnar neuropathy refractory to nonoperative management but successfully treated with surgical release. We review evaluation, diagnosis, and historical and current treatment algorithms.