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Evaluation and Treatment of Ulnar Tunnel Syndrome

presented by Jamie L. Bergner, OTD, OTR/L, CHT, COMT

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Disclosure Statement:

Financial: Jamie L. Bergner is an instructor for the International Academy of Orthopedic Medicine – US, Hand and Upper Extremity Track. She receives compensation from MedBridge for this course. There is no financial interest beyond the production of this course.

Nonfinancial: Jamie L. Bergner has no competing nonfinancial interests or relationships with regard to the content presented in this course.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

MedBridge is committed to accessibility for all of our subscribers. If you are in need of a disability-related accommodation, please contact [email protected]. We will process requests for reasonable accommodation and will provide reasonable accommodations where appropriate, in a prompt and efficient manner.

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Video Runtime: 72 Minutes; Learning Assessment Time: 25 Minutes

Do your patients report numbness and tingling in the ring and small finger or report hand weakness? How do you determine where the nerve compression is coming from? This course will explore the anatomy of the ulnar nerve and discuss the anatomical considerations influencing ulnar nerve compression of the wrist. You will learn skills necessary to differentiate between proximal nerve compression and compression of the ulnar nerve at Guyon's canal through a comprehensive evaluation. Treatment options will be explored, such as custom orthoses, exercise, and manual techniques to improve the nerve's ability to glide.

Meet Your Instructor

Jamie L. Bergner, OTD, OTR/L, CHT, COMT

Jamie L. Bergner has more than 20 years of clinical expertise as an experienced occupational therapist specializing in the care of clients after hand and upper extremity trauma, injury, and surgery. She is a Certified Hand Therapist (CHT) and a Certified Orthopedic Manual Therapist (COMT) working at a level 1 trauma center for Vanderbilt University…

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Chapters & Learning Objectives

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1. Nerves: Anatomy, Location, and Basic Function of the Ulnar Nerve

This chapter provides an overview of nerve cell function, origins, pathways, and branching patterns that can contribute to the varied clinical presentation seen with ulnar nerve compression at Guyon’s canal. Course participants will explore the tunnels and the superficial fascial system of the wrist to gain understanding of the causes and risks for ulnar nerve compression.

2. Ulnar Tunnel Syndrome Imposters

This chapter will explore the necessary differential diagnosis for clients that present to the clinic with ulnar-sided numbness or tingling. Screening for and ruling out conditions such as cervical radiculopathy, neurogenic thoracic outlet syndrome, and cubital tunnel syndrome will increase your confidence in your treatment diagnosis and lead to more effective treatment interventions.

3. Ulnar Tunnel Syndrome Evaluation

This chapter will use a basic clinical examination to further differentiate between the types of nerve compression at the ulnar tunnel. Special tests will assist with determining level of entrapment in identifying if the deep motor branch is affected, the superficial sensory branch is affected, or the main branch (affecting both sensory and motor nerves) is affected. Lastly, this chapter will provide a scaffolding to assess nerve glide ability.

4. Ulnar Tunnel Syndrome Treatment

This chapter will integrate learning from previous chapters regarding differential diagnosis and focus on interventions specifically for conservative management of ulnar tunnel syndrome. Participants will explore video footage of a treatment session to further appreciate in-session gains in neural mobility from nerve gliding.

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