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Primary elbow osteoarthritis presenting as ulnar nerve palsy with claw hand
  1. Stanzin Spalkit1,
  2. Anindita Sinha1,
  3. Mahesh Prakash1 and
  4. Satyaswarup Tripathy2
  1. 1Radiodiagnosis, Post Graduate Institute of Medical Education and Research, Chandigarh, India
  2. 2Plastic Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh, India
  1. Correspondence to Dr Anindita Sinha; dranindita{at}


A 59-year-old woman was referred with weakness, paraesthesia, numbness and clawing of the little and ring fingers for the last 2 years. MRI of the cervical spine was normal and nerve conduction velocity revealed abnormality of the ulnar nerve. Ultrasound and MRI showed medial osteophytes and effusion of the elbow joint with stretched and thinned ulnar nerve in the cubital tunnel. The patient underwent release and anterior transposition of the ulnar nerve with significant relief of symptoms.

  • musculoskeletal and joint disorders
  • peripheral nerve disease
  • plastic and reconstructive surgery

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  • Contributors SS: data acquisition, literature search and writing. AS: data acquisition, literature search, writing and editing. MP: literature search and writing. ST: data acquisition, clinical management, literature search and writing.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.