A rare case of ulnar nerve calcification in a patient without Hansen’s disease

Authors

  • Joydeep Kumar Dey Department of Orthopaedics, Dr. D.Y. Patil medical college and hospital, Nerul, Navi Mumbai, Maharashtra, India
  • Sanjay B. Dhar Department of Orthopaedics, Dr. D.Y. Patil medical college and hospital, Nerul, Navi Mumbai, Maharashtra, India
  • Sunil H. Shetty Department of Orthopaedics, Dr. D.Y. Patil medical college and hospital, Nerul, Navi Mumbai, Maharashtra, India
  • Aditya Gunjotikar Department of Orthopaedics, Dr. D.Y. Patil medical college and hospital, Nerul, Navi Mumbai, Maharashtra, India
  • Sarang Agrawal Department of Orthopaedics, Dr. D.Y. Patil medical college and hospital, Nerul, Navi Mumbai, Maharashtra, India
  • Abhilash Srivastava Department of Orthopaedics, Dr. D.Y. Patil medical college and hospital, Nerul, Navi Mumbai, Maharashtra, India
  • Shikhar Singh Department of Orthopaedics, Dr. D.Y. Patil medical college and hospital, Nerul, Navi Mumbai, Maharashtra, India

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20223459

Keywords:

Ulnar nerve, Hansen’s disease, Calcification, Idiopathic

Abstract

Ulnar nerve calcification is rarely seen without association with Hansen’s disease. Ulnar nerve arises from brachial plexus within the axilla and is a major peripheral nerve of the upper limb. Its root value is C8-T1. It is one of the superficial nerves and is the most commonly affected nerve in leprosy. Our patient 52 years old female, came to Dr. D. Y. Patil hospital, Nerul casualty with a history of fall in bathroom and complaining of pain in right elbow with no neurological deficit. The radiological investigations confirmed a severely comminuted intra-articular humeral condylar fracture of the right side with a linear calcification seen in soft tissues near the ulnar nerve. It is an idiopathic ulnar nerve calcification of the right side. Hence, ulnar nerve calcification can also be seen in patients without Hansen’s disease.

Metrics

Metrics Loading ...

Author Biographies

Joydeep Kumar Dey, Department of Orthopaedics, Dr. D.Y. Patil medical college and hospital, Nerul, Navi Mumbai, Maharashtra, India

orthopaedics Resident.

Sanjay B. Dhar, Department of Orthopaedics, Dr. D.Y. Patil medical college and hospital, Nerul, Navi Mumbai, Maharashtra, India

professor,Department of Orthopaedics.

Sunil H. Shetty, Department of Orthopaedics, Dr. D.Y. Patil medical college and hospital, Nerul, Navi Mumbai, Maharashtra, India

professor,Department of Orthopaedics.

Aditya Gunjotikar, Department of Orthopaedics, Dr. D.Y. Patil medical college and hospital, Nerul, Navi Mumbai, Maharashtra, India

Faculty,Department of Orthopaedics.

Sarang Agrawal, Department of Orthopaedics, Dr. D.Y. Patil medical college and hospital, Nerul, Navi Mumbai, Maharashtra, India

orthopaedics Resident.

Abhilash Srivastava, Department of Orthopaedics, Dr. D.Y. Patil medical college and hospital, Nerul, Navi Mumbai, Maharashtra, India

orthopaedics Resident.

References

Calcification of the Ulnar Nerve in Leprosy. Available at: http://leprev.ilsl.br/pdfs/1975/ v46n4/pdf/v46n4a06.pdf. Accessed on 16 December 2022

Calcification of peripheral nerves in leprosy. Available at: https://pubmed.ncbi.nlm.nih.gov/ 8865949/. Accessed on 16 December 2022

Metastatic calcification as a cause of ulnar nerve compression at the wrist. Available at: https://www.sciencedirect.com/science/article/abs/pii/S0072968X83800679. Accessed on 16 December 2022

Butler P, Mitchell A, Healy JC. Applied Radiological Anatomy. Cambridge University Press. 2012:190-213.

Susan Standring. Gray's Anatomy: The Anatomical Basis of Clinical Practice. 42nd edi. Elsevier Health Sciences. 2020:54-65.

Robert H. Whitaker, Neil R. Borley. Instant Anatomy. Wiley-Blackwell. 2006:114-24.

Tubbs RS, Deep A, Shoja MM, Mortazavi MM, Loukas M, Cohen-Gadol AA. The arcade of Struthers: An anatomical study with potential neurosurgical significance. Surgical Neurol Int. 2011;2:184.

Lauretti L, D'Alessandris QG, De Simone C, Sop FY, Remore LM, Izzo A et al. Ulnar nerve entrapment at the elbow. A surgical series and a systematic review of the literature. J Clin Neurosci. 2017;46:99-108

Palmer BA, Hughes TB. Cubital Tunnel Syndrome. J Hand Surg. 2010;35(1):153-63.

Spinner RJ. Outcomes for Peripheral Nerve Entrapment. Clin Neurosurg. 2006;53:285-94.

Dekelver I, VanGlabbeek F, Dijs H, Stassijns G. Bilateral ulnar nerve entrapment by the M. anconeus epitrochlearis: a case report and literature review. Clin Rheumatol. 2012;31(7):1139-42.

Downloads

Published

2022-12-28

How to Cite

Dey, J. K., Dhar, S. B., Shetty, S. H., Gunjotikar, A., Agrawal, S., Srivastava, A., & Singh, S. (2022). A rare case of ulnar nerve calcification in a patient without Hansen’s disease. International Journal of Research in Orthopaedics, 9(1), 169–172. https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20223459