Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2019 Jan 16:7:2050313X18824814.
doi: 10.1177/2050313X18824814. eCollection 2019.

Case report: Acute cubital tunnel syndrome in a hemophiliac patient

Monika P Debkowska  1 , Ilvy H Cotterell  1 , Aimee J Riley  1
Affiliations
Case Reports

Case report: Acute cubital tunnel syndrome in a hemophiliac patient

Monika P Debkowska et al. SAGE Open Med Case Rep. .

Abstract

A 24-year-old right-hand dominant male with severe Hemophilia A presented with acute elbow pain, associated paresthesias, and weakness in the ulnar nerve distribution after upper body weight lifting. In the week prior, he missed three doses of Factor VIII replacement. After no improvement with conservative measures, he was taken to the operating room urgently for decompression and was noted to have a perineural hematoma in the cubital tunnel. At final follow-up, the patient reported complete resolution of symptoms. Acute cubital tunnel syndrome in hemophiliac patients that does not respond to medical treatment is best treated with surgical decompression using minimal dissection to prevent hematoma formation, preserve perineural membranous tissue, and avoid destabilizing the nerve.

Keywords: Acute cubital tunnel syndrome; hemophilia; in situ decompression; perineural hematoma.

PubMed Disclaimer

Conflict of interest statement

Declaration of conflicting interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
Intra-operative findings. Hematoma formed in the mesoneurium (perineural membrane) noted after incising through Osborne’s ligament.
See this image and copyright information in PMC

References

    1. Eberlin KR, Marjoua Y, Jupiter JB. Compressive neuropathy of the ulnar nerve: a perspective on history and current controversies. J Hand Surg: Am 2017; 42(6): 464–469. - PubMed
    1. Cordingley FT, Crawford GP. Ulnar nerve palsy in a haemophiliac due to intraneural haemorrhage. Brit Med J 1984; 289(6436): 18–19. - PMC - PubMed
    1. Ehrmann L, Lechner K, Mamoli B, et al. Peripheral nerve lesions in haemophilia. J Neurol 1981; 225(3): 175–182. - PubMed
    1. Mortazavi SMJ, Gilbert RS, Gilber MS. Cubital tunnel syndrome in patients with haemophilia. Haemophilia 2009; 16: 333–338. - PubMed
    1. Dumontier C, Sautet A, Man M, et al. Entrapment and compartment syndromes of the upper limb in haemophilia. J Hand Surg: Brit Eur 1994; 19(4): 427–429. - PubMed

Publication types

LinkOut - more resources