Dr. Abdallah El-Sayed AllamPhysical Medicine, Rheumatology and Rehabilitation. Faculty of Medicine. Tanta University. EgyptMSK US Fellowship. National Taiwan University Hospital. Taiwan

Case Presentation

*Male *26years* Carpenter *24-8-2016 Trauma by sharp object during a quarrel cut LT EDC of ring and little fingers & EDM.

• Repair & slap for 4 weeks• Referred for rehabilitation for

stiffness, pain & paraesthesia* Medical Treatment (NSAIDs, Neurotonics and Pregabaline)Pulsed US - ROM exercises

• Gradual improvement of ROM & PAIN but not paraesthesia

Entrapment of Dorsal Cutaneous branch of

the ulnar nerve

Ultrasound guided block

Discussion

Anatomy

Etiology

• Fractures

• lacerations

• Surgical e.g. Treatment with an external

fixation device or Kirschner wires or tendon

repair

• Compression Watchband

• Stretch: Closed reduction of a forearm

fracture

Diagnosis

• History

• Examination

• Diagnostic block

• NCS

• Ultrasound

TTT

• Medical

• Rehabilitation

• Ultrasound guided interventions

• Surgery

Thank you