MSK 1st assignment

SUBMITTED BY: Muhammad Kaleem

SUBMITTED TO: Dr. Hafza Gul
SAP ID: 70060352

A 30 year old male presents to outpatient rehabilitation with

numbness and tingling on the 4th and 5th fingers of the left hand
consistent with nerve entrapment symptoms. Upon further
examination, it is noted that the patient has normal sensation on the
dorsum of the hand on the ulnar side. Where is the most likely
source of nerve entrapment and which nerve is involved ?Also write
management for this condition.
• Ulnar Nerve (Superficial Ulnar Nerve) is entrapped causing
Numbness / Tingling of the fingers
• As, the dorsum of the hand has normal sensation the entrapment is
most likely occurred at wrist between the Hook of Hamate &
Transverse Carpal Ligament (Also called Guyon’s Canal Syndrome)
 MANAGEMENT
• As, this condition is considered as an Overuse Injury. Rest is
incorporated into treatment at first place
• Ulnar Nerve Mobilization
• If entrapment is occurred due to inflammation of soft tissue within
the entrapment region then NSAIDs are prescribed along with icing
• Wrist Mobilization techniques are used in case entrapment occurred
due to prolonged position of hand in flexion along with Ulnar
Deviation