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Abstract
Four cases of cyclist's palsy — a distal compression syndrome of the ulnar nerve which
can develop after long cycling tours — are described. In two patients extensive neurological
and electromyographic (EMG) studies were performed in order to document the degree
and time course of recovery of the motor and sensory deficiencies. In contrast to
earlier EMG-studies it could be demonstrated that not only the deep motor branch of
the ulnar nerve is involved, but also that a severe lesion of the superficial branch
supplying the skin of the 4th and 5th finger can occur, as indicated by a complete
loss of the orthodromic sensory action potential recorded above the ulnar nerve in
both cases. The results furthermore show that a functionally significant paresis of
the hand muscles can persist for several months. The pathogenesis and some practical
implications will be discussed.
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References
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Article info
Publication history
Accepted:
February 6,
1980
Received:
January 2,
1980
Identification
Copyright
© 1980 Published by Elsevier Inc.
